Topics
Reimbursement
Healthcare groups prod Congress to stop CMS' payment cuts
Healthcare groups prod Congress to stop CMS' payment cuts
Revenue Cycle Management
The transactional revenue cycle no longer works: Here's what does
The transactional revenue cycle no longer works: Here's what does
Strategic Planning
Q&A with Geisinger CEO and president Dr. Jaewon Ryu, who will be CEO of the new Risant Health
Q&A with Geisinger CEO and president Dr. Jaewon Ryu
Capital Finance
Cash shortages plague hospitals but there are signs of improvement ahead
Cash shortages plague hospitals
Supply Chain
HIMSSCast: Embrace technology to replace the mundane tasks
HIMSSCast: Embrace technology to replace the mundane tasks
Accounting & Financial Management
Optum growth fuels strong quarter for UnitedHealth Group
Optum growth fuels strong quarter for UnitedHealth Group
Budgeting
Insurers likely to pay $1.1 billion in rebates this fall
Insurers likely to pay $1.1 billion in rebates this fall
Quality and Safety
U.S. News revises 'Best Hospitals' methodology in wake of backlash
U.S. News revises 'Best Hospitals' methodology in wake of backlash
Billing and Collections
Paying for healthcare creates mental and financial health concerns
Paying for care creates mental, financial concerns
Claims Processing
94% of physicians report care delays due to prior authorization, AMA says
94% of physicians report care delays due to prior authorization, AMA says
Workforce
AMA pushes to end noncompete clauses in physician contracts
AMA pushes to end noncompete clauses
Operations
Sola launches in growing employer self-funded health plan market
Sola launches in growing self-funded health plan market
Medical Devices
Humana teams with durable medical equipment organizations on home care
Humana teams with DME orgs on home care
Hospital/physician relations
Physicians would rather leave than work for Envision, doctor says
Physicians would rather leave than work for Envision, doctor says
Construction & Facilities Management
Providence announces $712 million expansion in southern California 
Providence announces $712M expansion in southern California 
Compliance & Legal
Florida men plead guilty to $67 million Medicare fraud scheme
Florida men plead guilty to $67 million Medicare fraud scheme
Policy and Legislation
CMS expanding Medicare Diabetes Prevention Program
CMS expanding Medicare Diabetes Prevention Program
Community Benefit
AMA and others launch collective call for health equity in Rise to Health
AMA and others launch collective call for health equity
Accountable Care
CMS is testing new primary care model
CMS is testing new primary care model
Acute Care
A cyberattack is partly to blame for St. Margaret's Health closing all operations
A cyberattack is partly to blame for St. Margaret's Health closing all operations
Ambulatory Care
Hospitals face direct competition from the 'retailization' of healthcare
Hospitals face direct competition from the 'retailization' of healthcare
Analytics
Top Stories: Patient information exposed in PharMerica breach
Top Stories: Patient information exposed in PharMerica breach
Business Intelligence
Healthcare job cuts increase 97% from 2022
Healthcare job cuts increase 97% from 2022
ICD-10 & Coding
Physician practices examine risk adjustment coding in wake of federal lawsuits
Practices keeping close watch on risk adjustment coding
Meaningful Use
CMS overhauls meaningful use EHR program, renames it 'Promoting Interoperability'
CMS overhauls meaningful use as 'Promoting Interoperability'
Medicare & Medicaid
Significant differences uncovered between MA, FFS enrollees
Significant differences uncovered between MA, FFS enrollees
Patient Engagement
Commercial health plan member satisfaction declining in key areas
Commercial health plan member satisfaction declining
Pharmacy
Pharmacy leaders meet with White House on Medicare prescription drug benefits
Pharmacy leaders meet with White House on Rx drug benefits
Population Health
One in four skip wellness appointments, regular checkups
One in four adults skip wellness appointments, regular checkups
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Telehealth linked to fewer in-person follow-up visits
Telehealth linked to fewer in-person follow-up visits
Mergers & Acquisitions
M&A activity returning to pre-pandemic levels
M&A activity returning to pre-pandemic levels
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Compliance & Legal

Statuette of Justice holding scales
Jul 19 |
Florida men plead guilty to $67 million Medicare fraud scheme
The scheme involved genetic testing and durable medical equipment that patients did not need, which the defendants procured with…
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Papers exchanged at judge's bench
Jul 19 | Jeff Lagasse
FTC sues to block IQVIA's acquisition of Propel Media
The deal would give IQVIA a market-leading position in programmatic advertising for healthcare products, the FTC said.
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The U.S. contends that NextGen falsely obtained certification for its software and that its EHR lacked required functionality.
Jul 17 | Jeff Lagasse
EHR vendor NextGen Healthcare paying $31 million in False Claims Act settlement
The U.S. contends that NextGen falsely obtained certification for its software and that its EHR lacked…
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Statuette of Justice holding scales
Jul 11 | Jeff Lagasse
Health Connect America fined more than $4.6M for alleged Medicaid fraud
The allegations involved HCA billing Medicaid improperly for three separate behavioral health services available to…
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Papers crossing a judge's bench
Jul 10 | Jeff Lagasse
NAHC sues Medicare to preserve home health service benefit
The lawsuit argues that Medicare is required to institute the payment model changes in a budget neutral manner.
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Statuette of Justice with scales
Jul 06 | Jeff Lagasse
Aetna sued by Kraft Heinz for allegedly mishandling data
The lawsuit alleges that Aetna took more than $1.3 billion from Kraft Heinz to pay providers.
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Empty pill bottle lying on side
Jun 23 | Jeff Lagasse
CMS rolls out plan to cover new Alzheimer's drugs
Medicare will cover drugs with traditional FDA approval when a physician and clinical team participates in a registry.
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Small business conference
Jun 22 | Jeff Lagasse
North Carolina puts Friday Health plans into receivership
The move is due to its reported insolvency and inability to raise additional funds from outside investors.
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Drug negotiation with manufacturers is government price fixing and is unconstitutional, groups say.
Jun 22 | Susan Morse
PhRMA and other groups sue HHS over drug pricing provisions of the IRA
Drug negotiation with manufacturers is government price fixing and is unconstitutional, groups say.
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Hospital driveway
Jun 21 | Jeff Lagasse
San Francisco city attorney questions legality of U.S. News and World Report hospital rankings
Letter also demands that U.S. News publicly disclose the payments it receives from the…
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