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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Accountable Care

Healthcare professionals walk through a hospital corridor
Jul 14 | Jeff Lagasse
Payment rate reduced by 1.25% in CMS proposed physician payment rule
CMS is also proposing increases in payment for many visit services, such as primary care, and changes impacting cancer…
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Doctors in conference room
Jun 27 | Susan Morse
CMS releases new oncology model that has payment incentives and downside risk
The Enhancing Oncology Model offers additional payment for enhanced services to patients who are dually eligible…
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Doctor talks with patient on a couch
Jun 08 | Susan Morse
CMS is testing new primary care model
The model excludes ACOs, objects NAACOS.
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Medical professional with tablet
May 23 | Susan Morse
BCBS of Massachusetts adds Tufts Medicine to its value-based payment contracts
More than half of members in the state now receive care from providers participating in equity-focused payment…
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Clinician at computer
May 02 | Susan Morse
Providers may submit 2023 MIPS exception applications to CMS
CMS will conduct preview calls for the 2024 MIPS performance period until June 2, with May 19 being the last day to request a…
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CVS Pharmacy sign on large entrance with stone pillars
Mar 28 | Susan Morse
CVS and Signify's $8 billion deal expected to close this week
The acquisition strategically aligns CVS to the ongoing trend of home health for an aging population.
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Mar 02 | Jeff Lagasse
Clover cuts losses, logs $84M loss in Q4
CEO Andrew Toy says the company is achieving "real momentum" toward profitability, and has priced its insurance plans with that in mind.
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Photo: Alistair Berg/Getty Images
Feb 28 | Susan Morse
What providers can expect when waivers expire at end of the PHE
For those with private insurance, coverage for telehealth and other remote care services will vary by plan after the end of…
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Mass General Brigham sign on building
Feb 14 | Susan Morse
Kaiser, Mass General Brigham operating losses driven in large part by labor expenses
Capacity crisis, cost inflation and workforce vacancies continue to impact financial performance.
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Businesspeople greet in building lobby
Feb 03 | Jeff Lagasse
Humana announces leadership appointments
Dr. Sanjay Shetty will lead healthcare services business CenterWell, the largest provider of senior-focused primary care in the U.S.
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