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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Population Health

Hands holding syringe and vial
Jul 18 | Jeff Lagasse
CMS expanding Medicare Diabetes Prevention Program
CMS is also proposing to simplify the current performance-based payment structure for MDPP.
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Pill bottle outdoors
Jul 14 | Jeff Lagasse
FDA approves nonprescription oral contraceptive
Nonprescription availability may improve access, the FDA said, by allowing people to obtain it without first having to see a provider.
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Person standing, holding a baby
Jul 13 | Jeff Lagasse
HHS issues proposed rule to improve childcare access
The rule would cap copayments for all families to no more than 7% of their income, along with other measures.
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Pill bottle
Jul 12 | Jeff Lagasse
Express Scripts to offer Humira biosimilars
By adding clinically equivalent biosimilars to its formulary, Express Scripts said it can drive greater savings for its clients.
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Home physical therapy
Jul 11 | Jeff Lagasse
Significant differences uncovered between MA, FFS enrollees
For health plans, authors expect the study can provide a better understanding of the core customer segments of MA.
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Office doctor visit
Jul 11 | Jeff Lagasse
One in four skip wellness appointments, regular checkups
About half of adults have avoided at least one common health screening, including tests for certain diseases and other exams.
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Dr. Kristi Henderson
Jul 07 | Jeff Lagasse
Ex-Optum Everycare CEO to helm Confluent Health
Dr. Kristi Henderson is making the transition after 25 years of experience in various healthcare leadership roles.
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Couple with bills
Jul 07 | Jeff Lagasse
HHS proposed rule targets 'junk' health insurance plans
Non-comprehensive coverage, HHS says, can be harmful to low-income individuals and people with significant healthcare needs.
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A home physical therapy session
Jul 06 | Jeff Lagasse
Medicare Advantage quality bonus program failing to meet objectives, report finds
The concern is that the QBP overpays MA organizations and does not encourage quality improvement or help…
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Hospital driveway and entrance
Jul 05 | Jeff Lagasse
U.S. News revises 'Best Hospitals' methodology in wake of backlash
The changes come on the heels of scrutiny from medical experts for alleged imprecise methodology and bias.
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