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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Supply Chain

Person at a window
Jul 14 | Jeff Lagasse
Behavioral health access targeted in CMS proposals
CMS is proposing to update OPPS payment rates for CY 2024 for hospitals that meet applicable quality reporting requirements by 2.8%.
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The U.S. Capitol
Jul 12 | Jeff Lagasse
AHA asks Senate for more emergency preparedness funds
The hospital group is proposing the Senate at least double the $385 million in annual funding for the HPP from 2024 through 2029.
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Hands using a pill organizer
Jul 12 | Jeff Lagasse
Drug shortages lead to higher prices, trouble filling prescriptions
Data showed a 16.6% increase in the price of drugs in shortage, driven mostly by an increase in the price of generics.
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A stethoscope resting on a tablet
Jul 07 | Susan Morse
HIMSSCast: Embrace technology to replace the mundane tasks
Hospitals need a holistic dashboard of financial indicators that align with how revenues get recognized, says Premier CEO Mike…
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Doctor explaining to patient
May 30 | Jeff Lagasse
Healthcare costs exceed $31K for family of four
Overall, healthcare costs increased 5.6% this year, and have increased by about 4.8% annually since 2021.
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Reporting supply chain issues will now be voluntary, meaning the agency will likely have an incomplete picture of potential shortages.
May 26 | Jeff Lagasse
FDA: Medical device shortages could worsen
Reporting supply chain issues will now be voluntary, meaning the agency will likely have an incomplete picture of potential shortages.
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One hand dispenses pills into another
May 24 | Susan Morse
CMS proposes to hold drugmakers and PBMs accountable for cost of drugs covered by Medicaid
Contracts with managed care plans would include a report on spread pricing, CMS says. 
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Photo: ljuba/Getty Images
May 18 | Susan Morse
House Oversight Committee to take up transparency measures for PBMs
The House Committee on Oversight and Accountability will take up the role of pharmacy benefit managers on Tuesday, May 23.
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A finger points to a graph
May 05 | Jeff Lagasse
Cigna logs $1.3B profit in Q1, promises transparency around PBMs
The company pledges more transparency around its PBM business, run through the Evernorth subsidiary.
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Pill bottles and pills on a table
Apr 24 | Susan Morse
AHIP launches ad campaign calling out Big Pharma on drug prices
Big Pharma spends millions attempting to deflect blame, limit competition, and undermine patients' bargaining power, AHIP…
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