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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News

Payment rate reduced by 1.25% in CMS proposed physician payment rule
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 ...
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FDA approves nonprescription oral contraceptive
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 ...
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Telehealth linked to fewer in-person follow-up visits
Jul 13 | Jeff Lagasse
Telehealth linked to fewer in-person follow-up visits
Sixteen out of 24 specialties saw an in-person follow-up after an office visit more often than after a ...
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Aspirus Health, St. Luke's to affiliate and expand nonprofit healthcare system
Jul 13 | Jeff Lagasse
Aspirus Health, St. Luke's to affiliate and expand nonprofit healthcare system
The organization will run 19 hospitals and 130 outpatient centers, and have ...
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HHS issues proposed rule to improve childcare access
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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AHA asks Senate for more emergency preparedness funds
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 ...
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Drug shortages lead to higher prices, trouble filling prescriptions
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 ...
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Express Scripts to offer Humira biosimilars
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 ...
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Significant differences uncovered between MA, FFS enrollees
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 ...
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Health Connect America fined more than $4.6M for alleged Medicaid fraud
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 ...
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