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
View more

Medicare & Medicaid

In-depth

Dialysis facilities get a proposed 1.6% payment bump for 2024

Dialysis facilities get a proposed 1.6% payment bump for 2024

For hospital-based facilities, CMS projects an increase in total payments of 2.6%.

Medicaid disenrollment is happening faster than anyone thought, says former Medicaid deputy director

Medicaid disenrollment is happening faster than anyone thought, says former Medicaid deputy director

"If I were a hospital administrator right now, I'd have a…

Whitepapers

Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year long

Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year long

Healthcare organizations (HCOs) often hold multiple…

The Changing Role of The Healthcare Finance Leader

The Changing Role of The Healthcare Finance Leader

Gone are the days when the healthcare finance leader simply reported on the results of the previous month,…

Latest News

July 14, 2023 | Jeff Lagasse

Behavioral health access targeted in CMS proposals

July 14, 2023 | Jeff Lagasse

Payment rate reduced by 1.25% in CMS proposed physician payment rule

July 11, 2023 | Jeff Lagasse

Significant differences uncovered between MA, FFS enrollees

July 11, 2023 | Jeff Lagasse

Health Connect America fined more than $4.6M for alleged Medicaid fraud

July 10, 2023 | Jeff Lagasse

NAHC sues Medicare to preserve home health service benefit

July 7, 2023 | Susan Morse

Hospitals to get $9 billion in proposed remedy to 340B ruling

July 7, 2023 | Susan Morse

Medicare broadens coverage of FDA-approved Alzheimer's treatment

VIEW ALL NEWS

MostPopular

Senate strikes down healthcare worker vaccine mandate

Senate strikes down healthcare worker vaccine mandate

CDC relaxes indoor mask guidance, including for schools

CDC relaxes indoor mask guidance, including for schools

CA lawmakers introduce bill mandating workplace vaccinations

CA lawmakers introduce bill mandating workplace vaccinations

CVS files patent to sell healthcare services in the metaverse

CVS files patent to sell healthcare services in the metaverse

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

Biggest trends are hospital care at home and widening labor gap

Biggest trends are hospital care at home and widening labor gap

Anthem to rebrand as Elevance Health

Anthem to rebrand as Elevance Health

News

Ending racism in healthcare often begins with medical education - and is the target of a new national project

Ending racism in healthcare often begins with medical education - and is the target of a new national project

Inequities can be found in every facet of the industry, but targeting medical students and residents can help stem the tide.

Healthcare organizations ask HHS to delay quality measure reporting for ACOs

Healthcare organizations ask HHS to delay quality measure reporting for ACOs

The American Hospital Association and American Medical Association are among the 11 organizations signing the letter.

Whitepapers

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today's environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes - all laudable goals.

Clinical Quality Measures 101

Clinical Quality Measures 101

Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to…

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data that's already flowing through financial systems into…