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

Pharmacy leaders meet with White House on Medicare prescription drug benefits
Jul 19 | Jeff Lagasse
Pharmacy leaders meet with White House on Medicare prescription drug benefits
The administration wants to educate consumers about the new Medicare prescription drug ...
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Florida men plead guilty to $67 million Medicare fraud scheme
Jul 19 |
Florida men plead guilty to $67 million Medicare fraud scheme
The scheme involved genetic testing and durable medical equipment that patients did not need, which the ...
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FTC sues to block IQVIA's acquisition of Propel Media
Jul 19 | Jeff Lagasse
FTC sues to block IQVIA's acquisition of Propel Media
The deal would give IQVIA a market-leading position in programmatic advertising for healthcare products, ...
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M&A activity returning to pre-pandemic levels
Jul 18 | Jeff Lagasse
M&A activity returning to pre-pandemic levels
The 20 transactions in the quarter represent the highest number since the first quarter of 2020, when the COVID-19 ...
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Healthcare groups prod Congress to stop CMS' payment cuts
Jul 18 | Jeff Lagasse
Healthcare groups prod Congress to stop CMS' payment cuts
AMGA and the AHA said the proposed cuts would hinder the ability of multispecialty medical groups to ...
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CMS expanding Medicare Diabetes Prevention Program
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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Optum growth fuels strong quarter for UnitedHealth Group
Jul 17 | Jeff Lagasse
Optum growth fuels strong quarter for UnitedHealth Group
That strong showing by the subsidiary helped UHG realize Q2 revenues that were 16% higher than the year ...
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EHR vendor NextGen Healthcare paying $31 million in False Claims Act settlement
Jul 17 | Jeff Lagasse
EHR vendor NextGen Healthcare paying $31 million in False Claims Act settlement
The U.S. contends that NextGen falsely obtained certification for its software and ...
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Digital health investment slows as investors dwindle
Jul 14 | Nathan Eddy
Digital health investment slows as investors dwindle
The decline in funding follows a significant boom in 2021, when U.S. digital health startups raised $29.1 ...
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Behavioral health access targeted in CMS proposals
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 ...
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