Industry News & Updates
Ambulatory surgery centers drive Tenet’s strong Q4 results
Tenet Healthcare’s strong Q4 revenue and income results were driven in large part by its partnership and growth in ambulatory…
What’s a Financial Management or RCM Challenge That Not Enough People are Talking About and Why?
While there seems to be an endless wave of new technologies and solutions that could greatly benefit our organizations, none…
Rev Cycle Tech ROI Is Serious Business
Deciphering value in new tools and strategies is a constant challenge for healthcare leaders. At the HealthLeaders RevTech Exchange, they…
AMA aims to cut retrospective denials: 4 things to know
The American Medical Association is pushing for tighter protections over prior authorization requirements due to continued physician frustration.
CMS gives renal dialysis facilities a 2.7% increase
Among a spate of final rules issued by the Centers for Medicare and Medicaid Services is one updating payment rates…
DOJ sues to block UnitedHealth’s acquisition of Amedisys
The merger would further consolidate UnitedHealth’s standing as the dominant force in the American healthcare system, lawsuit says.
What Trump’s election means for healthcare
The expectation is for a new Congress to create policy around AI and cybersecurity, says Tom Leary of HIMSS.
Fifteen percent of providers and 25% of payers report having an established AI strategy in 2024.
Three-quarters of U.S. healthcare providers and payers increased their IT spending this past year, with artificial intelligence (AI), cybersecurity and…
Hospitals are leveraging AI to improve revenue cycle
Hospitals and health systems are increasingly turning to AI to enhance their revenue cycle management (RCM) processes as healthcare execs shift their…
1 health system’s secret to Medicare Advantage success
Medicare Advantage has grown rapidly in recent years, with 32.8 million people (54% of the eligible Medicare population) now enrolled in an…
Hospitals get $2.9B increase in Medicare inpatient pay
HHS has finalized the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS)…
Medicare Advantage growth could be challenging for hospitals
The Medicare Advantage program recently achieved the milestone of covering more than half of all Medicare beneficiaries, but according to…
Employer health costs projected to rise 9%
The average cost of employer-sponsored healthcare coverage in the U.S. is expected to increase 9% next year, surpassing $16,000 per…
Hospitals get 2.9% payment increase in final rule
The Centers for Medicare and Medicaid Services is increasing payment to inpatient hospitals by 2.9%, a rate the American Hospital Association said…
How to Level Up the Revenue Cycle Management Game Plan
In the ever-evolving healthcare landscape, efficient revenue cycle management (RCM) is crucial for maintaining a financially healthy practice. Adopting a…
CMS Finalizes Payment Updates for 2025 Medicare Advantage and Medicare Part D Programs
Finalized policies will continue to ensure the strength and stability of Medicare Advantage and Medicare Part D programs
Covid Is Still With Us, but the Guidance Has Changed.
President Joe Biden tested positive for covid-19 last week, but his symptoms were reportedly mild. With covid still circulating and…
HHS Reorganizes Technology, Cybersecurity, Data, and Artificial Intelligence
The U.S. Department of Health and Human Services (HHS) today announced a reorganization that will streamline and bolster technology, cybersecurity,…
Americans’ Challenges with Health Care Costs
For many years, KFF polling has found that the high cost of health care is a burden on U.S. families,…
The No Surprises Act Comes With Some Surprises
The No Surprises Act, the landmark law intended to protect patients from surprise out-of-network medical bills, has come with, well,…
Feds Move to Rein In Prior Authorization, a System That Harms and Frustrates Patients
When Paula Chestnut needed hip replacement surgery last year, a pre-operative X-ray found irregularities in her chest. As a smoker…
Biden-Harris Administration Announces Utah’s Medicaid and CHIP Postpartum Coverage Expansion; 45 States Now Offer Full Year of Coverage After Pregnancy
Thanks to the Biden-Harris Administration’s efforts to strengthen maternal health, an estimated 691,000 Americans annually are now eligible for essential…
Medicare Advantage beneficiaries receive fewer home health visits, study finds
Fewer home health visits and shorter lengths of stay are likely related to cost containment strategies by Medicare Advantage plans,…