Topics
Reimbursement
Value-based care expected to see revenue increases this year, survey finds
Value-based care to see revenue increases this year
Revenue Cycle Management
Cleveland Clinic to debut AI tools for revenue cycle
Cleveland Clinic to debut AI tools for revenue cycle
Strategic Planning
WebMD CMO Dr. John Whyte selected as new CEO of the AMA
WebMD CMO Dr. John Whyte selected as new CEO of the AMA
Capital Finance
Orlando Health, Watson Clinic partnering on new hospital
Orlando Health, Watson Clinic partnering on new hospital
Supply Chain
Trump releases executive order to speed domestic drug production
Trump releases executive order to speed domestic drug production
Accounting & Financial Management
Aetna exiting ACA markets as CVS Health logs $1.8B in profit
Aetna exiting ACA markets as CVS logs $1.8B in profit
Budgeting
Health system operating margins declined in August
Health system operating margins declined in August
Quality and Safety
Kaiser Permanente fined $819K for delays in handling member complaints
Kaiser Permanente fined $819K for delays in handling member complaints
Billing and Collections
Revenue cycle challenged by low collection rates, high denials
Revenue cycle challenged by low collection rates, high denials
Claims Processing
Optum levying strict measures on Change outage loan repayment, AMA says
Optum levying strict measures on Change outage loan repayment
Workforce
New York-Presbyterian laying off 2% of workforce
New York-Presbyterian laying off 2% of workforce
Operations
HIMSSCast: Scaling integration for pediatric care
HIMSSCast: Scaling integration for pediatric care
Medical Devices
AHA says new tariffs could worsen drug shortages
AHA says new tariffs could worsen drug shortages
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling on noncompetes
Hospitals, physicians submit opposing views to FTC ruling
Construction & Facilities Management
AdventHealth investing $1 billion into its Orlando campus
AdventHealth investing $1B into its Orlando campus
Compliance & Legal
UnitedHealth shares drop again on kickback allegations
UnitedHealth shares drop again on kickback allegations
Policy and Legislation
RFK Jr. faces criticism, protest over $715B in Medicaid cuts
RFK Jr. faces criticism, protest over $715B in Medicaid cuts
Community Benefit
Mobile Healthcare does house calls
Mobile Healthcare does house calls
Accountable Care
HIMSS25 session shows how physicians are incentivized in alternative payment models
HIMSS25 session shows how physicians are incentivized in APMs
Acute Care
CMS proposing 2.4% increase for hospice care
CMS proposing 2.4% increase for hospice care
Ambulatory Care
Cleveland Clinic partners with Regent Surgical for ambulatory surgery centers
Cleveland Clinic partners with Regent Surgical for ambulatory surgery centers
Analytics
Yale New Haven Health data breach affects 5 million people
Yale New Haven Health data breach affects 5M
Business Intelligence
Most employers plan to pressure vendors on well-being offerings
Most employers plan to pressure vendors on well-being offerings
ICD-10 & Coding
Physician practices examine risk adjustment coding in wake of federal lawsuits
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking 
Financial disincentives for providers who commit information blocking 
Medicare & Medicaid
CMS closing loophole it says states exploit to benefit illegal immigrants
CMS closing loophole it says states exploit to benefit illegal immigrants
Patient Engagement
HIMSSCast: 'How do we grow again?'
HIMSSCast: 'How do we grow again?'
Pharmacy
Court rejects drugmakers replacing 340B upfront payments with rebates
Court rejects drugmakers' 340B rebate proposal
Population Health
Enrollment in ACA exchanges has exploded in recent years
Enrollment in ACA exchanges has exploded in recent years
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Alliance for Connected Care outlines policy requests to CMS
Alliance for Connected Care outlines policy requests to CMS
Mergers & Acquisitions
CareSource finalizes Commonwealth Care Alliance acquisition
CareSource finalizes Commonwealth Care Alliance acquisition
View more

Reimbursement

In-depth

Court rejects drugmakers replacing 340B upfront payments with rebates

Court rejects drugmakers replacing 340B upfront payments with rebates

HRSA has yet to decide whether rebates are categorically prohibited and a decision on J&J…

Value-based care expected to see revenue increases this year, survey finds

Value-based care expected to see revenue increases this year, survey finds

70% of healthcare organizations are optimistic about AI's role in enabling predictive…

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

May 19, 2025 | Jeff Lagasse

Value-based care expected to see revenue increases this year, survey finds

May 19, 2025 | Susan Morse

Court rejects drugmakers replacing 340B upfront payments with rebates

May 15, 2025 | Jeff Lagasse

UnitedHealth Group reportedly under investigation for criminal Medicare Advantage fraud

May 13, 2025 | Jeff Lagasse

UnitedHealth Group CEO Andrew Witty steps down

May 12, 2025 | Susan Morse

Hospital groups say Medicaid cuts threaten financial stability

May 12, 2025 | Jeff Lagasse

Bill would expand access to digital therapeutics

May 12, 2025 | Susan Morse

WebMD CMO Dr. John Whyte selected as new CEO of the AMA

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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

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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.

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.

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.

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…

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…