• Nearly 4 of 5 physicians employed by hospitals, corporations

    April 16, 2024 - Widespread consolidation in healthcare is affecting physicians, according to a new report from the Physicians Advocacy Institute (PAI) and Avalere Health. The report analyzed updated data from IQVIA OneKey database which contains physician and practice location information on hospital/health system ownership. The data showed that more than...

  • Private payers initially deny nearly 15% of medical claims

    March 25, 2024 - It may take some time to get paid for medical services, suggests a new survey of hospitals, health systems and post-acute care providers. Nearly 15 percent of medical claims submitted to private payers for reimbursement are initially denied, respondents representing over 500 organizations told Premier Inc. in the survey. An average of 3.2 percent...

  • CMS announces new ACO model focused on primary care

    March 19, 2024 - CMS will test a new accountable care organization (ACO) model that focuses on primary care providers starting next year. A recent announcement states that CMS will launch a five-year voluntary ACO model on January 1, 2025, as part of its flagship Medicare Shared Savings Program (MSSP). The model known as the ACO Primary Care Flex Model, or ACO PC...

  • VisiQuate, MedeAnalytics top revenue cycle analytics rankings

    March 18, 2024 - Many healthcare organizations use a third-party revenue cycle analytics solution in lieu of or next to their EHR system’s offering. A recent KLAS report found that leaders are most impressed by Visiquate and MedeAnalytics. EHR systems don’t always meet the needs of healthcare organizations when it comes to revenue cycle analytics, KLAS...


Today's Top Stories

Half of private equity-owned physician practices are resold within 3 years

More than half of private equity-acquired physician practices underwent an exit within three years of acquisition, with most practices being resold to other private equity firms, according to a study...

About 1 in 5 healthcare bankruptcies in 2023 owned by PE firms

A new report reveals a record year for healthcare bankruptcies as more private equity-owned companies filed for bankruptcy in 2023. There were approximately 80 healthcare bankruptcies last year,...

Hospital merger and acquisition activity generated $12B in Q1 2024

Hospital merger and acquisition activity in quarter one of 2024 hit a first-quarter high since 2020, with 20 announced transactions generating $12 billion, a Kaufman Hall report found. The number of...

Nearly 4 of 5 physicians employed by hospitals, corporations

Widespread consolidation in healthcare is affecting physicians, according to a new report from the Physicians Advocacy Institute (PAI) and Avalere Health. The report analyzed updated data from IQVIA...

AMA, NAACOS, AHIP share how to succeed in value-based care arrangements

The American Medical Association (AMA), the National Association of Accountable Care Organizations (NAACOS), and AHIP have released a playbook on value-based care best practices, highlighting the...

OIG: Improve Medicare rate-setting for clinical diagnostic lab tests

CMS’ procedures for setting Medicare rates for clinical diagnostic lab tests could improve for future public health emergencies, according to a new report from the Office of the Inspector General...

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