Hospital operating margins are stabilizing after a turbulent couple of years. However, margins remain below pre-pandemic levels, which makes hospitals and health systems vulnerable to a possible...
After CMS began incorporating regional spending into accountable care organization (ACO) benchmarks in the Medicare Shared Savings Program (MSSP), more higher-spending ACOs exited the program, a study...
Health inequity is costing the Medicare program more than $60 million on preventable heart failure hospital admissions, suggests a new study out of Tulane University.
The study published in the most...
Private equity acquisition of oncology practices has grown in the past two decades, with over 700 clinics becoming affiliated with a private equity firm between 2003 and 2022, a study published in JAMA...
HHS and DHS are starting the process of ending the COVID-19 vaccine requirement for CMS-certified healthcare facilities, as well as Head Start educators and certain noncitizens at the borders.
The...
The American Medical Association (AMA) and more than 100 other provider trade associations have taken issue with a new policy from The Cigna Group regarding claims with modifier 25.
Cigna recently...
Intermountain Health recently announced it signed a collaborative agreement for Tennessee-based Surgery Partners to take over management of its ambulatory surgery centers (ASCs) in certain markets...
Skilled nursing facility (SNF) episodes for Medicare beneficiaries without preceding acute care increased during the COVID-19 public health emergency (PHE), a study published in JAMA Internal Medicine...
California-based integrated health system Kaiser Permanente recently announced that it has agreed to acquire Geisinger Health, a 10-hospital system on the East Coast, in an effort to develop a new...
CMS is cracking down on hospital price transparency compliance — or lack thereof.
The federal agency announced yesterday updated enforcement procedures, including earlier and automatic civil...
Value-based care participation is lacking among primary care physicians; most practices reported receiving fee-for-service payments in 2022, according to data from the Commonwealth Fund.
Value-based...
Financial reserves have helped nonprofit hospitals and health systems survive amid ongoing operational and economic challenges, according to a report prepared for the American Hospital Association...
More than 35 percent of medical liability premiums increased in 2022, marking the highest rate in almost two decades, an analysis from the American Medical Association (AMA) found.
The analysis...
Safety-net hospitals with the highest levels of uncompensated care and area socioeconomic disadvantage have lower margins compared to other safety-net providers, according to a recent study out of...
The rising costs of care are creating persistent financial challenges for hospitals and health systems, with hospital expenses growing faster than Medicare reimbursement over the last four years,...
For the first time, HHS is releasing ownership data on all Medicare-certified hospice and home health agencies in an effort to increase transparency and competition in healthcare.
HHS announced...
More than two years after the hospital price transparency rule went into effect, provider compliance is increasing, according to a report from Turquoise Health.
The software company’s Price...
Denials management and prior authorization are the most time-consuming revenue cycle management tasks for healthcare financial leaders, a survey commissioned by the healthcare operations company AKASA...
Physician compensation is on the rise as healthcare organizations confront persistent clinician shortages and record levels of burnout.
The “Medscape Physician Compensation Report 2023”...
After losing 100,000 registered nurses during the COVID-19 pandemic, the nursing workforce is expected to lose an additional 900,000 workers by 2027, according to research from the National Council of...
