payers

While hospital cash flow improved in 2025, health systems lost a staggering $48.4 billion in revenue leakage due to highly...

Millions of people who apply for Medicaid in the coming years will have to prove they?ve been working, going to...

Many hospital systems in Connecticut have stopped suing their patients over unpaid bills, stung by criticism about the harm caused...

While health plans make headway on upcoming interoperability mandates associated with the Advancing Interoperability and Improving Prior Authorization Final Rule,...

Katie Crouch says calling her state?s Medicaid agency to get information about her benefits can feel like a series of...

The Pennsylvania-based health system claims the payer's policy violates Medicare's two-midnight rule and forces hospitals into a burdensome appeals process.

A stronger-than-expected rate increase benefits health plan funding, but updates to the star ratings system aims to create more incentive...

OAKLAND, Calif. ? Rosa María Carranza leaned forward to hold a 3-year-old?s back as the girl climbed a rock in...

By going out of network with Blue Cross Blue Shield of Texas, the Houston-based health system is testing how much...

With a $21 billion savings opportunity on the table, revenue cycle leaders must prioritize workflow standardization and vendor partnership ahead...

Mercy is reengineering its revenue cycle strategy to reduce preventable denials, counter increasingly aggressive payer algorithms, and elevate the role...

As the deadline for the CMS Interoperability and Prior Authorization Final Rule approaches, new data shows that providers are losing...