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Revenue Cycle
Jefferson Health Sues Aetna Over Controversial Inpatient Downcoding Policy
The Pennsylvania-based health system claims the payer's policy violates Medicare's two-midnight rule and forces hospitals into a burdensome appeals process.
HLM Mastermind
The Revenue Cycle Is Being Rebuilt From the Ground Up, And the Pressure Is Real
The revenue cycle has always been complex, but 2026 is testing leaders in entirely new ways.
CEO
Why Memorial Hermann Is Digging In During Its Blue Cross Contract Fight
By going out of network with Blue Cross Blue Shield of Texas, the Houston-based health system is testing how much...
CEO
Hospital Finances Reckon With Volume Drop, Persistent Costs to Start 2026
January data shows margins narrowing amid weaker patient demand, highlighting a more fragile operating environment.
CEO
$50B Rural Health Transformation Investment Unlikely to Pull Hospitals Back from the Brink
New analysis from Chartis warns that RHT dollars may be "too late" and ineffective for preventing further rural health erosion.
CFO
A Rural Health Microcosm
North Carolina reflects the landscape of rural healthcare across the country, and UNC Health is stepping in to help seal...
Revenue Cycle
Live from Our Rev Cycle Exchange: A Focus on Leadership
Revenue cycle executives discuss the need to bridge leadership gaps by prioritizing data literacy curiosity, intentional engagement in remote work...
Innovation
Can Clinicians Be 'Nudged' to Take Better Notes?
Intermountain Health's new CDI platform aims to improve documentation through real-time queries that prompt doctors to create a better medical...
Revenue Cycle
CMS Signals MA Payment Slowdown as Provider Frustration With The Plans Continue to Mount
The proposal reinforces concerns that MA incentives remain misaligned with clinical reality.
Revenue Cycle
PBM Reform Advances in Congress
The U.S. House passed a federal funding bill that includes new restrictions on PBM compensation.
CFO
Infographic: 3 Lessons CFOs Will Learn From This Month’s Cover Story
The One Big Beautiful Bill Act (OBBBA) is reshaping hospital economics ? here?s what CFOs must do to protect margins,...
CEO
How Highmark Health's Integration Is Testing Solutions for a Fragmented System
President and COO Karen Hanlon believes integration isn?t the endgame, but it offers a safer place to fix broken payer-provider...