PayerGold Carding and Payers: What To Know
Gold Carding is expanding across the country with several states already implementing the legislature in some way.
Finance3 Reasons CFOs Should Care About CommonSpirit Health's Latest Financials
The not-for-profit recently reported its financial results for the second quarter of its fiscal year 2024, and there are several...
FinanceInside One CFO's 'Collaborative' Payer Strategy
A strong, collaborative relationship with payer partners is essential for one CFO.
PayerCMS Pumps the Brakes on AI for MA Plans
CMS is cracking down on AI use in Medicare Advantage.
FinanceWhy More Organizations are Terminating Medicare Advantage Contracts
The great termination? More organizations are terminating payer contracts amid heated negotiations, and Medicare Advantage is in the hot seat.
PayerOlder Americans Say They Feel Trapped in Medicare Advantage Plans
The private plans serve 30.8 million people despite concerns about aggressive sales tactics and misleading coverage claims.
PayerDoctors With Histories of Big Malpractice Settlements Have Found a New Home in the Insurance Industry
Doctors working for health insurers can rule on 10,000 or more requests for care a year. At least a dozen...
PayerMedicare Advantage Increasingly Popular With Seniors — But Not Hospitals and Doctors
Payers have enticed just over half of all Medicare beneficiaries ? or nearly 31 million people ? to their plans...
PayerInsurance Executives Refused to Pay for the Cancer Treatment That Could Have Saved Him. This Is How They Did It.
A Michigan law requires coverage of cancer drugs. One insurer came up with a 'defensible' way to avoid paying for...
Revenue CycleRevenue Cycle Technology Week: One Health System's Quest to Secure More Revenue
For HealthLeaders' Revenue Cycle Technology Week, hear how the VP of finance and revenue cycle at PMHA worked to secure...
Finance3 Financial Challenges CFOs Battled in 2023
From labor costs to payers, CFOs had their work cut out for them in 2023.
FinanceContract Labor Is Out. CFOs Grow Staff Instead to Save Margins
In a push to improve margins, the utilization of contract labor is declining.