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publication date

CFO
Denied and Defiant: CFOs Must Muscle Up as Payers Get Tougher on Claims
Marie DeFreitas | May 19, 2025
Payer challenges are growing. Here's what CFOs are saying, and what they can do.
Payer
How Payers Can Realize Hard ROI From Hyperpersonalization
Laura Beerman | May 13, 2025
A new report details how AI plus behavioral science bridges payer-member divides and helps capture lost ROI.
Revenue Cycle
Communication Strategies Help to Overcome Prior Authorization Tech Hurdles
Luke Gale | May 08, 2025
Technology hurdles, particularly lack of standardization and interoperability, often hinder the prior authorization process. Robust communication strategies can address those...
CFO
Financial Leaders Gather at the CFO Exchange to Plot Their Future
Marie DeFreitas | May 07, 2025
CFOs are meeting in Florida this week at HealthLeaders? annual event to discuss the top challenges facing health systems.
CEO
Providence Pauses Nonclinical Hiring as CEO Expresses Concern for 'Perfect Storm'
Jay Asser | April 22, 2025
Erik Wexler, the health system's new leader, told employees that steps are being taken to weather financial turmoil.
Revenue Cycle
Infographic: MA Enrollment in 3 Charts
Luke Gale | April 18, 2025
Growth in Medicare Advantage enrollment has slowed and plans are performing more poorly in quality ratings than in other recent...
Payer
Medicare Advantage: Why Members and Plans Paid More
Laura Beerman | April 10, 2025
Cost shares have as much as doubled as plans get a payment rate hike.
Revenue Cycle
Congress Considers Legislation to Restrict Prior Authorizations
Luke Gale | April 10, 2025
A bipartisan group of physician legislators has introduced legislation in the House of Representatives to reform payer use of prior...
Revenue Cycle
ED Revenues Are Falling. Can Hospitals Reverse This Trend?
Luke Gale | April 09, 2025
A new RAND report finds that reimbursement for Emergency Department services is declining, and emergency care could be at risk...
CEO
Nonprofit Hospital Margins Improving, but Threatened by Potential Medicaid Cuts
Jay Asser | April 08, 2025
New analysis shows how finances for hospitals and health systems with early fiscal year ends are trending.
CFO
The Winning Edge for Cost Containment
Marie DeFreitas | April 04, 2025
"Proactive not reactive" cost containment strategies are vital for finance executives.
Payer
5 Strategies to Stretch Employer Mental Health Resources
Laura Beerman | April 04, 2025
NAMI Chief Innovation Officer Darcy Gruttadaro shares insights for employers based on her organization's latest survey data.
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