payers
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CEO
Providence Pauses Nonclinical Hiring as CEO Expresses Concern for 'Perfect Storm'
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
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
Cost shares have as much as doubled as plans get a payment rate hike.
Revenue Cycle
Congress Considers Legislation to Restrict Prior Authorizations
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?
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
New analysis shows how finances for hospitals and health systems with early fiscal year ends are trending.
CFO
The Winning Edge for Cost Containment
"Proactive not reactive" cost containment strategies are vital for finance executives.
Payer
5 Strategies to Stretch Employer Mental Health Resources
NAMI Chief Innovation Officer Darcy Gruttadaro shares insights for employers based on her organization's latest survey data.
CEO
Why Jefferson Health Went Out of Network with Cigna
The health system has taken the contract dispute public while the two sides continue negotiations.
CEO
HL Shorts - Medicare Advantage Reforms Providers Want to See Made
A combination of policies in place and willingness from payers to be accountable is needed, says one hospital CEO.
Revenue Cycle
Infographic: 3 Revenue Cycle Trends to Watch in 2025
Denial rates and patient collection rates are both trending in the wrong direction, according to data from Kodiak Solutions.
CFO
HL Shorts: The AI Impact On Payers and Providers
Is AI helping or hurting the payer-provider relationship?