payments

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

The proposal reinforces concerns that MA incentives remain misaligned with clinical reality.

Lessons from CEO Mike Maron on strategic finance, culture-driven resilience, and investments that support long-term sustainability.

The One Big Beautiful Bill Act (OBBBA) is reshaping hospital economics ? here?s what CFOs must do to protect margins,...

The 2026 Medicare Physician Fee Schedule rewards office-based care while squeezing hospital-centric models, spurring a structural strategic shift, argues this...

The American Medical Association (AMA) has adopted new minimum standards for alternative payment models (APMs) tailored to rural hospitals, aiming...

A 2.6% OPPS increase arrives with new site-neutral cuts and policy shifts that could offset gains.

The American Medical Association?s new minimum standards for rural-focused alternative payment models aim to counteract widespread financial losses and service...

Insurers report that nearly 40% of payment disputes filed under the No Surprises Act's independent dispute resolution (IDR) process are...

The government shutdown is unsettling hospital-at-home programs, threatening revenue streams and pushing CFOs to rethink cash reserves, home-care strategies, payer...

Claims for telehealth services provided to patients in their homes and outside of rural areas are among the claims for...