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publication date

Revenue Cycle
CMS Proposes Modest Payment Bump, Major Policy Shifts in 2026 OPPS Proposed Rule
Luke Gale | July 18, 2025
CMS suggests a modest 2.4% payment update in the 2026 Hospital Outpatient Prospective Payment System proposed rule on top of...
Payer
The Price of an Obamacare Plan Could Surge Next Year
KFF Health News | June 17, 2025
Without enhanced subsidies, ACA insurance premiums would rise by more than 75% on average.
Revenue Cycle
How Rev Cycle Leaders are Mastering Pre-Service Payments and Estimate Accuracy
Luke Gale | May 28, 2025
The latest webinar in The Winning Edge series features a discussion among leaders from UW Health, INTEGRIS Health, Moffitt Cancer...
Payer
How Much Will that Surgery Cost? Hospital Prices Remain Largely Unhelpful.
KFF Health News | April 02, 2025
Trump's 2025 order shows how little progress the country has made since he issued a similar directive nearly six years...
Revenue Cycle
Employers Press Congress to Cement Health Price Transparency Before Trump's Return
KFF Health News | December 20, 2024
Employers are using transparency data to try to slow growth of their healthcare costs.
Payer
FL Gov. DeSantis' Canadian Drug Import Plan Goes Nowhere After FDA Approval
KFF Health News | November 22, 2024
A Florida health official familiar says there is no planned date yet for the state to begin importing drugs.
Revenue Cycle
Provider CFOs Bristle at Payer 'Dirty Tactics.'
John Commins | November 18, 2024
Eight-in-10 surveyed provider execs say the rise in payer denials is 'brazen' and 'intentional.'
Payer
KFF Health News Sues to Force Disclosure of Medicare Advantage Audit Records
KFF Health News | November 14, 2024
Lawyers for KFF say the information is 'critically important to public oversight of government misspending.'
Payer
Employers Haven't a Clue How Their Drug Benefits Are Managed
KFF Health News | October 09, 2024
A new KFF survey indicates how little employers understand the PBMs and their pricing policies.
Payer
CA May Regulate and Restrict PBMs
KFF Health News | September 18, 2024
PBMs have been under fire for years for alleged profiteering and anticompetitive conduct, but Congress has yet to act.
CFO
California Becomes Latest State To Try Capping Health Care Spending
KFF Health News | June 07, 2024
California is the ninth state ? after Connecticut, Delaware, Massachusetts, Nevada, New Jersey, Oregon, Rhode Island, and Washington ? to...
Payer
Price Transparency: Private Plans Pay More, A Lot More
Marie DeFreitas | May 13, 2024
Left without cost data, a study shows employers are still struggling to create better health plans.
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