FinanceDeal or No Deal: 3 Ways CFOs Can Take a Stand in Contract Negotiations with Payers
Providers have ways to gain more leverage, but it includes being willing to walk away from a bad deal.
Revenue CycleBehavioral Health Expansion: CMS Ignites Its Approach, Adding Providers, Fees
A closer look at the behavioral health changes proposed in the physician fee schedule rule released in July reveals more...
PayerPapa Grows Partnerships With Resource-Strapped Payers
From less loneliness and ED utilization to more screening and CMS equity alignment, "we've got the data to show it,"...
Revenue Cycle2024 CPT Code Set Released: 5 Key Takeaways
There are over 300 changes you need to know.
PayerUnitedHealthcare-Prisma Health Lawsuit Highlights Rising Tensions in Payer-Provider Negotiations
Economic circumstances are fueling animosity, especially when negotiations go public.
Revenue Cycle7 Lessons Learned from LVMC's $5M Settlement
The Lompoc Valley Medical Center (LVMC) is out $5 million from a recent false claims settlement?and there are several critical...
FinanceHow CFOs Are Maintaining Financial Stability Amid 'Woefully Inadequate' Payment Rates
CFOs are considering expanding their outpatient footprint to ward off incessant inflation and inadequate payment rates.
PayerHow Delivery System Leaders Are Linking Prevention, Reimbursement, and Value-Based Care
Execs from diverse organizations share their strategies.
Revenue CycleFeds Say Hospitals That Redistribute Medicaid Money Violate Law
Federal officials are trying to clamp down on private arrangements among some hospitals to pay themselves back for the Medicaid...
PayerHow 3 Payer Execs Are Tackling Mental Health Services Integration, Reimbursement
Three Blues plan execs share mental health reimbursement strategies.
Revenue CycleCMS Ups Reimbursement for Certain SDOH Codes
Hospitals will be seeing a payment bump for cases that report homelessness.
FinanceCMS Finalized a FY 2024 Payment Rate Increase, But Will it Help?
Hospitals will be seeing a payment bump, but will it be enough to ward off rising inflation and labor costs?