New & Notable
CMS proposes new cap on supplemental Medicaid payments
The proposed rule would align state-directed Medicaid payments with Medicare rates in a move to save $775B over the next ten years.
Private payer rates outpaced Medicare's by 47%: KFF
New data shows a widening gap between what private payers and Medicare pay for hospital care as lawmakers blast hospitals for rising costs and seek reform.
The 'corporate takeover' of physician practices accelerates: study
A new report details nearly a decade of hospitals and corporations buying physician practices, leaving just 18% of physicians practicing in physician-owned settings.
Physicians skeptical of insurer pledges to reform prior authorization: survey
Only 33% of physicians surveyed by the American Medical Association said they believed voluntary pledges made by insurers last year to reform prior authorization would result in meaningful difference.
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Latest News
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CMS proposes new cap on supplemental Medicaid payments
The proposed rule would align state-directed Medicaid payments with Medicare rates in a move to save $775B over the next ten years.
-
Private payer rates outpaced Medicare's by 47%: KFF
New data shows a widening gap between what private payers and Medicare pay for hospital care as lawmakers blast hospitals for rising costs and seek reform.
-
The 'corporate takeover' of physician practices accelerates: study
A new report details nearly a decade of hospitals and corporations buying physician practices, leaving just 18% of physicians practicing in physician-owned settings.
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With patient collections at 31%, is AI providers' new strategy?
Health systems must shift their revenue cycle strategy and AI investments to keep pace with a growing reliance on patient collections, which they currently fail to capture fully.
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AMA, providers seek stricter enforcement of No Surprises Act
The AMA and nearly 100 other groups are backing legislation that would force payers to comply with IDR payment determination rules as providers continue to report nonpayment.
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A tale of two health systems: the threat of hospital consolidation
A new analysis points to increased consolidation as a driver of healthcare affordability challenges, which could get worse as hospitals that temper prices face devastating cuts.
Features
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The U.S. finally bent the healthcare cost curve, one economist says
Health economist David Cutler's new analysis shows a deceleration in U.S. healthcare spending as technology advancements make care cheaper.
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How AI scribes are shifting coding intensity, reimbursement
The proliferation of AI scribes for clinical documentation has started a shift in coding intensity, raising concerns about reimbursement and affordability.
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Agentic AI evolution begins to pave way for autonomous revenue cycle
A fully automated revenue cycle in which staff work hand-in-hand with AI is looming, but success will require a mature AI strategy.
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How NGHS balances revenue cycle AI adoption, ROI
Northeast Georgia Health System is accelerating AI adoption, especially in revenue cycle management, but leaders have learned to balance speed of innovation with ongoing ROI.