New & Notable
Senate confirms Oz as CMS administrator
In a party-line vote, the Senate confirmed Mehmet Oz, M.D., to lead the Centers for Medicare and Medicaid Services.
AHA seeks to address barriers to value-based care adoption
The American Hospital Association identified value-based care adoption barriers, such as revenue thresholds and limited incentives, and advised policymakers on how to address them.
Medicare Advantage enrollment slows, increasing 3.9%
Strong market headwinds dampened Medicare Advantage enrollment during the 2024 annual enrollment period but growth in MA and SNP plans remains strong in 2025.
5 leading hospital chargemaster software products
Hospital chargemaster software from FinThrive, Health Catalyst, Optum and other vendors can streamline CDM maintenance while using analytics to inform market strategy.
Insights
Insights is research conducted by and for TechTarget Xtelligent Healthcare. Our work aims to leverage Xtelligent’s diverse readership of healthcare professionals across various sectors of the industry to understand real-world challenges and identify effective solutions.
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Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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Providers don't see better quality under value-based payments
Primary care providers do not see the benefits of value-based payments on quality of care at the organizational level as many report increased workloads and moral distress.
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Value-based care leaders share tips for greater progress
Two experts in value-based care provide tips for accelerating the shift away from fee-for-service, such as bolstering primary care and adjusting models that penalize success.
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Hospital financial performance stable as volumes rise
Hospital financial performance was offset by rising overall volumes in January 2025 despite increasing hospital expenses, especially drug costs.
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Physicians lose the most from provider credentialing delays
With average provider credentialing delays of 90-120 days, healthcare professionals are losing substantial revenue, based on data from the U.S. Bureau of Labor Statistics.
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Providers face $80B losses without Medicaid expansion
If states drop Medicaid expansion following funding cuts, providers could face substantial revenue losses and higher uncompensated care costs in 2026, according to a new analysis.
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Physicians decry ongoing Medicare payment cuts
The AMA criticizes Congress for allowing a fifth year of Medicare payment cuts, warning it threatens patient care and forces small practices to close.
Features
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Common denial reason codes in medical billing
Claim denial reason codes in medical billing indicate problems in the revenue cycle, understanding the codes and identifying patterns is key to prevention.
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RPA to Gen AI: How AI in revenue cycle management is evolving
AI in revenue cycle management is at an inflection point, with providers adopting automation, NLP and generative AI to streamline processes and reduce burdens.
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How healthcare consumerism is driving provider revenue growth
Learn how providers are aligning more with healthcare consumerism to grow revenue and services and using technology to promote consumer affordability and convenience.
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Achieving hospital price transparency for compliance, patients
Ensure compliance with CMS' hospital price transparency rule while making pricing data consumer-friendly to help patients shop for affordable care.