New & Notable
CMS locks in 2%+ payment bumps for SNFs, post-acute care providers
Skilled nursing, inpatient rehab and inpatient psych facilities, as well as hospices, all got payment rate updates over 2% as the CMS continues to crack down on fraud in new rules.
What providers really need to streamline prior authorizations
Providers have yet to see much progress on a pledge last year to streamline prior authorizations, signaling misalignment between payer promises and meaningful change for providers.
Mobile charge capture comes to athenahealth platform
As financial pressures mount, athenahealth integrates mobile charge capture into its EHR platform to help practices keep revenue that's often lost during hospital rounding.
Deep RCM vendor partnership drives better collections, efficiency
New KLAS report reveals providers using at least three RCM modules from one vendor gain workflow efficiencies and better cash flow, but integration challenges persist for some.
Doc pay, price transparency on Congress’ healthcare agenda
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Revenue Cycle Management
Brault
Brault is a revenue cycle and practice management organization that partners with hospitals and independent physician groups. Their intelligent practice solutions include coding and billing, MIPS optimization, provider documentation training, and practice management.
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Healthcare
Huron
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Specialty Drug Management
Optum Specialty Fusion
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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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Mobile charge capture comes to athenahealth platform
As financial pressures mount, athenahealth integrates mobile charge capture into its EHR platform to help practices keep revenue that's often lost during hospital rounding.
-
Deep RCM vendor partnership drives better collections, efficiency
New KLAS report reveals providers using at least three RCM modules from one vendor gain workflow efficiencies and better cash flow, but integration challenges persist for some.
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Pharma loses appeal to change 340B drug discounts to rebates
Major drugmakers lost their bid to impose rebate models on 340B providers, as a court ruling states that only the HHS can authorize changes to the drug discount program structure.
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Why providers can't get paid for using clinical AI tools
Healthcare payment models aren't built for AI, say industry leaders in a new report, which proposes a reimbursement framework as CMS launches a model to pay for technology-enabled care.
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Physician pay cuts loom as CMS unveils major Medicare reforms
The 2027 Medicare Physician Fee Schedule rule would cut conversion factors, sunset traditional MIPS and overhaul the Medicare Shared Savings Program despite provider pushback on costs.
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Care continues shift to outpatient as hospital margins dip
Outpatient revenue jumped 8% YTD while operating margins fell to 2.7% in May, prompting strategic changes, Kaufman Hall reports.
Features
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What providers really need to streamline prior authorizations
Providers have yet to see much progress on a pledge last year to streamline prior authorizations, signaling misalignment between payer promises and meaningful change for providers.
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Amid staffing shortages, AI becomes medical coding's backup hire
Even competitive providers like UC Davis Health now use AI to support thinning medical coding teams, creating more tech-driven workflows and a fundamental shift in the workforce.
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New No Surprises Act rules won't fix $51M crisis, TX group says
Radiology Associates of North Texas expects to pay millions to participate in the No Surprises Act's IDR process even as CMS tries to alleviate major pain points for providers.
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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.