New & Notable
Doing more with less: The state of physician reimbursement
New physician performance data shows increases in net patient revenue and provider productivity while reimbursement stays flat, meaning groups are doing more with fewer resources.
Medicare bad debt cut plan threatens struggling hospitals
A new study finds hospitals with high bad debt tend to be smaller and have lower operating margins, raising concerns about a potential elimination of Medicare bad debt payments.
Transparency in Coverage data reveals stark rate variations
A report analyzing Transparency in Coverage data reveals stark differences in negotiated rates for care across geography, payers, care settings and facilities.
Study raises concerns about safety-net TEAM participation
About 14% of TEAM participants are part of healthcare's safety-net; however, safety-net hospitals tend to be disproportionately penalized in bundled payment models.
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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Latest News
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Physician practices succeed under bundled payment model
Physician practice groups in the Medicare Bundled Payments for Care Improvement Advanced cut more costs than their hospital peers, signaling a broader approach to bundled payments.
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CMS releases FY 2026 IPPS final rule, bumping rates 2.6%
The FY 2026 Hospital IPPS and LTCH PPS final rule will increase the IPPS operating rates by 2.6%, contributing to an overall $5 billion in hospital payments next year.
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Waystar makes $1.25B bet on AI for healthcare payments
Waystar has signed a definitive agreement to acquire Iodine Software, a $1.25 billion deal that seeks to empower healthcare payments with more AI capabilities.
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More physicians exiting Medicare fee-for-service: Study
A new study shows physician exits from Medicare fee-for-service accelerating since 2010, with primary care physicians leading the drop from Traditional Medicare.
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Exploring the 2026 OPPS, ASC Payment System Proposed Rule
CMS announced the CY 2026 OPPS and ASC Payment System Proposed Rule, which includes a 2.4% rate outpatient rate hike, site-neutral payments and hospital price transparency changes.
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Omega Healthcare expands agentic AI for RCM with Microsoft
Omega Healthcare is deepening its partnership with Microsoft Azure to enhance its generative and agentic AI capabilities to support revenue cycle management through new solutions.
Features
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From CAC to autonomous, AI heralds medical coding's future
AI is pushing medical coding to its next era, in which autonomous coding can scale across all specialties, automate up to 90% of cases and drive revenue integrity.
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Exploring TEAM: Bundled payments, updates and how to prepare
CMS' next value-based care step is the Transforming Episode Accountability Model, or TEAM, requiring some hospitals to participate in the risk-based bundled payments model.
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Going from agentic AI hype to revenue cycle reality
Revenue cycle management has set its sights on agentic AI to solve major pain points, but there are some implementation considerations before the tech can deliver on its promises.
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How AI medical scribes reclaim provider time, claim denials
An AI medical scribe for clinical documentation is helping Onvida Health prevent claim denials while giving clinicians more face-to-face time with their patients.