How propensity-to-pay models help healthcare providers improve collections
Key takeaways: Healthcare organizations are facing growing levels of bad debt and a sharp decline in collections. Propensity-to-pay models that...
How Medicaid work requirements will dent hospital margins
A new Commonwealth Fund analysis estimates U.S. hospitals’ annual operating margins will drop by 12.5% to 14.2% in 2027 should...
Elevance stock dips with plans to exit standalone Part D, some Medicare Advantage markets
Elevance Health’s shares took a dip on Thursday as the company reaffirmed its outlook for 2025 and revealed plans to...
CVS agrees to $12M settlement with Massachusetts AG
CVS has agreed to a $12.25 million settlement with Massachusetts that resolves allegations that it charged members of its Medicaid...
Unite Us CEO Dan Brillman top contender for Medicaid director
Speculation has been swirling about who might take the top Medicaid job in the Trump administration. Among the top contenders:...
Coverage Discovery: How it works and benefits healthcare organizations
Over the past two decades, U.S. hospitals have absorbed nearly $745 billion in uncompensated care, according to the American Hospital Association....
New CMS data suggest future ACA market turmoil
The Centers for Medicare & Medicaid Services (CMS) this week released new data fueling a narrative of rampant broker fraud...
What the 2025 budget bill means for hospital revenue and readiness
Key takeaways: Changes to Medicaid, Medicare and the Affordable Care Act provisions in H.R. 1 are expected to increase financial...
CMS warns states of new Medicaid waiver expectations
The Centers for Medicare & Medicaid Services (CMS) is shifting its policy on Section 1115 Medicaid waivers. In letters to...
Providers prepare contingency plans amid regulatory shifts
Hospitals, health systems and physician practices are shifting their operational and financial strategies in the face of rapidly changing federal...
