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By Susan Morse | 11:20 am | December 17, 2025
Leaders are counting on genAI for financial improvement, but many health systems have yet to adopt it for RCM, report says.
By Susan Morse | 04:01 pm | December 04, 2025
As the deadline to extend the enhanced premium tax credits nears, Republicans are coming up with their own plan, Politico reports.
By Jeff Lagasse | 10:28 am | November 03, 2025
Health plans identify 39% of all disputes as ineligible, including 45% of non-emergency service disputes.
By Jeff Lagasse | 10:41 am | September 25, 2025
The legislation is endorsed by numerous healthcare groups, including the American Hospital Association.
By Susan Morse | 11:11 am | August 27, 2025
MA pays 10% to 15% less than what the government pays in traditional Medicare, report says.
By Jeff Lagasse | 05:02 pm | January 15, 2025
The "Big 3" PBMs also separately generated an estimated $1.4 billion of income from spread pricing, FTC finds.
By Susan Morse | 02:53 pm | December 31, 2024
The transaction is expected to position MultiPlan for more sustainable long-term growth amid revenue losses this year.
By Jeff Lagasse | 11:27 am | October 01, 2024
UMC has been able to keep its ER open, but other services have been disrupted.
By Susan Morse | 05:51 pm | September 25, 2024
Medicare claims for catheters have increased, and CMS found a rise in billings by a small group of durable medical equipment supply companies.
By Jeff Lagasse | 12:52 pm | July 23, 2024
The plaintiffs claim that Change failed to implement cybersecurity safeguards such as multifactor authentication.