Accounting & Financial Management
Kaiser is facing the same “shifting landscape” of other hospitals including reduced healthcare coverage under the reconciliation bill, CEO says.
TRM analysts have determined that Embargo is likely a successor, or a rebranded version, of the BlackCat ransomware group.
Under the Transforming Episode Accountability Model, starting January 1, 2026, 750 hospitals and other healthcare institutions must provide a retrospective bundled program for episode-based care, says Dave Snow, CEO of Cedar Gate Technologies.
Dr. Michael Lucchesi pleaded guilty to using a business credit card for personal purchases and cash advances.
Total estimated payments to IPFs are expected to increase by 2.4%, or $70 million, next year.
TEAM should not be mandatory, as it puts at risk smaller hospitals unable to support the investment needed, AHA says.
That translates to an increase in payments of $1.16 billion compared to this year.
Aetna saw its medical benefits ratio increase months after CVS announced it would exit the ACA individual market due to struggling performance.
Cigna says it’s also “leaning in” to an arrangement with the government to reduce prior authorization.
The company updated full-year revenue expectations to at least $128 billion, a $2 billion increase over its prior projection.