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Revenue reductions linked to Medicare Advantage denials surged by 55.7%, while those from commercial payers rose by 20.2% since 2022.

The bottom line is hospitals' operating cash flows and margins will improve and revenue growth will slightly top expenses.

CMO Kevin Ban and Chief of Staff to the CEO Luke Sauter are reportedly leaving the company.

Heading into 2024, companies face elevated interest rates, weak liquidity and no appetite from lenders for highly-leveraged capital structures.

Hospitals need a holistic dashboard of financial indicators that align with how revenues get recognized, says Premier CEO Mike Alkire.

The organization attributes these results to the positive performance of its insurance businesses.

The effects of the pandemic are still being felt, since this year's rebates are affected by 2020 and 2021.

Tests may be ordered starting in early December, with the CDC anticipating a moderate COVID-19 wave.

The AI-powered tools will increase transparency and access, says Cedar president Seth Cohen.

CMS has released a proposed rule to speed up prior authorization approval.

There were about 355,000 practicing NPs nationally in 2022, but this year, that number grew to 385,000.

New partnership uses automation to reach patients, as CipherHealth announces AI collaboration with Google Cloud.

Every language model demonstrates instances of racist tropes, or a repetition of unsubstantiated claims about race, study says.

Dr. Irv Edwards is president of current physician staffing firm, Emergent Medical Associates.

The health system says it will create a new model of care and build a center of mental health excellence as part of its effort.

Saint Joseph's Medical Center paid $80,000 to OCR and agreed to implement a corrective action plan.

The bill would introduce more transparency and regulation to PBMs, and pharmacies would be required to report costs for medications.

Lawmakers say more is required to ensure nonprofit hospitals' community benefit information is standardized, consistent and identifiable.

The Global and Professional Direct Contracting Model is now ACO REACH.

A new vaccine for the latest variant is expected to be available at the end of September.

The Home Smart Clinic enables health plans and providers to deliver on expected ROI and drive improved health outcomes, TytoCare says.

Members impacted by the breach are being provided with no-cost credit monitoring and identity restoration services.

UnitedHealth reaffirmed its 2023 earnings guidance and set its 2024 profit outlook, largely in line with forecasts, report says.

Doctors need to carefully and properly use the HCC codes, which indicate the expected costs for a patient.

Administrator Seema Verma said changes to the program eliminate 25 measures and saves hospitals over 2 million hours of work and $75 million.

Final rule aims to ensures better alignment and coverage parity between traditional Medicare and MA听and increases oversight of MAOs.

Many racial and ethnic groups feel they must be very careful about their appearance to be treated fairly during healthcare visits.

CarelonRx Pharmacy, will allow members to engage with pharmacists, compare costs and track the status of medications.

Though the vaccination rate is higher among older Americans, disparities emerge along racial and ethnic lines.

Individuals can be assisted, "perhaps even literally while waiting for their clothes to dry," says UPMC for You president.

The cost is $33 out of pocket for a chat visit with insurance not accepted at this time.

The two health systems also jointly own Ascension Saint Thomas Rehabilitation Hospital in Nashville.