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Healthcare Finance NewsHealthcare Finance News is the industry’s business newspaper, offering healthcare financial managers comprehensive news coverage of the unprecedented financial challenges faced by healthcare providers and payers in light of skyrocketing healthcare costs, regulatory developments and diminishing reimbursements.Healthcare Finance News Skip to main content Topics Reimbursement Hospitals sue HHS over DSH hospital payments Revenue Cycle Management Survey: Claims denials on the rise Strategic Planning Walgreens considering selling all of its VillageMD business Capital Finance Risant Health to invest $1 billion in Cone Health Supply Chain FDA to providers: Prepare for supply chain disruptions Accounting & Financial Management Advocate Health forgives medical debt linked to real estate liens Budgeting Insurers likely to pay $1.1 billion in rebates this fall Quality and Safety Free COVID-19 tests are now available Billing and Collections CMS reports over 12,000 No Surprises Act violations  Claims Processing Johns Hopkins Health Plans announces multi-payer portal Workforce Feds grant $100M to grow healthcare workforce Operations Dana-Farber CEO and president to step down Medical Devices Healthcare chatbots may promote racist misinformation Hospital/physician relations Hospitals, physicians submit opposing views to FTC ruling Construction & Facilities Management Christus to see $25M expansion at Texas hospital Compliance & Legal CVS' Oak Street paying $60M over alleged MA kickbacks Policy and Legislation HHS investing $75 million in rural healthcare infrastructure Community Benefit Report: Hospitals' charity care falling behind tax breaks Accountable Care ACO REACH changes not positive, says participant Acute Care AHA: Hospitals improve patient safety measures Ambulatory Care Walmart is closing clinics and virtual care Analytics Interoperability in healthcare moving forward despite challenges Business Intelligence Mass General, Tampa General team on advance specialty care ICD-10 & Coding Practices keeping close watch on risk adjustment coding Meaningful Use Financial disincentives for providers who commit information blocking  Medicare & Medicaid CMS: MA and Part D premiums to decrease in 2025 Patient Engagement KFF: Patients see narrow networks in ACA marketplace plans Pharmacy HHS announces 54 drugs subject to rebates Population Health Older population creating demand for age-friendly care Risk Management UPMC for You offers Medicaid redetermination coverage in laundromats Telehealth Patients who pay cost-sharing less likely to seek virtual care Mergers & Acquisitions Cardinal Health to acquire Integrated Oncology Network for $1.1B View more More Opinions View more >> Payers must change dynamic with providers to survive in the post-Affordable Care Act world Video View more >> AI is moving beyond experimentation mode Slideshows View more >> List: Healthcare M&A in 2018 events newsletters sponsored content about contact   Toggle navigation For Payers Research Webinars Jobs More Search Search form Search Opinions View more >> Payers must change dynamic with providers to survive in the post-Affordable Care Act world Video View more >> AI is moving beyond experimentation mode Slideshows View more >> List: Healthcare M&A in 2018 Events Newsletters Sponsored About ReimbursementRevenue Cycle ManagementStrategic PlanningCapital FinanceSupply ChainAccounting & Financial ManagementMore Acute Care Ambulatory Care Analytics HFN @ ANI Billing and Collections Budgeting Business Intelligence Claims Processing Community Benefit Compliance & Legal Construction & Facilities Management Hospital/physician relations ICD-10 & Coding Meaningful Use Medical Devices Medicare & Medicaid Mergers & Acquisitions Operations Patient Engagement Pharmacy Policy and Legislation Population Health Quality and Safety Risk Management Telehealth Workforce      September 30 | Susan Morse HHS announces 54 drugs subject to rebates The rebates paid by drug companies will be deposited into the Medicare Trust Fund. September 27 | Jeff Lagasse CMS: MA and Part D premiums to decrease in 2025 The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 - about 51% of all Medicare beneficiaries. September 30 | Jeff Lagasse Survey: Claims denials on the rise Denial rates have steadily increased, with providers seeing rejection rates as high as 10% to 15%. September 27 | Susan MorseFree COVID-19 tests are now availableSeptember 27 | Jeff LagasseNew legislation seeks to make ACA premium tax credits permanentSeptember 27 | Susan MorseGenAI is being used to develop antimicrobial resistant antibioticsSeptember 26 | Jeff LagasseOIG urges action to prevent Medicaid fraudSeptember 26 | Jeff LagasseHHS investing $75 million in rural healthcare infrastructureSeptember 26 | Nathan EddyHospitals are leveraging AI to improve revenue cycleSeptember 25 | Susan MorseCMS final rule holds ACOs harmless for suspect catheter billings View all news >> More news Breaking News. In-Depth Reporting. Best Practices.Delivered to your inbox daily. Whitepapers Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year longAugust 3Healthcare organizations (HCOs) often hold multiple leases such as those for real estate, equipment, land and fleet - as well as less common leases such as embedded leases (often found in contracts) and subleases. As companies scale up or down, take on new spaces or renegotiate, the leases they are involved in change as well, which make accurate calculations and reporting challenging.A complete guide to lease accounting for healthcare organizationsAugust 3Making a successful transition to the latest lease accounting requirements such as ASC 842, IFRS 16 or GASB 87 can be a complicated task for healthcare organizations holding many different types of leases. The new lease accounting standards are complex out of necessity to capture the challenging, dynamic and often-changing nature of the underlying lease agreements. Using a lease accounting software solution like Visual Lease reduces the risks inherent in manual lease management and puts a secure system in place for getting and staying compliant with regulations. View all whitepapers >> Healthcare lease accounting insights: How two organizations got compliant and stay audit-ready all year longAugust 3Healthcare organizations (HCOs) often hold multiple leases such as those for real estate, equipment, land and fleet - as well as less common leases such as embedded leases (often found in contracts) and subleases. As companies scale up or down, take on new spaces or renegotiate, the leases they are involved in change as well, which make accurate calculations and reporting challenging.A complete guide to lease accounting for healthcare organizationsAugust 3Making a successful transition to the latest lease accounting requirements such as ASC 842, IFRS 16 or GASB 87 can be a complicated task for healthcare organizations holding many different types of leases. The new lease accounting standards are complex out of necessity to capture the challenging, dynamic and often-changing nature of the underlying lease agreements. Using a lease accounting software solution like Visual Lease reduces the risks inherent in manual lease management and puts a secure system in place for getting and staying compliant with regulations. View more Webinars Critical device requirements for a secure connected healthcare systemOn Demand WebinarsConnecting devices can seem risky, but not connecting them is even riskier. On-prem solutions can't keep up with software updates, and healthcare IT departments are overextended and under resourced. Bsquare has created a line of connected device solutions to mitigate the risks of connecting devices and address the four critical device requirements: configured securely, recoverable, updateable, and upgradeable. Learn more about Bsquare's solutions and take advantage of the possibilities of a secure system.Outgrowing your accounting system?On Demand WebinarsTips, tricks and best practices learned on the road to a new accounting system View all webinars >> Critical device requirements for a secure connected healthcare systemOn Demand WebinarsConnecting devices can seem risky, but not connecting them is even riskier. On-prem solutions can't keep up with software updates, and healthcare IT departments are overextended and under resourced. Bsquare has created a line of connected device solutions to mitigate the risks of connecting devices and address the four critical device requirements: configured securely, recoverable, updateable, and upgradeable. Learn more about Bsquare's solutions and take advantage of the possibilities of a secure system.Outgrowing your accounting system?On Demand WebinarsTips, tricks and best practices learned on the road to a new accounting system View more Topic Spotlight PreviousNext Reimbursement Hospitals sue HHS over DSH hospital payments Eighty hospitals want a reversal of a final rule that includes Medicare Advantage in payment calculations. More... Revenue Cycle Management Survey: Claims denials on the rise Denial rates have steadily increased, with providers seeing rejection rates as high as 10% to 15%. More... Strategic Planning Walgreens considering selling all of its VillageMD business In a recent SEC filing, Walgreens acknowledged the existence of defaults under the VillageMD Secured Loan.  More... Capital Finance Risant Health to invest $1 billion in Cone Health The Kaiser-created nonprofit is also giving up to $400M for value-based platform integration and $300M for growth opportunities. More... Supply Chain FDA to providers: Prepare for supply chain disruptions The current hurricane season will require providers, manufacturers and distributors to make adequate supply chain preparations. More... Accounting & Financial Management Advocate Health forgives medical debt linked to real estate liens The move is part of a multiyear initiative to overhaul the system's approach to medical debt. More... Budgeting Insurers likely to pay $1.1 billion in rebates this fall The effects of the pandemic are still being felt, since this year's rebates are affected by 2020 and 2021. More... Quality and Safety Free COVID-19 tests are now available HHS is offering the tests to help prevent widespread infections this fall and winter. More... Billing and Collections CMS reports over 12,000 No Surprises Act violations  CMS has directed that over $4 million in monetary relief be paid to consumers or providers. More... Claims Processing Johns Hopkins Health Plans announces multi-payer portal Through the real-time platform, providers can submit and track electronic claims, claims status, remittance and claims payment information.  More... Workforce Feds grant $100M to grow healthcare workforce The awards, HRSA says, will expand the number of nurses and primary care physicians while increasing behavioral health support. More... Operations Dana-Farber CEO and president to step down Medical Oncology Chair Dr. Benjamin Ebert will take over as president and CEO on October 1.  More... Medical Devices Healthcare chatbots may promote racist misinformation Every language model demonstrates instances of racist tropes, or a repetition of unsubstantiated claims about race, study says. More... Hospital/physician relations Hospitals, physicians submit opposing views to FTC ruling The American Hospital Association called the FTC ruling, "bad law, bad policy and a clear sign of an agency run amok." More... Construction & Facilities Management Christus to see $25M expansion at Texas hospital The two-phase expansion includes adding nearly 8,000 square feet to the surgical wing and a new clinic building. More... Compliance & Legal CVS' Oak Street paying $60M over alleged MA kickbacks Payments to insurance agents incentivize them to base referrals on financial considerations, DOJ says. More... Policy and Legislation HHS investing $75 million in rural healthcare infrastructure The focus will be on ensuring rural communities have access to primary care, emergency services and specialty care. More... Community Benefit Report: Hospitals' charity care falling behind tax breaks The American Hospital Association took issue with the report, saying the methodology is flawed. More... Accountable Care ACO REACH changes not positive, says participant The CMMI model includes downsize risk and accounts for holistic care, such as mental and behavioral health, and health equity. More... Acute Care AHA: Hospitals improve patient safety measures Between 2022 and 2023, care denials increased 20.2% for commercial claims and 55.7% for Medicare Advantage, says another AHA report. More... Ambulatory Care Walmart is closing clinics and virtual care Business model is unsustainable due to a challenging reimbursement environment and escalating operating costs, company says. More... Analytics Interoperability in healthcare moving forward despite challenges Confusion around CMS' final rules has been a challenge, yet the industry continues to advance seamless data exchange. More... Business Intelligence Mass General, Tampa General team on advance specialty care The two organizations are also growing their healthcare services to support Florida's veterans and service members. More... ICD-10 & Coding Practices keeping close watch on risk adjustment coding Doctors need to carefully and properly use the HCC codes, which indicate the expected costs for a patient. More... Meaningful Use Financial disincentives for providers who commit information blocking  Final rule disincentives include hospitals not being able to earn three quarters of the annual market basket increase. More... Medicare & Medicaid CMS: MA and Part D premiums to decrease in 2025 The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 - about 51% of all Medicare beneficiaries. More... Patient Engagement KFF: Patients see narrow networks in ACA marketplace plans Twenty-three percent of marketplace enrollees were in a plan with a network that included a quarter or fewer of the doctors in their area. More... Pharmacy HHS announces 54 drugs subject to rebates The rebates paid by drug companies will be deposited into the Medicare Trust Fund. More... Population Health Older population creating demand for age-friendly care The rise in chronic disease among the elderly is driving up healthcare costs, putting pressure on Medicare and other payer systems. More... Risk Management UPMC for You offers Medicaid redetermination coverage in laundromats Individuals can be assisted, "perhaps even literally while waiting for their clothes to dry," says UPMC for You president. More... Telehealth Patients who pay cost-sharing less likely to seek virtual care Expiration of the pre-deductible telehealth coverage exception in January 2025 may reduce mental health service use if not extended, authors say. More... Mergers & Acquisitions Cardinal Health to acquire Integrated Oncology Network for $1.1B Cardinal Health says the transaction is part of its effort to help community healthcare providers maintain their independence. More... Events HIMSS24 European Health Conference & Exhibition May 29-31, 2024 | Rome HIMSS24 APAC Health Conference & Exhibition 1 - 4 October, 2024 | Seoul, South Korea HIMSS24 European Health Conference & Exhibition May 29-31, 2024 | Rome View more Jobspot Assistant, Associate on Term, Associate with Tenure, and Full Professor of Biomedical Informatics & Data Science - Yale University School of Medicine - New Haven, CTNew Haven, CT, United StatesSecond Level Review, RN - University Medical Center of El Paso - El Paso, TXEl Paso, TX, United StatesAssociate Professor or Professor, Health Services Administration - University of Central Florida - Orlando, FLOrlando, FL, United StatesHealthcare Reimbursement Manager - BerryDunn - Waltham, MAWaltham, MA, United StatesSenior Manager, Information Systems & Data Governance - Pharmacy Quality Alliance - , RemoteRemote, United StatesView more Most Popular PreviousNextSenate passes measure striking down healthcare worker vaccine mandateThe resolution is unlikely to pass the House, and Biden would veto the bill if...CDC relaxes indoor mask guidance, including for schoolsHospitals will continue to have mask-wearing policies in place, and the AMA urges Americans to...California lawmakers introduce bill to mandate vaccinations in workplacesThe bill comes in the wake of a U.S. Supreme Court decision blocking President Biden's...CVS files patent to sell goods and healthcare services in the metaverseCVS Health says it wants to trademark its logo and establish an online store, as...Secret weapon: UnitedHealth's Optum business is laying waste to old notions about how payers make moneyEntering the healthcare services market might just be the answer to offset risk-laden insurance products.The biggest trends in healthcare are hospital care at home and the widening labor gapOver the next three years, 40% of providers will shift 20% of hospital beds to...Anthem announces plans to rebrand as Elevance HealthAlthough Anthem is rebranding, the Anthem Blue Cross Blue Shield health plans' names will not...UnitedHealth Group's Optum to buy LHC group to expand home healthcare presenceThe move is a push by Optum and UHG to advance value-based care and expand...Achieving health equity requires a data connected healthcare system, says CMS administratorCMS will soon publish a rule on enhanced data exchange, says CMS Administrator Chiquita Brooks-LaSure.President Biden signs bill protecting mental health of healthcare workersThe act, now law, will provide up to $135 million in federal funding for mental...Payer-provider partnerships are essential to creating stable hospital-at-home programsFunding from CMS and many payers has made establishing and providing this type of patient...Average cost of hospital care for COVID-19 ranges from $51,000 to $78,000, based on ageWhen one factors in length of stay, the average hospital charge increased the longer patients were...FHIR may be the future of healthcare data, but payers want moreFormer National Coordinator for Health IT Don Rucker says FHIR is 'transformational,' but the future...Numerous states consider bills protecting healthcare workers from violenceFrom physical assault to "doxxing," a number of state legislatures are mulling measures that would...The stigma of mental health has to go away, says Michael PhelpsPeople should find the courage to open up and communicate, Phelps says during the closing... 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