News
The Winning Edge Recap: Rethinking Denial Management Strategies to Counter Payer AI
4+ hour, 16+ min ago (602+ words) Analysis "|By Luke Gale| January 28, 2026 Over the past several years, the uphill struggle to combat denials has gradually grown steeper. During this week's The Winning Edge for Defeating Denials webinar, revenue cycle executives from Mercyhealth and Wellstar Health System discussed…...
OBBBA: The Deal That Will Break Your Hospital's Safety Net
1+ week, 6+ day ago (234+ words) Analysis "|By Amanda Norris| January 15, 2026 In our January 2026 HealthLeaders cover story, CFO editor Marie Defreitas examines why the One Big Beautiful Bill Act (OBBBA) is shaping up to be one of the most consequential financial threats hospitals have faced in…...
KP affiliates to pay $556M to resolve Medicare fraud allegations
1+ week, 6+ day ago (232+ words) Five Kaiser Permanente affiliates in California and Colorado agreed to pay $556 million to resolve claims they illegally pressured doctors to add codes for diagnoses they never considered to patients' medical records, in order to inflate Medicare payments from the government....
How the OBBBA Will Shape Hospital Finance in 2026
1+ mon, 1+ week ago (193+ words) Analysis "|By Marie DeFreitas| December 19, 2025 As CFOs finalize budgets for 2026, the financial landscape has dramatically shifted. The One Big Beautiful Bill Act (OBBBA), undertakes the most significant federal healthcare spending reduction in decades, complete with profound implications for Medicaid, hospital…...
OBBBA Could Cut $69B From Hospital Revenue Over Next 2 Years
1+ mon, 1+ week ago (265+ words) Analysis "|By Jay Asser| December 16, 2025 The One Big Beautiful Bill Act (OBBBA) is set to intensify financial pressure on hospitals already operating with thin margins. To what extent? According to new analysis from Premier, OBBBA could reduce hospital net patient…...
Providers Sue to Stop 340B Rebate Pilot
1+ mon, 1+ week ago (494+ words) Analysis "|By Luke Gale| December 16, 2025 A coalition of providers, including the AHA and the Maine Hospital Association, filed a lawsuit to block HHS from implementing a planned rebate model for the 340B Drug Pricing Program. Providers argue that the mandatory pilot…...
Why FL is ground zero for coming ObamaCare storm
1+ mon, 1+ week ago (193+ words) Florida will be hit harder than any other state if ObamaCare subsidies expire at the end of the year, which is looking increasingly likely as Republicans in Congress struggle to unite behind a plan to extend the tax credits. More…...
Rock Regional Hospital (KS) files for bankruptcy
1+ mon, 2+ week ago (323+ words) Rock Regional Hospital in Derby filed for Chapter 11 bankruptcy Dec. 7. The documents, filed in federal bankruptcy court for the District of Kansas, show the hospital would reach a profitable model in the next 12 to 18 months. The hospital has between $50 million…...
Trump's Idea for HSAs Has Been Tried. Millions of Patients Have Ended Up in Debt.
1+ mon, 2+ week ago (1009+ words) Analysis "|By KFF Health News| December 09, 2025 This article was published on Tuesday, December 9, 2025 in KFF Health News. Sarah Monroe once had a relatively comfortable middle-class life. She and her family lived in a neatly landscaped neighborhood near Cleveland. They had…...
FQHCs Are Supposed to Make Care Affordable. One Has Sued Patients for as Little as $59 in Unpaid Bills.
1+ mon, 2+ week ago (1674+ words) This article was published on Tuesday, December 9, 2025 in ProPublica. This past June, Ashley Voss-Barnes received a court summons in the mail. PrairieStar Health Center, a nonprofit community health center in south-central Kansas, was suing her for $675 and her wife for…...