1+ week, 6+ day ago   (779+ words) The American Hospital Association is warning the federal government that history could repeat itself if it finalizes reimbursement cuts to hospitals participating in the 340B Drug Pricing Program. In July, the Centers for Medicare and Medicaid Services proposed significantly cutting reimbursement…...

2+ week, 4+ day ago   (806+ words) The data is clear: Employers are facing nearly double-digit healthcare cost growth next year. This new reality is prompting them to rethink their benefits strategies and partnerships, according to a survey by the Business Group on Health. The nonprofit organization…...

2+ week, 4+ day ago   (749+ words) As the U.S. grapples with exorbitantly high healthcare costs, a new study suggests capping hospital rates could reduce overall spending by hundreds of billions of dollars. The U.S. spent $5.7 trillion on healthcare last year, federal actuaries reported in June. This marked the…...

2+ week, 5+ day ago   (743+ words) AndreyPopov/istock via Getty Ima Hospitals are already seeing uncompensated care costs swell as the U.S. faces a major shift in healthcare coverage, according to new hospital financial performance data. The data from Kaufman Hall, a Vizient company, shows that bad…...

2+ week, 6+ day ago   (520+ words) AndreyPopov/istock via Getty Ima Employers can expect to pay 9.5% more for employee health benefits in 2027, with new reporting from professional services firm Aon projecting average employee healthcare costs totaling more than $19,000 in the coming year. These numbers reflect the…...

2+ week, 5+ day ago   (1197+ words) ipopba/istock via Getty Images Artificial intelligence does not determine whether care is approved or denied, UnitedHealth Group's Chief Financial Officer Wayne DeVeydt told reporters at the company's second quarter earnings call in July. This is a sentiment echoed by…...

3+ week, 3+ day ago   (593+ words) A recent national survey found that claims denials are a leading revenue cycle challenge for nearly three-quarters of healthcare organizations, with front-end workflows contributing the most to reimbursement breakdowns. Claim denials narrowly beat patient payment collection as the top overall…...

4+ week, 2+ day ago   (657+ words) In a major win for healthcare providers, a U.S. appeals court ruled against the federal government's formula for calculating qualifying payment amounts under the No Surprises Act. The ruling released on Tuesday tossed aside two key factors insurers use to determine…...