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Survey: Front-end workflows to blame for most claim denials
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…...
Employers eye ICHRAs, but affordability remains a concern
1+ mon, 1+ week ago (532+ words) Employers are increasingly considering Individual Coverage Health Reimbursement Arrangements, or ICHRAs, for their workers' health insurance, though knowledge gaps could dampen adoption, according to a recent survey from the Employee Benefit Research Institute and Morgan Health. More than one-third of…...
Hospitals feel payer mix shifts as uncompensated care costs grow
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…...
CMS proposes expanded authority to revoke Medicare privileges
2+ mon, 1+ week ago (904+ words) The Trump administration wants to double down on its healthcare fraud, waste and abuse crackdown. This time, policymakers are seeking to expand CMS' powers to remove providers from Medicare -- a move that the agency says will save taxpayers about $82 million…...
Physician pay cuts loom as CMS unveils major Medicare reforms
1+ mon, 4+ week ago (1084+ words) Christian Delbert - stock.adobe. The Centers for Medicare & Medicaid Services has released the proposed rule for the Medicare Physician Fee Schedule for the 2027 calendar year, which federal leaders say contains some of the most significant Medicare reforms in years. The…...
Care continues shift to outpatient as hospital margins dip
1+ mon, 4+ week ago (719+ words) Where hospital care happens is fundamentally shifting, according to the latest hospital financial performance data from Kaufman Hall. The healthcare consulting firm released its monthly National Hospital Flash Report yesterday, drawing on data from more than 1,300 hospitals. In addition to…...
How employers are rethinking benefits as healthcare costs soar
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…...
Providers warn of another decade of 340B payment problems
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…...
AdaptHealth says hackers exfiltrated patient data in social engineering attack
2+ mon, 4+ day ago (254+ words) Vitalii Gulenok/istock via Getty AdaptHealth, a nationwide supplier of home medical equipment, disclosed a data breach that impacted an undetermined number of patients, according to a Form 8-K filing with the U.S. Securities and Exchange Commission. The company partners with…...
Employee health benefits to spike 9.5% in 2027
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…...