News
Infographic: 3 Ways Industry Leaders Are Tackling Healthcare Affordability
2+ hour, 59+ min ago (178+ words) Analysis "|By Luke Gale| June 26, 2026 Healthcare affordability is reaching a breaking point. According to recent survey data from the HFMA-led Vitalic Health initiative, 94% of industry leaders consider the current healthcare system financially unsustainable, with 77% anticipating an existential tipping point within…...
Eli Lilly Escalates 340 B Dispute, Threatening to Cut Discounts Over In-House Claims Data
1+ week, 3+ day ago (447+ words) Analysis "|By Luke Gale| June 16, 2026 Drug makers have fired another shot in the long-simmering battle over the 340 B Drug Pricing Program. Eli Lilly and Company announced it will instruct its wholesalers to cut off 340 B pricing for covered entities that…...
What Presbyterian's Medicare Advantage Exit Really Means
2+ week, 1+ day ago (558+ words) Health Leaders Media What Presbyterian's Medicare Advantage Exit Really Means Presbyterian Healthcare Services' decision to exit most Medicare Advantage plans and eliminate 150 positions underscores a growing reality for provider-sponsored health plans. Albuquerque-based Presbyterian Healthcare Services has announced it will discontinue…...
Payers Advance Prior Authorization Reforms, But Provider Skepticism Remains High
1+ mon, 1+ week ago (377+ words) Analysis "|By Luke Gale| May 15, 2026 Prior authorization (PA) has long been a source of friction, care delays, and administrative expense for healthcare providers. In response to growing pressure and provider pushback, major payers are now launching initiatives aimed at simplifying…...
How Leaders Are Rethinking RCM Strategies Amid Escalating Payer Pushback
1+ mon, 2+ week ago (659+ words) Analysis "|By Luke Gale| May 07, 2026 Health systems are battling a perfect storm of workforce shortages, rising labor costs, and expanding federal rules. The One Big Beautiful Bill Act (OBBBA), coupled with the No Surprises Act and hospital price transparency rules,…...
Rethinking RCM Strategies Amid Escalating Payer Pushback
1+ mon, 2+ week ago (659+ words) Analysis "|By Luke Gale| May 07, 2026 Health systems are battling a perfect storm of workforce shortages, rising labor costs, and expanding federal rules. The One Big Beautiful Bill Act (OBBBA), coupled with the No Surprises Act and hospital price transparency rules,…...
Healthcare Bankruptcies Jump 33% in Q1 as Physician Practices, Senior Care Lead Filings
1+ mon, 2+ week ago (340+ words) Analysis "|By Jay Asser| May 07, 2026 Healthcare bankruptcies increased 33% in the first quarter of 2026 as clinics/physician practices and senior care providers accounted for most new Chapter 11 filings, according to a report from Gibbins Advisors. The restructuring advisory firm recorded 12 healthcare…...
Milwaukee County benefits director fired following lapse in health insurance contract
4+ mon, 3+ week ago (219+ words) Milwaukee County Executive David Crowley announced an "employee" who let the county's health insurance contract with United Healthcare lapse last year has been fired. "This was an error by an employee in the Department of Human Resources, and as a…...
Infographic: 4 Rev Cycle Takeaways from 2024 Healthcare Spending Data
5+ mon, 5+ day ago (102+ words) Analysis "|By Luke Gale| January 21, 2026 U. S. healthcare spending hit $5. 3 trillion in 2024, growing 7. 2% year-over-year, according to new national healthcare expenditure data. See the infographic below for our takeaways from the recently released report." Luke Gale is the revenue cycle editor for Health…...
4 Rev Cycle Takeaways from 2024 Healthcare Spending Data
5+ mon, 1+ week ago (443+ words) Analysis "|By Luke Gale| January 16, 2026 U. S. healthcare spending hit $5. 3 trillion in 2024, growing 7. 2% year-over-year, according to the newly released National Health Expenditure Accounts report. For the second year in a row, health spending growth outpaced the broader economy, pushing healthcare's share of…...