News
Here's what's driving the 2026 rebound in hospital deals
1+ day, 23+ hour ago (38+ words) Modern Healthcare Here's what's driving the 2026 rebound in hospital deals Health systems proposed 22 hospital transactions in the first quarter, matching pre-pandemic levels of deal activity....
The ACA exchanges are shaky. This insurer wants in anyway
1+ day, 23+ hour ago (32+ words) Modern Healthcare The ACA exchanges are shaky. This insurer wants in anyway Five leaders on what AI initiatives their organizations are focused on....
CMS proposes easing prior authorizations for prescription drugs
6+ day, 11+ hour ago (9+ words) Modern Healthcare...
CMS proposes hospital pay bump, revived joint replacement model
6+ day, 11+ hour ago (35+ words) Modern Healthcare CMS proposes hospital pay bump, revived joint replacement model Medicare payments for inpatient hospital services would rise 2. 4% in fiscal 2027 under Friday's proposed rule....
Farm bureau plans offer a cheaper ACA alternative'with trade-offs
6+ day, 12+ hour ago (44+ words) Modern Healthcare Farm bureau plans offer a cheaper ACA alternative'with trade-offs The Marietta, Georgia-based nonprofit health system is building new hospitals, expanding its ambulatory care hubs and deepening its academic partnerships....
Providers fret over Nebraska's May 1 Medicaid work requirements
1+ week, 23+ hour ago (41+ words) Modern Healthcare Providers fret over Nebraska's May 1 Medicaid work requirements Several manufacturers are developing soft tissue robotic surgery systems, seeking to sell them to cost-conscious hospitals and ambulatory surgery centers....
Why insurers aren't cheering CMS' Medicare Advantage increase
1+ week, 1+ day ago (34+ words) Modern Healthcare Why insurers aren't cheering CMS' Medicare Advantage increase The Philadelphia-based system claims the insurer's latest policy on inpatient services allegedly violates federal law....
Group cutting prior authorizations by 11% includes Aetna, Cigna
1+ week, 2+ day ago (150+ words) Modern Healthcare Group cutting prior authorizations by 11% includes Aetna, Cigna - A group of nearly 50 health plans says it has reduced prior authorizations by 11% so far in 2026 compared with 2024. - The coalition also said it is on track to improve the standardization…...
CMS raises Medicare Advantage payment rates more than proposed
1+ week, 3+ day ago (27+ words) Modern Healthcare CMS raises Medicare Advantage payment rates more than proposed Gapstur has led the organization since January 2019....
Rising claims denials dent provider revenue: report
1+ week, 3+ day ago (30+ words) Modern Healthcare Rising claims denials dent provider revenue: report Consultancy Kodiak Solutions analyzed revenue cycle data for 2, 300 hospitals and 350, 000 physicians....