News
Why CMS’ Shared Savings proposals matter for ACO growth
6+ hour, 44+ min ago (38+ words) Modern Healthcare Why CMSâ Shared Savings proposals matter for ACO growth Hospitals are turning to outside revenue cycle vendors as staffing shortages and documentation complexity make AI tools attractive....
One year later, insurers hedge on prior authorization pledge
3+ day, 26+ min ago (38+ words) Modern Healthcare One year later, insurers hedge on prior authorization pledge Hospitals are turning to outside revenue cycle vendors as staffing shortages and documentation complexity make AI tools attractive....
Why health systems are scaling back their own health plans
4+ day, 6+ hour ago (36+ words) Modern Healthcare Why health systems are scaling back their own health plans Dr. David Miller, CEO of Michigan Medicine, will begin leading Vanderbilt Health Jan. 1....
Bipartisan bill to boost Medicare doctor pay unveiled
4+ day, 21+ hour ago (32+ words) Modern Healthcare Bipartisan bill to boost Medicare doctor pay unveiled Elevance Health will avoid federal sanctions on its Medicare Advantage operations, executives said Wednesday....
Elevance slides as profit guidance raise fails to impress
5+ day, 4+ hour ago (37+ words) Modern Healthcare Elevance slides as profit guidance raise fails to impress HCA took a $550 million hit on exchange coverage losses in the first half of the year....
Health system finances feeling the squeeze from federal policy
5+ day, 6+ hour ago (37+ words) Modern Healthcare Health system finances feeling the squeeze from federal policy HCA took a $550 million hit on exchange coverage losses in the first half of the year....
Medicare doctor pay would dip slightly under proposed rule for 2027
5+ day, 18+ hour ago (47+ words) Modern Healthcare Medicare doctor pay would dip slightly under proposed rule for 2027 The federal government in September 2024 sued the countryâs three largest pharmacy benefit managers for allegedly inflating the list price of insulin drugs....
HCA takes $400M hit from exchange coverage losses
6+ day, 28+ min ago (34+ words) Modern Healthcare HCA takes $400M hit from exchange coverage losses HCA offers a first glimpse of how federal policy changes are affecting Affordable Care Act coverage....
Health insurance plan changes leave patients stuck in red tape
6+ day, 22+ hour ago (38+ words) How health plan changes leave patients stuck in red tape Modern Healthcare How health plan changes leave patients stuck in red tape Digital health mega deals, $100 million or more in funding, dominated the first half of 2026....
CMS reports strong ACO REACH savings before model sunsets
1+ week, 3+ day ago (44+ words) Modern Healthcare CMS reports strong ACO REACH savings before model sunsets Results published this week from the Centers for Medicare and Medicaid Services show ACO REACH closed out 2024 with strong savings and quality performance....