Author's posts
Finance executives address the three big challenges for revenue
LAS VEGAS – A panel of revenue cycle experts spelled out their biggest challenges during the HFMA Annual Conference in Las Vegas on Tuesday.
The big three are staffing, denials and prior authorization. None likely surprised the standing-room only aud…
HIMSSCast: Biden’s executive order on AI is just the beginning
President Biden’s Executive Order on AI released last fall is one of the broadest steps ever taken on AI safety and security, said Jennifer Walsh, director of Public Affairs at Foley & Lardner. It has national security implications as well as patient a…
CVS reports $900M cost, lower projections due in large part to high Medicare Advantage utilization
Healthcare benefits medical costs, primarily due to higher-than-expected Medicare Advantage utilization, came in approximately $900 million above expectations, according to CVS Health CFO Tom Cowhey speaking during the company’s Q1 earnings call on Wed…
Humana’s 2025 earnings, pricing decisions and membership may take hit from MA rate notice
Humana, one of the biggest players in the Medicare Advantage market, raised its 2024 individual Medicare Advantage annual membership growth by 50,000 to now anticipate annual growth of approximately 150,000, or 2.8%, the company said this week during i…
Primary care goes up against the healthcare disruptors
ORLANDO – The future of primary care and how retailers are disrupting the traditional experience was the focus of a fireside chat between Dr. Amy Compton-Phillips, chief physician executive at Press Ganey and Sashi Moodley, chief medical officer at Wal…
Ascension Michigan to integrate with Henry Ford Health
Henry Ford Health and Ascension Michigan have signed an agreement to integrate Ascension’s southeast Michigan and Genesys healthcare facilities and assets with Henry Ford’s.
The expanded organization, to be branded Henry Ford Health, would remain head…
Florida men plead guilty to $67 million Medicare fraud scheme
Two Florida men pleaded guilty last week for their roles in a scheme to defraud Medicare by submitting over $67 million in false claims for genetic testing and durable medical equipment that patients did not need and that the defendants procured with k…
A cyberattack is partly to blame for St. Margaret’s Health closing all operations
Two rural Catholic hospitals in Illinois are closing all operations as of Friday, June 16, due in part to a 2021 cyberattack.
A cyberattack is partly to blame for St. Margaret’s Health closing all operations
Two rural Catholic hospitals in Illinois are closing all operations as of Friday, June 16, due in part to a 2021 cyberattack.
Providence reports $1.7 billion operating deficit in 2022
Providence St. Joseph Health reported a $1.7 billion deficit of revenues over expenses from operations for 2022.
The large Catholic health system, with headquarters in Renton, Washington and Irvine, California, said operating losses were impacted by ec…
