Author's posts
HIMSSCast: Prior authorization as gatekeeper
Prior authorization does not work for patients, providers or even payers, according to Peter Ax, founder and CEO of UpScriptHealth.
The intention of prior authorization is to make an efficient use of health resources, Ax said. It has not worked.
“Prior…
Steward Medical sold to Rural Healthcare Group
Steward Medical Group and Steward Health Care Network have been sold to Rural Healthcare Group and have been rebranded as Revere Medical.
Bill would give physicians a pay increase, block Medicare cuts
A bipartisan bill introduced in the House would stop Medicare payment cuts from taking effect in January and give physicians a pay increase.
The Medicare Patient Access and Practice Stabilization Act, introduced on Tuesday, would provide a 4.7% payment…
Two CFOs see promise of AI, but have yet to build a dedicated budget
CFOs of two of the country’s largest nonprofit health systems were asked about their financial strategies in the midst of generative AI becoming the next big thing with the launch of ChatGPT in 2022.
Geisinger uses AI platform for OR optimization
Geisinger is partnering for an AI platform to better manage operating room time and staffing.
The AI platform by partner Optmed.ai analyzes billions of logistical data points to manage OR workflow. This allows for more clinical procedures, which boosts…
Geisinger uses AI platform for OR optimization
Geisinger is partnering for an AI platform to better manage operating room time and staffing.
The AI platform by partner Optmed.ai analyzes billions of logistical data points to manage OR workflow. This allows for more clinical procedures, which boosts…
CHS reports losses due to hurricanes, payer denials, increased workforce expenses
Community Health Systems took a financial hit for the third quarter due in part to the continuation of high payer denials, higher workforce expenses and the unanticipated setback of back-to-back hurricanes.
Change Healthcare cyberattack affected PHI of 100 million
The Change Healthcare cyberattack compromised the protected health information of at least 100 million people, according to The HIPAA Journal.
This represents a third of the population in the United States and makes the data breach the largest known br…
Molina beats financial expectations on higher premium revenue
Unlike Q3 earnings reports from insurers more heavily in the Medicare Advantage market, Medicaid-based Molina Healthcare on Thursday released third quarter financials that beat expectations.
Centene sues CMS over Medicare Advantage star ratings
Centene has joined the list of insurers that are suing the Centers for Medicare and Medicaid Services over the 2025 Medicare Advantage Star Ratings.
Centene of Missouri and 10 affiliated plans such as Meridian Health Plan of Michigan and several Wellca…
