Susan Morse

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Two hospital systems saved a collective $10 million through revenue cycle vendor management

NASHVILLE – Revenue cycle vendor management has saved two health systems millions, according to two vice presidents of revenue cycle speaking at HMFA 2023.
Total savings for the Vanderbilt University Medical Center has been $1.9 million to date, accord…

Optum to buy Amedisys in all-cash deal valued at over $3 billion

Optum is acquiring home health, hospice and acuity care provider Amedisys in an all-cash deal valued at an estimated $3.3 billion.
The agreement calls for the acquisition of Amedisys’s outstanding common stock in an all-cash transaction for $101 per sh…

CFOs kick off HFMA’s annual conference by addressing the financial challenges ahead

NASHVILLE – Four health system CFOs on Sunday kicked off the opening keynote session of the Healthcare Financial Management Association annual conference by summing up the challenges hospitals have overcome and how they’re tackling those ahead.

Medicaid disenrollment is happening faster than anyone thought, says former Medicaid deputy director

The loss of coverage for Medicaid recipients is happening faster than anyone believed it would, according to Karen Shields, chief client engagement officer at Gainwell Technologies, a large payer of Medicaid claims.
“It’s faster than we thought,” said …

PhRMA and other groups sue HHS over drug pricing provisions of the IRA

The National Infusion Center Association, the Global Colon Cancer Association and the Pharmaceutical Research and Manufacturers of America have filed a lawsuit in federal court over what they call

Q&A with Geisinger CEO and President Dr. Jaewon Ryu, who will be CEO of the new Risant Health

In April, Kaiser Foundation Hospitals announced the formation of a new nonprofit organization, Risant Health and its first acquisition, Geisinger Health.

Q&A with Geisinger CEO and President Dr. Jaewon Ryu, who will be CEO of the new Risant Health

In April, Kaiser Foundation Hospitals announced the formation of a new nonprofit organization, Risant Health and its first acquisition, Geisinger Health.

Humana is second major Medicare Advantage insurer to report high utilization

Humana, one of the two biggest players in the Medicare Advantage market, is being hit with high benefit expenses due to high utilization among its members, according to a June 16 filing with the Securities and Exchange Commission.

Cano Health CEO exits after urging of company’s largest shareholders

Primary care provider Cano Health has announced that CEO Dr. Marlow Hernandez has agreed to step down immediately and remain on the Board of Directors. Chief Strategy Officer Mark Kent has been appointed interim Chief Executive Officer.
The board is la…

AI allows for two-way conversations between health plans and members 

The best way for payers to engage members proactively about their health and wellness is to enable two-way conversations, says Bob Farrell, CEO of digital health platform mPulse Mobile.
Conversational AI allows for a back-and-forth between health plans…