Category: Healthcare Finance News

High out-of-pocket costs are negatively affecting revenue cycles

In art and photography, the “vanishing point” is the point at which two lines converge, meeting at the horizon line and suggesting three-dimensional space. In hospital revenue cycles, the vanishing point is $7,500.

Managing costs, operational efficiencies top challenges for payers

In 2021, the pace of change in the healthcare industry picked up dramatically, with the introduction of new regulatory requirements, rising expectations among consumers, new competitive threats and the shift toward value-based payment strategies. This …

Ambulatory surgery centers compete with hospitals for outpatient dollars

Ambulatory surgical centers are gaining traction in the outpatient market.

UnitedHealthcare seeks to remove deductibles with Surest offering

UnitedHealthcare is making a push to remove deductibles and provide clear, upfront pricing information with its new Surest offering, itself a rebrand of Bind, which was introduced in 2016. According to UHC, Surest has the fastest growth rate among its …

Labor shortage, inflation contribute to Mass General Brigham’s $949M net loss

Significant financial pressures, including a widespread labor shortage, cost inflation and the enduring capacity crisis, have contributed to a rough financial quarter for Mass General Brigham, which saw a $949 million net loss and -2.8% operating margi…

Signify Health to lay off close to 500 employees

Signify Health is laying off close to 500 employees, according to a filing with the Connecticut Department of Labor.

OIG: Part D plan preference for pricey hepatitis C drugs led to higher Medicare spending

Some Medicare Part D plans left behind millions of dollars in savings because they didn’t cover generic versions of expensive hepatitis C drugs in 2019, in part due to the structure of the Part D program itself, finds a new report from the Department o…

Humana acquiring Inclusa, expanding Medicaid services in Wisconsin

Humana is set to acquire Wisconsin-based managed care organization Inclusa in an effort to expand its Medicaid presence in that state. Inclusa provides long-term care services and supports to approximately 16,600 older adults and adults with disabiliti…

How Children’s Mercy Kansas City increased its bond rating through the pandemic

The COVID-19 pandemic, followed by continued workforce costs and inflationary and workforce costs, has financially strained hospitals and health systems. 

BCBS Michigan debuts Maven-powered family building, maternal program

Ahead of this year’s open enrollment, Blue Cross Blue Shield of Michigan is teaming with Maven Clinic to launch a new family building and maternity support program.
It includes a personalized digital care app to help guide members through family planni…