Category: Healthcare Finance News

Denials top reason for eroding provider-payer relationship

A new report by the Healthcare Financial Management Association shows a deteriorating relationship between providers and payers.

Denials top reason for eroding provider-payer relationship

A new report by the Healthcare Financial Management Association shows a deteriorating relationship between providers and payers.

Johnson and Johnson sues HRSA for blocking 340B plan

Drugmaker Johnson and Johnson is suing the Health Resources and Services Administration, a division of the Department of Health and Human Services, for blocking its new 340B rebate model, and is seeking to verify the legality of its plan.

AMA pushes for stricter standards for hospital charity care policies

The American Medical Association has voted to support greater oversight of nonprofit hospitals’ charity care policies that justify their tax-exempt status.
The AMA wants a standardization of the financial assistance process as current criteria varies a…

Cardinal Health set to acquire two companies for combined $3.9B

Pharmaceutical distributor Cardinal Health is eyeing an expanded footprint in the specialty medicine space through the planned acquisitions of GI Alliance (GIA) and Advanced Diabetes Supply Group (DSG).

Labor expenses continue to challenge hospitals

While hospital and health system financial performance was relatively stable in September, expenses remain high, especially when compared to 2021-2023, according to Kaufman Hall’s September Flash report released this month 
Contract labor rates and uti…

AHA promotes healthcare navigators in letter to CMS

In a letter sent this week to the Centers for Medicare and Medicaid Services, the American Hospital Association voiced its support for healthcare navigators, who are used by hospitals and health systems to help patients navigate through the financial a…

DOJ sues to block UnitedHealth’s acquisition of Amedisys

The Department of Justice has sued UnitedHealth Group and Amedisys over their planned merger due to anticompetitive concerns.
UnitedHealth and Amedisys are two of the largest home health and hospice providers in the country, according to the lawsuit fi…

NAACOS pushes ACO REACH extension after $1.54B in savings

Accountable Care Organizations in the Centers for Medicare and Medicaid Services’ ACO Reach program achieved $1.54 billion in gross savings and $694.6 million in net savings in 2023, CMS has announced.
The National Association of ACOs (NAACOS) has resp…

Astrana Health to acquire Prospect providers, health plan

Technology company Astrana Health is acquiring certain assets of Prospect Health for $745 million.