Many health systems are treating climbing denial rates as a documentation problem. They’re not. They’re the output of a deliberate, structural shift in how payers operate—one that has outpaced what any human workflow can sustainably address. Initial claim denial rates…

Chicago-based Rush University System for Health predicts additional revenue capture after adopting automated coding and billing for infusions. The three-hospital system is integrating the solution from revenue cycle tech company Medaptus into its Epic EHR, expecting to bill 90% of…

While academic medical centers have long run on hospitals generating the margin, medical schools advancing education and research, and faculty practice plans delivering patient care, that three-part arrangement is under financial strain. Drawing on data from 61 AMCs, Vizient’s March…

Farmington, Conn.-based UConn Health’s March 1 acquisition of Waterbury (Conn.) Hospital from Los Angeles-based Prospect Medical Holdings will be supported by $148 million in bond anticipation notes as part of the University of Connecticut’s broader $582 million bond sale. The…

Los Angeles-based Cedars-Sinai has acquired the Beverly Connection shopping center for $270 million as it aims to expand its footprint and plan for future healthcare delivery in the region. Four things to know:  1. The roughly 10-acre retail complex sits…

New York City-based Mount Sinai released a 34-minute podcast on March 13, detailing the health system’s contracting dispute with Anthem. “At Thanksgiving, [Anthem] inexplicably just said, ‘We are not doing anything we agreed to, and we’re not talking to you…

As financial pressures like reimbursement shifts and rising costs remain constant in healthcare, Columbia-based University of Missouri Health Care CEO Ric Ransom said they do not alter the system’s core mission and its commitment to the people it serves.  “Financial…

Baystate Health, a five-hospital system headquartered in Springfield, Mass., is eliminating 117 corporate positions as part of ongoing efforts to improve efficiency and strengthen its financial footing, a spokesperson for the health system confirmed to Becker’s.  The cuts affect less…

As health system margins remain tight and executive teams scrutinize every investment, marketing is under increasing pressure to prove its financial value. At UChicago Medicine, that scrutiny has reshaped how marketing operates, borrowing concepts more commonly associated with finance, analytics…

As hospitals across the country navigate financial pressure, workforce strain and rapid digital change, cultural transformation has moved from a soft concept to a strategic necessity. For Rochester, Minn.-based Mayo Clinic Health System, culture is not a side initiative layered…