Lockport, N.Y.-based Eastern Niagara Hospital will cut jobs and services to help it improve its financial picture, CEO Anne McCaffrey told The Buffalo News.

The CEO of Grand Rapids, Mich.-based Spectrum Health is advocating for more billing transparency, after a complaint highlighted expenses a patient incurred following her annual exam, according to NBC-affiliate station WOOD-TV.

The Texas House has approved legislation requiring further billing transparency at freestanding emergency rooms, according to a Statesman report.

UPMC reported  year-over-year increases in revenue and net income in the first three months of 2019, but the Pittsburgh-based health system ended the period with lower operating income.

De Queen (Ark.) Medical Center will close May 7 after a string of financial challenges, according to KTAL, a local news station.

Primary Partners, a physician-owned clinically integrated network in Florida, has achieved a negative 3.6 percent medical cost trend in its fifth year under Cigna's Collaborative Care program.

Here are 10 hospitals and health systems that posted job listings seeking revenue cycle management expertise in the last week.

Hospitals and medical practices should carefully weigh the pros and cons of keeping their billing in-house or outsourcing it, advised Marcy Marquis, client services manager at maxRTE, a provider of health insurance eligibility software.

The Colorado Senate has passed legislation to protect patients from surprise medical bills, according to NBC-affiliate TV station KUSA.

The Oregon Tax Court has dismissed a request by Bay Area Hospital in Coos Bay, Ore., to refund a fee assessed on its net revenue, according to Law360.

Waukesha-based LifeCare Hospitals of Wisconsin will close its long-term care facility in Pewaukee, Wis., which will result in 171 layoffs, according to the Milwaukee Business Journal.

The owner of Melrose Park, Ill.-based Westlake Hospital can close the facility, a state review board voted April 30, according to The Chicago Tribune.

By 2027, healthcare spending will reach 19.4 percent of the U.S. gross domestic product, according to CMS. To manage healthcare costs, hospitals and health systems need to think outside the box and consider new approaches to cost containment, especially around a key financial category called, “physician spend.”

Hospitals in Washington state will have to wait longer to send patients' unpaid bills to collections under legislation signed by Gov. Jay Inslee, according to ABC-affiliate KXLY.

A grassroots group working on behalf of low- and moderate-income people in New York is asking patients to share their dissatisfaction with the healthcare system and help shape policy solutions, Crain's New York Business reports.

Franklin, Tenn.-based Community Health Systems, which operates 106 hospitals in 18 states, saw its net loss swell in the first quarter of 2019.

Goldman Sachs is now an active investor in Brentwood, Tenn.-based Quorum Health, according to the Nashville Post.

HCA Healthcare's revenue increased year over year in the first quarter of 2019, but the Nashville, Tenn.-based company's net income declined.

The family of a 9-year-old Indiana girl bitten by a venomous snake received a medical bill totaling $142,938 that included a $67,957 charge for four vials of antivenin, according to a Kaiser Health News report.

In 2017, leaders at the Children's Hospital of Philadelphia began crafting a systemwide financial stewardship program. The ongoing effort has already overcome significant roadblocks and yielded a cultural transformation that supports better collaboration between CHOP's operations and finance teams.