The U.S. Department of Government Efficiency (DOGE) has imposed new restrictions on federal healthcare grant payments, significantly slowing the distribution of funds to health centers and other grantees, according to 12 people familiar with the matter, as reported by The…

Since the implementation of the No Surprises Act (NSA) in January 2022, out-of-network (OON) reimbursement has become a complex and resource-heavy challenge for hospital and health system revenue cycle leaders. Although designed to shield patients from unexpected medical bills, the…

From shifting federal policies to rising inflation and uncertainty around reimbursement, health system CFOs across the country say 2025 is shaping up to be one of the most turbulent and complex years in recent memory.  The financial playbook that sustained…

Thirty-eight hospitals across 17 states have converted to rural emergency facilities since the law that created the designation took effect in January 2023, according to data from CMS. Here are the hospitals that have converted to rural emergency status, by…

The Borough of Ridley Park (Pa.) has declared an emergency due to Upland, Pa.-based Crozer Health’s ongoing financial struggles. The health system, which is part of Los Angeles-based Prospect Medical Holdings, secured $6 million the week of April 7 to…

Health systems are entering payer negotiations with a sharper edge — and far more data.  Amid mounting frustration over stagnant reimbursement rates, providers are taking more aggressive contracting strategies, pursuing multi-year rate increases and leaning heavily on price transparency tools…

Donald Trump issued an executive order Feb. 25 that would heighten price transparency enforcement for hospitals and health plans. If the order is enforced, big changes may be ahead for healthcare providers. “Payers and providers should expect more intensely analytical…

The Consumer Financial Protection Bureau plans to deprioritize several areas including medical debt, The Wall Street Journal reported April 17.  In a memo sent to staff, the agency’s chief legal officer said the CFPB would focus on fraud with “consumer…

Several large health systems reported operating losses in 2024, underscoring ongoing financial strain despite rising patient volumes and revenue growth. While inpatient revenue is climbing, expense pressures, cybersecurity disruptions and shifting care dynamics continue to weigh on margins — leaving…

Akron, Ohio-based Summa Health reported an operating loss of $8.1 million (-0.4% operating margin) in 2024, an improvement from a $43.5 million operating loss (-2.3% margin) in 2023, according to its financial report for the year ended Dec. 31.  Summa…