CMS is preparing to reset Medicare laboratory payments in 2027 after the agency said new private-payer data showed the program is paying substantially more than commercial insurers for many clinical tests. The agency said preliminary rates under the Clinical Laboratory…

The No Surprises Act was built to protect patients from unexpected bills for emergency care they had no hand in choosing. That protection has held since the law took effect in 2022. But the debate over its cost impact has…

Nashville, Tenn.-based HCA Healthcare is pushing toward an average of 20 outpatient facilities for every hospital by the end of the decade as the company continues to make ambulatory expansion a centerpiece of its long-term growth strategy. CFO Mike Marks…

Baton Rouge, La.-based Franciscan Missionaries of Our Lady Health System was upgraded to “A” from “A” by S&P Global Ratings, reflecting stronger operating performance, a solid balance sheet and improved debt service coverage. The outlook is stable. Eight things to…

AI and automation are helping reduce repetitive work for revenue cycle teams, pushing them towards greater capabilities for data literacy and problem solving, four revenue cycle leaders said at Becker’s 11th Annual Health IT + Digital Health + RCM Conference.…

Raleigh, N.C.-based WakeMed has reached a three-year contract for UnitedHealthcare’s employer-sponsored commercial plans, effective Oct. 15. WakeMed shared the update Sept. 17. The contract will grant members in-network access to hospitals, outpatient clinics and specialty physicians. An archived page from…

Health system finance leaders are seeing a common pressure emerge in 2026: As insurance coverage becomes less stable and patients shoulder more of their healthcare costs, some are putting off care until they can no longer wait. CFOs at Phoenix-based…

Elevance Health is laying off 216 employees in Louisiana as part of the wind-down of its Medicaid business in the state. The layoffs are set to take effect by the end of the year at the insurer’s Metairie office, according…

University of Missouri Health Care went out of network with Anthem Blue Cross Blue Shield on April 1, 2025, after contract negotiations broke down over reimbursement rates. The dispute affected commercial, ACA marketplace and Medicare Advantage plan members and lasted…

From Carle Health to NYC Health + Hospitals and Cleveland Clinic, three revenue cycle leaders at Becker’s 11th Annual Health IT + Digital Health + RCM Conference shared stories of their biggest wins and what they plan to tackle next.…