Fitch revised Chicago-based CommonSpirit Health’s rating outlook to negative from stable on Sept. 16, while affirming the health system’s “A-” rating.  The revision follows CommonSpirit’s financial results through the quarter ended March 31, which fell short of management’s internal margin…

For too long, Medicare Advantage has rewarded plans for becoming better at documenting how sick their members are. The next era should reward them for demonstrating how much healthier they make their members. Medicare Advantage is now the dominant alternative…

R1 has launched Phare Utilization Management, a new AI-powered tool designed to shift utilization management from retrospective chart review to real-time clinical and financial decisioning. Phare UM, built on R1’s Phare OS platform, continuously reviews every patient encounter from admission…

Five health systems recently posted job listings seeking chief revenue officers. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Geisinger, based in Danville, Pa., seeks a vice president and chief revenue officer.  2. OakBend…

While many health systems continue to outsource revenue cycle functions, some have brought services back in-house and are seeing results.  Roseville, Calif.-based Adventist Health said in its most recent financial report that it is continuing to see “positive momentum” after…

Hospital and health system CFOs have a lot on their minds heading into 2027 — from weighing how to protect their margins against decreasing Medicaid reimbursement to thoughtful adoption of technologies and artificial intelligence — there is no shortage of…

Lebanon, N.H.-based Dartmouth Health laid off 124 employees and canceled 303 open positions at its flagship academic medical center and Southern Region clinics, the eight-hospital system announced Sept. 15. The eliminations affect Dartmouth Hitchcock Medical Center in Lebanon and Dartmouth…

Burlington-based University of Vermont Health has begun implementing a workforce reduction affecting 199 positions. Five things to know: 1. The system will create 55 new roles, for a net reduction of 144 roles, according to a Sept. 15 health system…

ACA insurers requested a median rate increase of 15% for 2027, according to a Peterson-KFF Health System Tracker analysis. However, some states are pushing back — while others are abiding by those requests — as they finalize increases. The set…

CMS will add four condition tracks to its Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model starting April 1, 2027, the agency said in a Sept. 15 news release.   Six things to know:  1. The expansion adds heart failure,…