Advertisement


More in Financial Management

When Providence announced it was shutting down its health plan earlier this year after a $102 million loss in 2025, it joined a growing list of health systems stepping back from the insurance business. Carle Health’s Health Alliance, Michigan Medicine’s…

SCAN Health Plan has emerged as a major Medicare Advantage partner for retailers, with Walmart now partaking in a co-branded plan. The health insurer and retailer are launching the plan in two states, according to a Sept. 16 SCAN news…

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…

Advertisement
Advertisement
Advertisement