Plus: Humana, Athenahealth expand electronic prior authorization November 4, 2026 1. 8 health systems outsourcing RCM functions Full story 2. Democrats gain control of Congress: 5 midterm takeaways for healthcare leaders Full story 3. Patients expect their health plan and…
Revenue Cycle Management
November 3, 2026 1. Children's Mercy outsourcing 473 revenue cycle roles Full story 2. 9 health systems affected by utilization management vendor breach Full story 3. Member identity errors at the health plan can turn into eligibility denials at the hospital.…
November 2, 2026 1. 698 rural hospitals at risk of closing, by state Full story 2. Medicare's AI-enabled prior authorization pilot linked to nearly 20% drop in some services Full story 3. Reconciling payments twice — once for revenue cycle,…
October 29, 2026 1. 43% of hospitals are losing money. Here’s how 3 systems stay profitable Full story 2. 3 times Judy Faulkner urged caution amid Epic’s AI push Full story 3. Reactive discharge coordination can’t keep pace with capacity…
Plus: ‘Maybe ours is better’: Larry Ellison pitches Oracle to Epic hospitals October 28, 2026 1. What’s to blame for claim denials in 2026? Full story 2. HCA expects up to $650M drop in Medicaid supplemental payments Full story 3. Targeted chart…
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Plus: 455 top-ranked hospitals by state: Healthgrades October 27, 2026 1. HCA absorbs $400M payer mix hit in Q3: 8 things to know Full story 2. Pennsylvania hospital misses 2 straight payrolls Full story 3. Revenue cycle and accounting rarely reconcile…
Plus: Judy Faulkner vs. Larry Ellison: 2 AI strategies for the EHR October 26, 2026 1. 109 health systems ranked by annual revenue Full story 2. Visitor fatally shot at HCA Missouri hospital; patient charged Full story 3. CMS reset…
Plus: Elevance’s new payment playbook: 7 notes October 22, 2026 1. 9 business rules Judy Faulkner won’t bend Full story 2. Why 43% of hospitals are losing money Full story 3. Modern UM approach fuels 11–14% cash growth for one…
Plus: Epic targets ‘swivel-chair’ AI Connector work October 21, 2026 1. Judy Faulkner on Epic’s ‘BFF’ role: 1 staffer for each customer Full story 2. CMS defers $1.2B more in California Medicaid payments Full story 3. This rural hospital traded Excel…
October 20, 2026 1. 7 health systems outsourcing RCM functions Full story 2. Epic explores AI agents for routine visits Full story 3. A tool can read a payer’s denial letter but still not route it to the right patient account.…