Revenue Cycle Management Archives - Page 10 of 202 - Becker's Hospital Review

14 systems cutting jobs | CMS leader breaks down MA pay hike | 13 systems seeking rev cycle VPs | DOJ launches fraud division | 9 MA numbers to know in 2026

April 9, 2026 1. The hospitals, health systems cutting jobs in 2026 Full story 2. 'The days of unlimited increases in rate must end': CMS leader breaks down the 2027 Medicare Advantage pay hike Full story 3. Siloed physician staffing…

What's stressing out rev cycle leaders? | Jefferson sues Aetna | 4 systems outsourcing RCM | Ark. hospital to close after 3 years | 23 rev cycle exec moves

April 8, 2026 1. What's stressing out revenue cycle leaders? Full story 2. Jefferson Health sues Aetna over Medicare Advantage inpatient reimbursement policy Full story 3. Remote monitoring programs can create hidden risk. How Prisma + others are uncovering it…

CMS hikes MA rates 2.48% | Court vacates 340B policy | Antitrust suit targeting 5 insurers progresses | RCM functions systems are outsourcing | Insurers cut prior auth 11%: AHIP-BCBS

April 7, 2026 1. CMS hikes Medicare Advantage rate 2.48% for 2027: 6 notes Full story 2. Court vacates 340B policy on hospital drug purchasing: 6 things to know Full story 3. Health IT strategy is now mission-critical, from AI…

Trump budget eyes $15.8B in HHS cuts | CMS finalizes 2027 MA rule | Prior auth data short on insight | OHSU CEO out after 3 mos. | CommonSpirit, Cigna reach deal

April 6, 2026 1. Trump budget targets $15.8B in HHS cuts: 9 things to know Full story 2. CMS finalizes 2027 Medicare Advantage and Part D rule: 10 notes Full story 3. New AI tools target coding accuracy and care…

19 systems dropping MA plans | Memorial Hermann, BCBS Texas split | CMS sued for Medicare prior auth pilot details | Regulators target hospital contracting | 10 UnitedHealth updates

April 2, 2026 1. 19 health systems dropping Medicare Advantage plans | 2026 Full story 2. Memorial Hermann goes out of network with BCBS Texas Full story 3. Singing River Health unified its rev cycle into one operating model —…

Oracle cuts thousands of jobs | GOP eyes further healthcare cuts | CMS extends Elevance's MA sanction deadline | Hospitals sue HHS over DSH cuts | Fortune's 17 best healthcare companies to work for

April 1, 2026 1. Oracle cuts thousands of jobs: Report Full story 2. Republicans eye further healthcare cuts: Report Full story 3. The hidden patient cohorts driving CMS Star & Leapfrog results. Learn how to find them here. 4.…

Payers' prior auth denial rates go public | Systems shrink the payer-provider gap | Top PBMs by market share | Senators push CMS to tackle MA upcoding | Advocate taps Epic's AI Agent Factory

March 31, 2026 1. Payers' prior authorization denial rates go public: 5 notes Full story 2. Health systems shrink the payer-provider gap Full story 3. $40M investment signals RCM shift. Learn what it means for health systems here. 4. Top…

10 recent billing fraud cases | Adventist's rev cycle insourcing momentum | 63 most innovative healthcare cos. | Feds sue NewYork-Presbyterian over contracts | RCM co. taps Quorum exec for VP role

March 30, 2026 1. Healthcare billing fraud: 10 recent cases Full story 2. Adventist Health sees momentum from insourcing revenue cycle operations Full story 3. How 2 systems use AI to reshape claims prioritization, routing and revenue cycle performance here.…

NYC Health + Hospitals to drop Palantir | Top ACA denial-rate offenders | 21 exec moves | Ill. hospital halts care over payroll | The healthcare transformation divide

March 26, 2026 1. NYC Health + Hospitals to end RCM data contract with Palantir Full story 2. 10 ACA insurers with the highest claim denial rates: KFF Full story 3. Health systems assume go-live is the finish line. Hidden IT sprawl…

22 financially strong systems | Fla. system outsourcing RCM | OSU Wexner taps chief revenue officer | The Medicare Advantage paradox | CMS unveils new pediatric care model

March 25, 2026 1. 22 health systems with strong finances Full story 2. Conifer inks RCM outsourcing deal with Healthcare Systems of America Full story 3. $130B in underpayments. What finance leaders may be missing in zero-balance accounts here. …