When a health system sells its ambulatory laboratory operations, it collects a one-time payment and gives up the recurring revenue that testing would have earned for years. Many leaders underestimate how profitable ambulatory testing is, then watch the lost margin…
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Your health system already earned the revenue, and now it’s sitting in a fax queue, in a denial nobody had time to appeal, and in an authorization that’s been pending for three weeks. See how health systems are clearing those…
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The 340B Drug Pricing Program remains among the financial and policy issues hospital CEOs are watching closely, amid legal challenges and potential changes to how hospitals receive drug discounts. Eligible hospitals currently receive 340B discounts up front when purchasing drugs.…
Plans are expecting Medicare Advantage enrollment of 34 million beneficiaries in 2027, or about 47.4% of all Medicare enrollees, according to a Sept. 28 CMS news release. This would be flat compared with the 2026 projection, but actual MA enrollment…
Naples Comprehensive Health was managing roughly 40 travel nurses across four staffing agencies, each with its own systems, rate structures and communication processes. Recruiters contacted every agency individually, forwarded resumes, coordinated interviews, tracked compliance documents and reconciled invoices from multiple…
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Revenue cycle performance is typically tracked through operational metrics such as denial rates, days in accounts receivable and cost to collect. In 2026, hospital and health system CEOs also discussed it as part of their broader strategy in turnaround plans,…
UnitedHealthcare and TeamHealth have settled a lawsuit in which the insurer accused the physician staffing company of upcoding emergency department claims. The lawsuit was voluntarily dismissed with prejudice Sept. 24 in Tennessee federal court, according to court records. The dismissal…
University of Chicago Medicine has appointed Josh Denny, MD, its inaugural senior vice president for AI and precision medicine and chief data officer, effective November 2026. Dr. Denny, who will also serve as vice dean, has been CEO of the…
In this episode, Scott Becker shares insights into 10 key healthcare themes, including rising costs, access and quality challenges, AI and technology, workforce needs, administrative spending, and more.
Breast and prostate cancer incidence is rising among people of every race and ethnicity in the U.S., while lung cancer incidence and death rates are dropping sharply, according to the CDC’s “Annual Report to the Nation on the Status of…
