CMS’s expanding RADV audit activity is changing the economics of risk adjustment. The question is no longer whether organizations can optimize retrospective chart chase. The question is whether their operating model can withstand continuous audit scrutiny at enterprise scale. Retrospective…
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Some “helicopter parents” are now “co-piloting” their children’s careers, joining them for interviews and calling hiring managers on their behalf, The Wall Street Journal reported Aug. 2. It is not unheard of in healthcare, human resources leaders at hospitals and…
The Justice Department’s National Fraud Enforcement Division expanded its Northeast Health Care Fraud Strike Force into Philadelphia and charged 19 defendants in alleged Medicaid home health aide fraud schemes. The expansion pairs the Fraud Division’s Health Care Fraud Section with…
Webinar – August 25th, 12:00 PM – 1:00 PM CT. Why positioning injuries still happen in spine cases that follow the rules.Despite time-outs and standard protocols, positioning-related nerve and pressure injuries continue to occur in spine surgery. Perioperative leader Jen…
U.S. News and World Report’s 2026-2027 Best Hospitals Honor Roll recognizes 20 hospitals, and each is backed by a chief information officer or chief digital information officer steering its technology, data and AI strategy. Some have held the role for…
Hospital finance leaders have beaten back 340B payment cuts, site-neutral reimbursement and Medicaid rollbacks before. They have never had to model all three landing in the same fiscal year. That is the challenge in front of them now. CMS’ proposed…
Healthcare and social assistance job openings fell by 147,000 in June, the largest single-month decline for the sector in nearly a year, according to data from the U.S. Bureau of Labor Statistics released Aug. 4. The drop brought healthcare and…
In this episode, Alan Condon, Editor-in-Chief at Becker’s Healthcare, examines how ACA coverage changes are affecting hospital finances, why elective surgery volumes are softening, and what these trends could mean for nonprofit health systems facing tighter margins.
The Government Accountability Office released a report July 30 outlining actions experts suggested to improve U.S. surveillance for emerging infectious diseases, following a roundtable GAO convened with the National Academies of Sciences, Engineering, and Medicine. Six things to know: 1.…
An international panel of experts has published a systematic review and consensus guidelines on the use of incretin-based medications in women’s reproductive health, offering hospitals and clinicians recommendations for counseling patients before, during and after pregnancy, according to research published…
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