In this episode, Sunitha Reddy, Chief Revenue Officer and Vice President of Operations, Prime Healthcare, discusses how revenue cycle strategy powers hospital turnarounds, tackles payer pressure and denials, and leverages AI to improve efficiency while supporting care access. Learn more…
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In this episode, Dr. Arash Motamed, Anesthesiologist and Medical Director of Sustainability with Keck Medicine of USC, shares how his team successfully eliminated nitrous oxide use, highlighting its environmental impact, the path to clinician alignment, and broader opportunities to reduce…
CMS is proposing a mandatory, nationwide episode-based payment model for joint replacements that would hold most hospitals responsible for Medicare spending tied to a patient’s surgery and recovery. Beginning Oct. 1, 2027, the model — referred to as CJR-X —…
CMS on April 10 published its fiscal year 2027 Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System proposed rule, which includes a 2.4% payment increase for hospitals as well as the first mandatory nationwide episode-based payment model.…
Researchers at Rochester, Minn.-based Mayo Clinic used AI to determine that measuring fat around the heart greatly improves the accuracy of predicting long-term cardiovascular disease risk. The investigators applied AI to thousands of study participants’ standard coronary artery scans, finding…
Irving, Texas-based Christus Health has shared plans to open its new multi-specialty clinic in Mount Pleasant, Texas, April 13. The 22,000-square-foot clinic will be located in the same space as the system’s Christus Health Mount Pleasant Emergency Center, which opened…
CMS has proposed extending its prior authorization interoperability framework to cover drugs for the first time, building on its 2024 rule that focused on medical items and services. The proposed rule would also shorten decision timeframes and expand public reporting…
Philadelphia-based Penn Medicine is working with Epic to incorporate more “nudges” into the EHR to lead clinicians and patients to evidence-based choices for better health outcomes. Leaders from Penn Medicine and Epic gathered recently in Philadelphia to discuss opportunities to…
Altamonte Springs, Fla.-based AdventHealth has broken ground on AdventHealth New Port Richey (Fla.) ER, a $27 million freestanding emergency department. The more than 13,000-square-foot facility will comprise 12 patient beds, comprehensive emergency services, on-site imaging with X-ray and CT capabilities,…
In this episode, Patrick DeAngelo, President of CorroHealth, discusses why health systems must shift from managing denials to preventing them by leveraging AI, rethinking workflows, and balancing technology with human oversight in an evolving payer landscape. This episode is sponsored…