New & Notable
2026: The year of uncertainty for healthcare financial leaders
Coming off a turbulent 2025, the new year raises questions about how change will impact financial operations; a renewed focus on affordability and AI may help leaders navigate 2026.
Benchmark prices under NSA far below actual median rates: Study
Qualifying payment amounts used under the No Surprises Act are, on average, a third of the payers' contracted in-network rates, according to a study.
Hospitals aren't ringing in a new 340B rebate program
Hospitals are applauding a federal court's ruling to halt the Jan. 1 implementation of a rebate model pilot in the 340B Drug Pricing Program, which they claim would cost north of $400M.
CMS announces new ACO model as REACH ends
CMS unveiled the Long-Term Enhanced ACO Design, or LEAD, Model, that will run for ten years following the end of the popular ACO REACH Model.
Sponsored Sites
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Financial Responsibility
CareCredit
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Cybersecurity
Commvault + Microsoft
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Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
View All Episodes
Latest News
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Benchmark prices under NSA far below actual median rates: Study
Qualifying payment amounts used under the No Surprises Act are, on average, a third of the payers' contracted in-network rates, according to a study.
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Hospitals aren't ringing in a new 340B rebate program
Hospitals are applauding a federal court's ruling to halt the Jan. 1 implementation of a rebate model pilot in the 340B Drug Pricing Program, which they claim would cost north of $400M.
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CMS announces new ACO model as REACH ends
CMS unveiled the Long-Term Enhanced ACO Design, or LEAD, Model, that will run for ten years following the end of the popular ACO REACH Model.
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C-suite expects value-based care participation to heat up
Hospital and health system executives are investing more in value-based care models, including ACOs and bundled payments, compared to two years ago.
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More primary care practices ditch insurance for direct care
A study reveals an increasing number of practices and clinicians transitioning to concierge and direct primary care models in a move that cuts medical billing's administrative burden.
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CMS releases new payment model to support lifestyle medicine
The MAHA ELEVATE model will provide $100M to as many as 30 proposals that incorporate functional and lifestyle medicine for chronic disease management and prevention.
Features
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2026: The year of uncertainty for healthcare financial leaders
Coming off a turbulent 2025, the new year raises questions about how change will impact financial operations; a renewed focus on affordability and AI may help leaders navigate 2026.
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Meet the 6 vendors participating in the CMS WISeR Model
The vendors selected to lead a new CMS model will apply their technologies leveraging AI to streamline the Medicare prior authorization process in six states.
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ACA enhanced tax credit fight exposes healthcare's funding crisis
Enhanced premium tax credits are at the center of the latest government shutdown, creating concerns for providers and exposing a history of patchwork solutions for a cracked system.
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Provider pay caught in the middle during government shutdown
The ongoing government shutdown will impact Medicare reimbursement, particularly for telehealth services, putting revenue cycle teams in a tight spot.