New & Notable
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.
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.
Athenahealth revamps revenue cycle management in the era of AI
Athenahealth is adding AI features to its practice and revenue cycle management capabilities, at no additional cost, as the health IT company leans toward becoming AI native.
Innovation interrupted: How reimbursement is stalling health AI
The current reimbursement system wasn't made to pay for health AI, but that will need to change as healthcare providers rapidly adopt AI medical services to improve clinical outcomes.
Sponsored Sites
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Revenue Cycle Management
Brault
Brault is a revenue cycle and practice management organization that partners with hospitals and independent physician groups. Their intelligent practice solutions include coding and billing, MIPS optimization, provider documentation training, and practice management.
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RCM Management
ZOLL Data Systems
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Cybersecurity
Commvault + Microsoft
Together, Commvault and Microsoft are redefining cybersecurity and data resilience with a comprehensive, integrated platform, purpose-built to secure, defend, and recover data wherever it lives with true cloud simplicity, intelligence, and scale.
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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Study examines surgical price tags, finds massive markups
A new study shows significant hospital pricing markups, with the high-cost hospitals for elective surgical care also experiencing more adverse care outcomes.
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CareCloud to acquire HFMA's MAP app for revenue cycle tracking
CareCloud's acquisition of HFMA's MAP App for revenue cycle tracking would infuse AI capabilities into the tool while extending its reach to hospitals, the organizations said.
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Healthcare providers to lose $32B if ACA tax credits expire
As enhanced premium tax credits for ACA marketplace health plans are set to expire, healthcare providers are slated to lose over $32B and incur $7.7B in uncompensated care costs.
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Claim denial rates aren't improving, but AI could help
Experian Health's latest "State of Claims" survey shows continued growth in claim denial rates as more providers face rates of 10% or more of claims, but growing enthusiasm for AI.
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KLAS ranks key end-to-end RCM outsourcing vendors
Healthcare organizations partnering with end-to-end RCM outsourcing vendors provided their take on performance across key metrics, including denials rate and cash collections.
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Medicaid disenrollments to reduce hospital revenue by $25B
Large-scale Medicaid disenrollments under President Trump's new spending law would reduce hospital revenue by $1 million to $4 million in a single year, according to new analysis.
Features
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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.
-
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.
-
Athenahealth revamps revenue cycle management in the era of AI
Athenahealth is adding AI features to its practice and revenue cycle management capabilities, at no additional cost, as the health IT company leans toward becoming AI native.
-
Innovation interrupted: How reimbursement is stalling health AI
The current reimbursement system wasn't made to pay for health AI, but that will need to change as healthcare providers rapidly adopt AI medical services to improve clinical outcomes.