New & Notable
Urban safety-net hospitals: The unseen victims of Medicaid cuts
A Harvard analysis shows urban safety-net hospitals facing the greatest financial distress as a result of Medicaid cuts under the One Big Beautiful Bill Act.
Providers prepare to fight Anthem's new out-of-network policy
Over 80 physician groups oppose an upcoming Anthem policy that penalizes hospitals when members receive care from an out-of-network provider in the facility setting.
Google Cloud, Conifer team up for end-to-end AI RCM
Conifer is leveraging AI capabilities from Google Cloud to power end-to-end revenue cycle management workflows within its proprietary technology platform.
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.
Democrats introduce bill to repeal Medicare prior authorization pilot
— Healthcare DiveSponsored Sites
-
Revenue Cycle Management
Greenway Health
Improving healthcare through innovation is at the heart of Greenway Health’s work. We provide electronic health records (EHR), practice management, and revenue cycle management solutions that help practices in multiple specialties grow profitably, remain compliant, work more efficiently, and improve patient outcomes.
-
Risk Adjustment Compliance
RAAPID
RAAPID develops AI-powered risk adjustment solutions for healthcare payers, providers, and supporting organizations. The company's HITRUST-certified platform uses Neuro-Symbolic AI to identify chronic conditions, determine HCC codes, and provide explainable documentation for complete audit defense. Backed by M12 (Microsoft's venture fund), RAAPID serves organizations participating in Medicare Advantage, ACA, Medicare ACO, and Medicaid programs with both retrospective and prospective risk capture capabilities. Founded by healthcare technology veterans with over 20 years of experience, RAAPID is headquartered in Louisville, Kentucky.
-
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
-
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
-
Urban safety-net hospitals: The unseen victims of Medicaid cuts
A Harvard analysis shows urban safety-net hospitals facing the greatest financial distress as a result of Medicaid cuts under the One Big Beautiful Bill Act.
-
Providers prepare to fight Anthem's new out-of-network policy
Over 80 physician groups oppose an upcoming Anthem policy that penalizes hospitals when members receive care from an out-of-network provider in the facility setting.
-
Google Cloud, Conifer team up for end-to-end AI RCM
Conifer is leveraging AI capabilities from Google Cloud to power end-to-end revenue cycle management workflows within its proprietary technology platform.
-
Survey: Most providers not ready for TEAM bundled payments
Despite new requirements coming in January, 77% of providers don't feel prepared for new TEAM bundled payments as they continue to suffer from data challenges.
-
Physician Fee Schedule final rule brings key changes for ACOs
The final rule for the 2026 Medicare Physician Fee Schedule includes major programmatic and quality reporting changes for the Medicare Shared Savings Program.
-
CMS finalizes CY 2026 Medicare Physician Fee Schedule
CMS finalized a modest bump in Medicare Physician Fee Schedule rates next year alongside new policies to promote the prevention of chronic diseases and restructure efficiency adjustments.
Features
-
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.
-
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.