Since the implementation of the No Surprises Act (NSA) in January 2022, out-of-network (OON) reimbursement has become a complex and resource-heavy challenge for hospital and health system revenue ...

From shifting federal policies to rising inflation and uncertainty around reimbursement, health system CFOs across the country say 2025 is shaping up to be one of the most turbulent and complex years ...

Luigi Mangione has been indicted by a federal grand jury on four charges for the murder of UnitedHealthcare CEO Brian Thompson in late 2024, NBC News reported April 17. The indictment includes two ...

Cleveland-based University Hospitals reimagined peer review and cost strategy — contributing to margin-based accountability and an $18.1 million surplus, according to Peter Pronovost, MD, PhD. “We ...

Commonly prescribed medications such as statins, non-steroidal anti-inflammatory drugs and certain blood pressure drugs may significantly delay the onset of Parkinson’s disease. The study, published ...

Corewell Health has shared plans to open its first full-service, school-based clinic April 21 at Harper Woods High School. The on-site clinic near Detroit will provide more than 2,700 students ...

Kaiser Permanente has activated the largest hospital-based renewable energy microgrid in the U.S. at its Ontario (Calif.) Medical Center. Here are five things to know. 1. The microgrid provides daily ...

From a shuttered Ohio hospital and its owner getting hit with a lawsuit to Texas Health Resources suing six drugmakers and pharmacy benefit managers, here are 10 hospital lawsuits, settlements and ...

In recent weeks, biotech companies have faced setbacks in moving forward with clinical trials due to operational delays at the FDA, according to an exclusive report from The Wall Street Journal ...

Executive SummaryIn the evolving landscape of value-based care (VBC), PSW has demonstrated how certified Care Management programs can serve as a strategic lever to improve outcomes, enhance patient ...

The Borough of Ridley Park (Pa.) has declared an emergency due to Upland, Pa.-based Crozer Health’s ongoing financial struggles. The health system, which is part of Los Angeles-based Prospect Medical ...

Health systems are entering payer negotiations with a sharper edge — and far more data. Amid mounting frustration over stagnant reimbursement rates, providers are taking more aggressive contracting ...