Many hospitals are facing a cash shortage brought on by labor costs, inflation and the continued struggle to recover financially from the pandemic. Literally three times a day, Plante Moran’s Duane Fitch said he hears from healthcare systems that are on the verge of violating their financial covenants with lenders. Fitch is a national healthcare […]

Dr. Kristi Henderson is leaving her role as CEO of Optum Everycare to take on the role of CEO at Confluent Health, a group of physical and occupational therapy companies. Henderson has already begun work in her new role. Confluent Health’s Founder and CEO, Dr. Larry Benz, will take on an expanded position as executive […]

Mike Alkire, president and CEO of Premier often advises health system executives. In fact, Alkire and the group-purchasing organization advise an estimated 4,400 health systems and 250,000 providers in the United States. “If I were running a healthcare system, I would consider thinking about being a retailer,” Alkire said. Along with making a hospital appealing and convenient, he said, “I […]

Broader Medicare coverage is now available for Biogen and Eisai’s Leqembi, the brand name for lecanemab, following the Food and Drug Administration’s  move to grant traditional approval to the drug that treats individuals with Alzheimer’s disease. 

Because health organizations are paid by capitation, incentives are aligned to keep the patient healthy, says Ran Balicer, chief innovation officer at Clalit Health Services.

Junk health plans are in the crosshairs of the Department of Health and Human Services, which pledged this week to protect consumers from such plans, as well as surprise medical bills and excess costs that lead to medical debt.

An employee benefits group at Kraft Heinz Co. has filed a lawsuit against insurer Aetna, accusing the company of breaching its fiduciary duties by leveraging its status as a third-party claims administrator to benefit itself financially.

Biometric wearables predicted 73% of COVID-19 cases more than two days before service members felt sick, says Jeffrey Schneider at DoD and Navin Natoewal at Philips.

NASHVILLE – Transactional revenue cycle no longer works with patients, especially millennials, said finance experts speaking during the HFMA conference in Nashville. It used to be, do the service and then bill, said Bob Stearns, director of Patient Accounting, Covenant Health.

The Medicare Advantage quality bonus program, established by the Affordable Care Act as part of a package of MA reforms, was expected to reduce payments to MA organizations. But according to a new Urban Institute report, the expected cost savings from the reforms have not materialized.