Healthcare Finance News
WEBHealthcare Finance provides timely and in-depth coverage of the challenges faced by healthcare providers and payers in light of skyrocketing healthcare costs, regulatory developments and diminishing reimbursements. Helmed by an experienced team of independent editors and journalists, we deliver news, analysis, educational content to an audience of senior healthcare financial managers and ...
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WEBSt. Peter's Health paying $10.8 million over alleged false claims. DOJ says St. Peter fraudulently submitted claims for services performed by an oncology doctor. Read more >>. Sep 03 | Jeff Lagasse.
News | Healthcare Finance News
WEBElevance subsidiary Wellpoint adding ACA plans in three states. The company will be debuting new individual marketplace plans in Florida, Maryland and Texas beginning ... Read more >>. Sep 09 | Jeff Lagasse.
Hospitals confront mounting reimbursement challenges and …
WEBNov 30, 2023 · Escalating reimbursement delays and declining cash reserves are placing hospitals and health systems across the nation in a precarious financial predicament, according to data from Syntellis Performance Solutions' analysis of 1,300 hospitals.
Employers expect benefit costs to rise 5% for third straight year
WEB3 days ago · 2025 would be the third consecutive year of health benefit cost increases above 5%, following a decade of about 3% increases. Total health benefit cost per employee is expected to rise 5.8% on average in 2025, even after accounting for planned cost-reduction measures, according to an analysis based on a survey by Mercer.
Interoperability in healthcare moving forward despite challenges
WEB20 hours ago · Suggested: Interoperability has been a high aim for healthcare: The promise of being able to exchange data seamlessly between health information networks has been a goal the industry has been working toward for years. Now payers and healthcare organizations have to wrangle with rules, passed by the Centers for …
Moody's upgrades healthcare outlook from negative to stable for …
WEBNov 9, 2023 · Moody's Investors Service has revised its 2024 outlook for the not-for-profit and public healthcare sector to stable from negative, driven in large part by a decrease in labor costs.
Insurers to make $11.8B in Medicare quality bonus payments
WEB2 days ago · After increasing by more than 400% between 2015 and 2023, federal spending on Medicare Advantage bonus payments will decline by $1 billion to $11.8 billion in 2024 – an 8% decline – following the expiration of pandemic-era policies that temporarily increased star ratings for some plans, according to a new KFF analysis.
Financial challenges spurring healthcare merger and acquisition ...
WEBOct 16, 2023 · Hospitals and health systems have been under extreme financial pressure since 2022, when median operating margins remained in negative territory for the full year. And while the picture has improved somewhat this year, these challenges spurred about a third of the hospital and health system merger and acquisition activity in the third quarter.
Outlook strong for healthcare services deals, PwC finds
WEBJun 22, 2023 · Jeff Lagasse, Editor. Photo: Helen King/Getty Images. Coming off strong years for healthcare services deals in 2021 and 2022, volumes have remained resilient through May, despite multiple headwinds, including higher interest rates, increased antitrust regulatory review concerns, elevated valuations and general fears about the recession.
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