Healthcare Finance News
Healthcare 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 ...
BCBS reaches $2.8 billion settlement agreement
1 day ago · Blue Cross Blue Shield has agreed to pay $2.8 billion to settle claims from hospitals, physician groups and other providers that actions taken by BCBS insurers shortchanged them on reimbursements. Providers allege BCBS violated antitrust laws by entering into noncompete agreements with other BCBS members in selling health insurance and in the ...
News | Healthcare Finance News
Coverage for weight loss drugs could cost Medicare $35 billion by 2034. Total direct federal costs of covering AOMs would increase from $1.6 billion in 2026 to $7.1 ... Read more >>. READ. Oct 14 | Susan Morse.
Hospitals confront mounting reimbursement challenges and …
Nov 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.. The findings, published in partnership with the American Hospital Association, underscore the pressing need for measures aimed at alleviating financial ...
HIMSSCast: Is private equity the bad guy in healthcare?
3 days ago · A fragmented healthcare market presents opportunities for M&A consolidation and private equity. Investments includes physician practices and urgent care clinics. Private equity accounts for an estimated 4% of total revenue in healthcare. Investment has attracted the attention of regulatory bodies such as the Federal Trade Commission.
Healthcare organizations increasing IT investments
Sep 14, 2023 · Technology and IT has emerged as an important strategic priority for healthcare institutions, with a new Bain and Company report showing that providers are increasingly accelerating their spending on IT and software. Nearly 80% of healthcare executive respondents in the new survey increased spending materially over the past year, spurred by emerging technologies, labor shortages and cost ...
For Payers - Healthcare Finance News
Insurers and government payers are having to make major adjustments as well. This section highlights Healthcare Finance’s coverage on topics including benefit design, Medicare and Medicaid, risk management, payer contracting, analytics, compliance, insurance exchanges, provider-sponsored health plans and merger and acquisition activity among ...
Financial challenges spurring healthcare merger and acquisition ...
Oct 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.
Most providers seeking to outsource patient financing
Apr 13, 2023 · Workforce shortages and staffing churn spurred many to look into outsourcing revenue cycle management and patient collections. A majority of healthcare providers, 61%, say they anticipate making greater use of third-party patient financing over the next couple of years, a new survey shows. CWH Advisors conducted 38 in-depth interviews in the ...
Health system mergers still low in Q3, despite high value of deals
Oct 13, 2022 · Photo: Martin Barraud/Getty Images. Merger and acquisition activity between hospitals and health systems remained low in the third quarter of 2022, with just 10 announced transactions – comparable to Q3 2021, which saw seven announced transactions, according to a new analysis from Kaufman Hall. Yet while the volume of announced deals was ...