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10 predictions for hospital margins: Moody’s
Hospitals are bracing for a cascade of financial pressures as rising insurance costs, Medicaid restrictions and a growing number of uninsured patients threaten to reshape patient behavior and erode margins in the years ahead, according to …
Read full story →Why AI in revenue cycle has become a necessity — 3 takeaways
Revenue cycle leaders are facing a national coder shortage, intensifying payer complexity and tighter margins. In this environment, AI has …
Payer mix shifts and profitability at critical access hospitals, 2011 to 2023
Abstract Introduction Critical Access Hospitals (CAHs) are essential providers in rural communities but face persistent financial challenges due to narrow …
Availity Abrasion Index 2026: Denials and Prior Authorization Top Payer-Provider Friction Points
What You Should Know Availity has launched the 2026 Abrasion Index, a dual-sided research report quantifying administrative friction between U.S. …
Beth Israel Lahey Health names network president
Boston-based Beth Israel Lahey Health has named Sue Chapman Moss president of the Beth Israel Lahey Health Performance Network. In …
HCA’s strengthened revenue cycle paying dividends, CFO says
Nashville, Tenn.-based HCA Healthcare is seeing rising denials and underpayments, but efforts to strengthen its revenue cycle are helping mitigate …
Travere’s launchpad positions Filspari for fast rise toward blockbuster sales: analyst
An established sales force and payer authorization criteria will fuel a fast launch for Travere Therapeutics’ Filspari in its new …
Prime’s ‘revenue cycle playbook’ for hospital acquisitions
Revenue cycle has become a critical lever for health systems navigating rising costs, reimbursement pressure and increasingly aggressive payer behavior. …
Payer pressure, hospital cost limits and a split workforce: 3 signals to watch
The pressure on healthcare is not new. However, the industry’s ability to manage it requires leaders to rethink old strategies. …
Moffitt Cancer Center taps VP of payer strategies
Tampa, Fla.-based Moffitt Cancer Center has named Jon Vineyard vice president of payer strategies, according to a post on his …
Rady Children’s Health Orange County names VP of contracting and managed care
Orange, Calif.-based Rady Children’s Health in Orange County has named Katie Amegin vice president of contracting and managed care, according …
Highest-paid payer CFOs in 2025
Former UnitedHealth Group CFO John Rex topped the list of the highest earning payer CFOs — again. Several CFOs who …
Cleveland Clinic’s plan to ‘flip’ the Medicare Advantage model
As a growing number of hospitals and health systems walk away from Medicare Advantage contracts, Cleveland Clinic is moving in …
Highest-paid payer CEOs in 2025
UnitedHealth Group CEO Stephen Hemsley topped the list of the highest-paid payer CEOs in 2025 — and it wasn’t by …
Why Kaiser Permanente, Renown broke the cycle of payer-provider battles
Reno, Nev.-based Renown Health, a nonprofit academic health system, decided to seek a value-based care partner a few years ago. …
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