Hospitals hope litigation will stop the 340B rebate model before it gets started
Hospitals are going to court in an effort to thwart major changes to the 340B Drug Pricing Program. The American Hospital Association (AHA) was among a group that filed a lawsuit against the federal government Dec. 1, seeking to have implementation of a planned 340B rebate model halted before it begins Jan. 1. Under the…
Bold Conversations for a Healthier System
With support from: Dear Colleagues, It is an unmistakable reality that the U.S. healthcare system is becoming less affordable and more financially unsustainable — and all without improvements in health outcomes to show for it. Now is the time for healthcare leadership to change the conversation and pursue real solutions. That’s why I want to…
Empowering frontline staff drives efficiency gains in Michigan hospital
A hospital in southeast Michigan was able to improve quality and efficiency while maintaining low commercial rates by empowering staff to identify and implement process improvements, which could be a model for other hospitals facing Medicaid cuts.
Health systems face margin cuts of up to 13 percentage points in next 5 years, McKinsey analysis shows
A combination of federal policy changes and industry trends could cut health systems' margins by up to 13 percentage points in the next five years, according to a McKinsey analysis.
CMS’s latest transparency rule aims to make price estimates more specific
Hospitals face additional and potentially more demanding price transparency reporting requirements in 2026, as finalized in new CMS regulations. The final rule for hospital outpatient departments and ambulatory surgical centers includes provisions building off the current transparency regulations. The new language is intended to ensure that hospitals “provide meaningful, accurate information about the amount they…
2026 Medicare final rule postpones a significant payment cut for hospitals
While implementing several policies that could constrain hospital finances next year and beyond, CMS offered temporary relief on one count. The Medicare 2026 final rule for hospital outpatient departments and ambulatory surgical centers (ASCs) was proposed to include an across-the-board 2% cut to base payments. But CMS, acknowledging the concerns of hospitals, kept the scheduled…
Tailored solutions enhance healthcare operations and patient satisfaction
When leveraging advanced technologies, healthcare organizations can address their most pressing challenges, such as revenue cycle inefficiencies, workforce shortages and regulatory complexities. Read more about tailored solutions that handle the complexities of financial and operational processes.
Providers should evaluate vendors on alignment with mission and long-term goals
Review how one company's Complete Business Office (CBO) services optimize the revenue cycle from end–to-end to relieve health systems' pressure of fewer resources, staffing shortages, rising costs, payer complexity and regulatory demands.
Senate hearing doesn’t resolve 2026 funding for Affordable Care Act marketplace plans
Senate Republicans used a recent hearing to press their case for enacting immediate reforms to part of the Affordable Care Act (ACA), with little sign they will agree to extend the subsidy framework that has been in place for more than four years. During the Nov. 19 hearing of the Senate Finance Committee, members of…
The OBBB’s Medicaid work requirements and the hidden risks for hospitals
The One Big Beautiful Bill (OBBB), passed this summer, contains a provision of great consequence for hospitals: Medicaid work requirements. The new law requires a subset of beneficiaries to log at least 80 hours of employment, volunteering or schooling each month to maintain coverage. The changes carry significant administrative and reputational risk for health systems.…