Medicaid revenue cutbacks, plus the healthcare fraud landscape
Nick Hut is joined by HFMA Policy Director Katie Gilfillan to discuss fraud, waste and abuse as well as state-directed Medicaid payments. Further reading: CMS Medicaid state-directed payment rule | HFMA
FastFinance: Patient collections trends; SDP cuts rule
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Hospitals and health systems have improved their front-end patient collections over the last year. But back-end collections are faltering. Also, this week’s Weird Number: $1.3 billion. That’s the amount of Medicaid…
The hospital of the future, with Jeni Williams
Erika Grotto talks with HFMA senior editor Jeni Williams about her new special report, Hospital of the Future. Nick Hut talks with Kathy Stull, HFMA’s senior manager of revenue cycle analytics about prior authorization. More: CMS Interoperability and Prior Authorization Final Rule CMS-0057-F | CMS 2026 CMS Interoperability Standards and Prior Authorization for Drugs Proposed…
The challenges of independent rural healthcare practices
Katie Gilfillan and Nick Hut discuss the latest on the value-based payment model landscape. Erika Grotto talks with Ziad Khoury, MD and Jason McKitrick about the challenges and opportunities in rural health. Further reading: Site-neutral payment debate in hospital policy | HFMA ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model | CMS Accountable Health…
FastFinance: Medicaid administrative burdens; Cost cutting plans for 2026
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Hospitals and health systems are facing Medicaid administrative burdens as states scramble to upgrade their programs ahead of OBBBA. Also, this week’s Weird Number: 49.5%. That’s the combined percentage of top…
The IPPS FY 27 proposed rule, and how the industry can better care for women
Nick Hut and Kathy Stull discuss the latest in healthcare finance news, and Erika Grotto talks with Monica Christmas, MD, about how the healthcare industry can better care for women in perimenopause. Further reading: Inpatient Prospective Payment System FY27 proposed rule CJR-X Model
FastFinance: Health system capex plans; Medicare IPPS impacts
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Hospitals and health systems are dialing back their capex in 2026 and changing where those dollars flow. Learn the details and what they mean. Also, this week’s Weird Number: 34.9% is…
A key antitrust case against providers, plus the marriage of patient experience and AI
Nick Hut and Shawn Stack discuss the latest in healthcare finance news. Erika Grotto talks with Jonathan Wiik of FinThrive about how a great patient experience and AI can go together. Also in this episode, a fond farewell to Shawn as he departs the podcast and HFMA.
FastFinance: Hospital non-patient revenue; ACA plan changes
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Most hospital revenue is from non-patient-care sources, according to a new analysis. The shares of patient-care revenue vary widely by hospital type. Also, this week’s Weird Number: 40%. That’s the increase…
Landmark price transparency legislation in the works
Nick Hut and Shawn Stack discuss notable regulatory developments and pending legislation in price transparency.