States advance hospital price caps
Three states enacted hospital price caps in 2025 and more could act this year. The new state laws varied widely but all targeted some type of limit on hospital prices. Indiana The highest profile new law came in Indiana. That law (HB1004) went into effect in July 2025 and imposes price controls and additional price…
Some states to focus on rural hospital solvency
Some of the states that recently received a share of $50 billion in federal rural health funding explicitly aim to use some of it to bolster the finances of struggling rural hospitals. The funding comes through the Rural Health Transformation Program (RHTP), which intended to help rural healthcare providers succeed amid the projected cutbacks in…
FastFinance: Texas sues Epic; 340B lawsuit update
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. A list of alleged financial harms against hospitals are at the heart of Texas’ anticompetitive lawsuit again EHR vendor Epic. Learn why its details are required reading. Also, this week’s Weird…
Epic lawsuit filed by Texas aims to help health system finances
A range of alleged financial damages against hospitals and health systems underpins the recent anti-competitive lawsuit by Texas against dominant electronic health record (EHR) system vendor Epic. Although not mentioned in a press release accompanying the Dec. 10 lawsuit against Epic, the Texas attorney general’s filing details a range of financial and other harms the…
Labor outsourcing shifts to non-clinical roles
Outsourcing at hospitals and health systems has shifted from a focus on clinical roles a couple years ago to non-clinical jobs, according to a survey-based tracker of financial trends. The recently released 2025 Health System Performance Outlook by Kaufman Hall identified a range of labor and other trends at those organizations. Its findings were based…
FastFinance: Charity screening; 340B lawsuit
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. Our main story: As states are increasingly requiring pre-screening patients for charity care, a recent industry outreach effort gauged hospital interest and approaches. Also, this week’s Weird Number: 500,000. That’s how…
Humata Health prepares providers for Medicare’s WISeR model launch
The CEO of one of the six vendors implementing Medicare’s new prior authorization (PA) program recently addressed provider concerns on its payment model, uncertainty of the approach of the AI used and challenges in submitting data. The six-state CMS Wasteful and Inappropriate Service Reduction (WISeR) model, which launches Jan. 1, will require either PA or…
More hospitals adopt tech-driven screenings for charity care eligibility
Hospitals are increasingly implementing technology-driven screenings to automatically qualify patients for charity care, as recommended by the American Hospital Association, in order to reduce administrative burdens and ensure all eligible patients receive financial assistance.
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.