News Briefs: ACA subsidies in limbo after government funding deal
After Congress ended the longest federal government shutdown on record at 43 days, the future of enhanced subsidies under the Affordable Care Act (ACA) remained unresolved. The shutdown officially ended Nov. 12, three days after eight members of the Senate Democratic caucus joined Republicans to help pass a continuing resolution that maintains spending through Jan.…
Ken Perez: The tariffs-driven trade war and its implications for healthcare
Given President Donald Trump’s use of tariffs and their significant worldwide economic impact, it’s not surprising that the word tariff has been considered a candidate for Word of the Year.a Whether or not you agree with Trump’s tariff policy, the United States has a powerful ability to impose tariffs, rooted in the immensity of the…
David Johnson: Why interoperability is causing Epic to confront a profound identity crisis
Epic currently is the nation’s dominant supplier of electronic health records (EHRs) — the data backbone upon which the U.S. healthcare system operates. The company’s market position has long appeared unassailable. Upon closer inspection, however, Epic’s business model contains the seeds of its own diminution. The company aspires to be a system of record for…
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.
How principles of 4DX helped a health system transform its revenue cycle
On observing successful applications of the 4 Disciplines of Execution (4DX) across multiple industries, Emory Healthcare undertook an innovative approach in strategically using the performance management tool to solve revenue cycle challenges. Health systems nationwide face profound challenges in the revenue cycle, including those posed by preauthorizations, coding intricacies and payer denials, where solutions often…
Execution, alignment and accountability define the next era of healthcare leadership
Hospitals and health systems are operating under extraordinary pressure. Leaders are managing cost, integrating AI, addressing workforce shortages and improving payer relationships, often all at once. The HFMA report the Healthcare C-suite of the Future highlights the fact that many executives feel underprepared for the pace of change, and that concern is understandable. The challenge…
Automation with integrity: The real work behind healthcare’s digital transformation
HFMA’s Healthcare C-suite of the Future report captures precisely where healthcare leadership must go, and it’s a direction we at Healthrise have been deeply invested in for years. The industry’s challenges are real: unsustainable costs, workforce strain and mounting pressures on ROI. Yet the transformation underway is also an extraordinary opportunity if leaders can align…
Nov. 17, 2025: The shutdown is over, plus Aetna’s update to a controversial payment policy
Nick Hut and Shawn Stack discuss the longest shutdown in American history, and what might come next. Then, they tackle Aetna’s latest policy update.
The Healthcare C-Suite of the Future: From AI to ROI–Emerging needs drive demand for new skillsets
Read this report on how healthcare C-suite leaders face growing pressures to adapt to rapid technological advancements and unsustainable costs. AI, innovation, and payer relations are key areas for focus.