Healthcare Finance and Business Strategy

Download this infographic to uncover five key trends and benchmark your finance strategy against industry leaders.

Nick Hut talks about 2027 Proposed Rules for the Physician Fee Schedule with Katie Gilfillan. Erika Grotto interviews Terry Hush of Roji Health Intelligence about how the healthcare industry can better serve women.

Revenue loss is often discovered after adjudication, but the conditions that created it may have entered the account days or weeks earlier. An outdated coverage record, missing authorization or unresolved identity mismatch can pass through patient access and surface only when payment is delayed. By then, the organization is managing rework rather than preventing it.…

Hospital outpatient departments and ambulatory surgical centers would receive a 2.4% base increase to Medicare payments in 2027, according to a CMS proposed rule published July 7. A 3.2% increase to the market basket would be reduced by 0.8% due to the mandatory economywide productivity adjustment. The numbers could change moderately when the final rule…

Garrett Hardin popularized the idea of a tragedy of the commons in a 1968 Science essay carrying that title.a It describes a situation in which individuals with unlimited access to a public resource act in their own self-interest and ultimately deplete it. Hardin used grazing on a public pasture to make his point. Imagine a…

Two massive segments of the healthcare ecosystem operations — nonprofit health systems and nonprofit health insurance companies — have struggled to achieve operations at the national level. These organizations consistently find it difficult and time-consuming to merge, and as a consequence, neither has achieved national scale. This situation compromises nonprofits’ capacity to generate operating economies and create value for their customers.…

The past decade has seen hospital finances whipsawed by a global pandemic, a record-setting multi-hundred-billion-dollar cyberattack, a more than 20-year record surge in labor costs and a trillion-dollar cut in federal Medicaid spending. Not surprisingly, hospital credit has deteriorated. Hospital finances cumulative rating activity, quarterly trend Yet hospital capital spending is soaring.a Capital spending for…

For decades, our nation’s health systems have pursued a strategy of what I call “controlled deceleration,” which acknowledges innovation while slowing it to a pace that has preserved existing power structures. That strategy no longer works. The passage of the One Big Beautiful Bill Act (OBBBA), in combination with other powerful forces, is bringing high-velocity…

Hospital financial performance remained uneven in the second quarter as policy changes and broader economic pressures affected the not-for-profit (NFP) and for-profit segments. In the NFP sector, median health system operating margin ticked upward to 0.4% year-to-date (YTD) through May, according to monthly data from Strata Decision Technology. But the metric wasn’t quite as steady…

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