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
Aligning Financial Strategy with Evolving Care Models
Download this white paper to understand how healthcare finance leaders can navigate the shift to value-based reimbursement by evaluating financial impacts, managing contracts, and using data-driven insights to track performance and risk.
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.
News Briefs: Relief might be fleeting for healthcare after Supreme Court’s decision on tariffs
The Supreme Court’s Feb. 20 decision striking down most of the Trump administration’s tariff policy negated many of the tariffs that have affected healthcare and other industries since beginning in August 2025. The ruling leaves in place sector-specific tariffs such as increased levies on imports of steel and aluminum, for which the tariff has been…
Health system PBM ownership model shows benefits amid reform pressure
Amid heightened scrutiny of the pharmacy benefit manager (PBM) model, one health system is touting an alternative approach. St. Louis-based SSM Health is co-owner of Navitus Health Solutions, a PBM with 18 million members among 800 clients across all 50 states. Navitus has a niche that helps it optimally serve customers while bolstering the operation…
CMS’s claims attachments rule sets deadline to shift to full electronic submission
March 30 update CMS sent out an email announcing a town hall to discuss the new final rule. The town hall takes place Tuesday, March 31 between 1 p.m. and 2:30 p.m. Eastern time. No registration is required. The town hall can be joined at this Teams link. As there will not be a live…
Getting more bang for the buck from AI: Insight from Privia Health
An extensive search for the right AI implementation partners is paying off for Privia Health Group in Arlington, Virginia, an HFMA MAP Award winner that boasts positive results from incorporating AI in its revenue cycle. Privia, a publicly traded physician management company, has installed or will be installing AI in a variety of applications. Vendors…
2026 MAP Awards presented to 20 organizations for revenue cycle performance
CHICAGO (March 18, 2026) – The Healthcare Financial Management Association (HFMA) announced the 2026 winners of the MAP Award for High Performance in Revenue Cycle, including three integrated delivery systems, eight hospital systems, four individual hospitals, two critical access hospitals and three physician practices. “We want to congratulate these award winners for their dedicated efforts to strengthen…
From billing to strategy: Elevating the patient financial experience
In 2026, the patient financial experience is no longer a “nice to have.” It is a revenue integrity issue, a trust issue and, increasingly, a competitive differentiator. Patients are carrying a larger share of healthcare costs than ever before. At the same time, their expectations are shaped by digital banking, retail and subscription services. When…
Drive strategic growth with smarter workforce planning
While enterprise resource planning (ERP) systems serve as the backbone for organizational operations, managing transactional and finance-centric processes, human capital management (HCM) systems focus on the employee lifecycle, helping to build trust, boost productivity and empower talent.