Healthcare Finance News
Healthcare Finance provides timely and in-depth coverage of the challenges faced by healthcare providers and payers in light of skyrocketing healthcare costs, regulatory developments and diminishing reimbursements. Helmed by an experienced team of independent editors and journalists, we deliver news, analysis, educational content to an audience of senior healthcare financial managers and ...
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The share of commercial markets that are highly concentrated was 95% in both 2014 and 2023, not changing ...
Hospitals confront mounting reimbursement challenges and …
Nov 30, 2023 · Escalating reimbursement delays and declining cash reserves are placing hospitals and health systems across the nation in a precarious financial predicament, according to data from Syntellis Performance Solutions' analysis of 1,300 hospitals.. The findings, published in partnership with the American Hospital Association, underscore the pressing need for measures aimed at alleviating financial ...
For Payers - Healthcare Finance News
Insurers and government payers are having to make major adjustments as well. This section highlights Healthcare Finance’s coverage on topics including benefit design, Medicare and Medicaid, risk management,
Humana is challenging lower Medicare Advantage star ratings for …
Oct 2, 2024 · Humana shares plunged on Wednesday after the insurer disclosed a sharp reduction in the number of members enrolled in high star Medicare Advantage plans.. Humana said it learned in preliminary data released by the Centers for Medicare and Medicaid Services that members enrolled in 4 star plans or above reached 1.6 million, or 25% of all members for 2025, down from a 94% enrollment in 2024.
NAACOS pushes ACO REACH extension after $1.54B in savings
Nov 13, 2024 · Accountable Care Organizations in the Centers for Medicare and Medicaid Services' ACO Reach program achieved $1.54 billion in gross savings and $694.6 million in net savings in 2023, CMS has announced.. The National Association of ACOs (NAACOS) has responded by advocating for an extension of the federal program. Net savings to ACOs were $948.4 million (3.4%) compared to model benchmarks – an ...
Moody's upgrades healthcare outlook from negative to stable for …
Nov 9, 2023 · Moody's Investors Service has revised its 2024 outlook for the not-for-profit and public healthcare sector to stable from negative, driven in large part by a decrease in labor costs.. While hospitals will continue to grapple with high expenses because of a shortage of skilled labor, particularly nurses, Moody's predicts that the growth in expenses will slow as hospitals make greater efforts to ...
Reimbursement - Healthcare Finance News
Nov 6, 2024 · Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle. Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets.
Humana increases revenue to $29.4 billion in Q3
Oct 30, 2024 · Humana pulled in $29.4 billion in revenue in Q3 of this year, increasing from $25.4 billion in Q3 2023, according to its latest earnings report.. For the first three quarters, Humana has now made about $1.9 billion in profit and $88.5 billion in revenue, as compared to $3 billion and $79 billion, respectively, a year ago.
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Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to …