Trinity Health to lay off 10.5% of revenue cycle headcount
The Michigan-based health system said financial headwinds, including heightened costs, low reimbursement from payers and federal policy changes, motivated the cuts.
The tech solution: Leveraging health IT for better Star Ratings
Why real-time insights and seamless collaboration are becoming essential to quality performance.
Medicare Advantage overpayments will total $76B this year: MedPAC
The findings are “very depressing,” one commissioner said. Still, it’s a smaller sum than in 2025, thanks to the continued phase-in of a new risk adjustment model.
HCA names new chief nurse executive
Erica Rossitto succeeds Sammie Mosier, HCA’s previous chief nurse executive who died in December.
MedPAC steps away from advocating doctor pay be tied to inflation
The advisory group wants Congress to approve a 0.5 percentage point increase for doctors in Medicare next year. But some commissioners dissented over MedPAC’s about-face on underlying payment reform.
Hospital at home programs face uncertainty as another deadline looms
The Acute Hospital Care at Home Program could lapse on Jan. 30 without congressional action, creating significant administrative complexity for providers, experts say.
Trump unveils healthcare affordability plan
The “Great Healthcare Plan” is vague, but would send money directly to ACA enrollees and entrench Trump’s drug pricing deals.
Kaiser affiliates to pay $556M to resolve Medicare Advantage fraud allegations
The Justice Department claims some Kaiser health plans submitted invalid diagnostic codes to reap higher reimbursement from Medicare. It’s the largest settlement linked to MA upcoding to date, according to one law firm.
Lilly, Novo test direct-to-employer approach that could cut out PBMs and lower costs
The GLP-1 giants are the first to try out this new model, but more companies may follow.
UnitedHealthcare to pilot accelerated MA payments to rural hospitals
The insurer will cut its MA payment timelines in half for select providers in Oklahoma, Idaho, Minnesota and Missouri in an effort to provide relief to rural hospitals.