Rethinking rev cycle, plus the 2026 Medicare proposed rule on physician fee schedule
Mayank Pant from IKS Health talks about why healthcare organizations haven’t been able to overcome longstanding challenges, and Nick Hut talks with HFMA Policy Director Katie Gilfillan about the 2026 Medicare Proposed Rule on physician fee schedule.
Latest on the Blue Cross Blue Shield settlement: Numbers revealed on filed claims, opt-outs (updated)
Oct. 8 update The lead attorneys for the class of plaintiffs in the Blue Cross Blue Shield provider litigation are highlighting portions of the judge’s final approval of the $2.8 billion settlement, saying his comments should provide reassurance about the ability to bring future litigation against the Blues. Per the settlement terms, participants cannot sue…
Health system adoption of AI outpaces internal governance and strategy
CHICAGO – Aug. 12, 2025 – Eighty-eight percent of health systems are using Artificial Intelligence internally, and 71% have identified and deployed pilot or full solutions in finance, revenue cycle management or clinical functional areas, according to a new report published by the Healthcare Financial Management Association (HFMA) and Eliciting Insights, a healthcare strategy and market research company. Despite…
3 strategic alternatives to direct primary care physician employment
Hospitals continue to spend money employing their physicians — an estimated $312,528 per physician in the first quarter of 2025, up 6% from the same period last year, according to the most recent Kaufman Hall Physician Flash Report. The physician employment model is entrenched, but no health system can sustain losses of this amount over…
Key Senate committee eyes healthcare reform in the name of affordability
As described at a recent Senate hearing, hospitals, insurers and pharmacy benefit managers (PBMs) all are under scrutiny by Congress in efforts to curb the growth in healthcare costs. The Senate Health, Labor Education and Pensions (HELP) Committee held a July 31 hearing to examine ways to make healthcare more affordable for consumers and other…
Hut and Stack analyze OPPS and IPPS
Nick Hut and Shawn Stack discuss OPPS and IPPS, and Aaron Shimoff from Athena Health discusses how to stay on course in an ever-changing healthcare landscape.
Only in America could arguments for cutting healthcare access be so artful
The phrase “only in America” usually refers to the upside of national exceptionalism, but in the context of healthcare, the meaning is often negative. That’s the case with current efforts to cut Medicaid — now the nation’s largest healthcare program in terms of enrollment — to pay for large tax cuts that will primarily benefit…
Taking a pulse on healthcare capital investment: 3 insights
Dive into this roundtable to discover the trends shaping market activity and how to accelerate healthcare investments — including support from private equity and venture capital partners.
In comments, for-profit hospital leaders don’t dwell on ‘Big Beautiful Bill’ impact
Leaders of for-profit hospital chains ranged from noncommittal to confident in recent remarks about impending rollbacks to Medicaid and the Affordable Care Act (ACA). Hospitals have several years to prepare for some of the changes, and the interval also leaves time to modify policies in the newly passed budget reconciliation bill, health system leaders said…
Trump’s big bill’s beauty is in the eye of the beholder
HFMA Senior Editor Nick Hut talks with policy directors Shawn Stack and Andrew Donahue about the hospital impact of the Big Beautiful Bill. Garett Jackson from Intuitive Health talks about a hybrid emergency department/urgent care model to cut down on ED overuse.