Hospital Beds for the Nation’s Sickest Kids Are Disappearing
Hospitals nationwide are cutting intensive services for kids in critical care. Many cite too few patients, staffing shortages, and money problems. As a result
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Explore medical billing, coding, claims processing, credentialing, prior authorization and revenue cycle topics written for healthcare practices.
HHS finalizes health IT rule projected to slash $1.5B in costs
The health information technology arm at the Department of Health and Human Services (HHS) finalized a rule that aims to streamline the health IT certificatio
Read article →Prior authorization in the real world: Takeaways from Epic ahead of looming API deadline
As a Jan. 1 deadline looms for payers to adopt new prior authorization tech, Epic’s Vice President of Value-Based Care Ryan Bohochik breaks down the industry’
Read article →Making payers’ prior authorization data easier to access, understand
The AMA pointed out that health plans made info very hard to find. CMS spells out how health plans should meet transparency requirements.
Read article →Amazon, Google join CMS’ prior auth pledge
The Trump administration revealed Wednesday that five of the country's largest employers will expand electronic prior authorization in self-funded plans. | Th
Read article →Five major companies pledge faster, electronic prior authorizations
Amazon, Google, Meta and other employers agreed to reform their prior authorization policies for their self-funded health plans, which provide coverage for mi
Read article →As service lines close, rural Minn. hospitals sound the alarms
Minnesota hospitals sounded the alarm Tuesday on their financial security, describing rural service line closures and worsening access they said are being exa
Read article →Molina joins Medicaid recovery bandwagon despite mixed Q3
It’s the latest insurer to report momentum in the safety-net insurance program as states increase their payment rates and costs plateau. “The imbalance betwee
Read article →AMA advocacy to improve maternal health
The AMA is committed to tackling the issues surrounding maternal mortality and morbidity. Download the PDFs and learn more about ongoing efforts on improving
Read article →Leading Employers Back Expansion of Electronic Prior Authorization to Self-Funded Health Plans
Leading Employers Back Expansion of Electronic Prior Authorization to Self-Funded Health Plans New employer support increases momentum to modernize prior auth
Read article →New Arrivals in the ER? Georgia Gears Up To Solve Rural Maternal Health Crisis
Most of Georgia’s counties are without a labor and delivery unit. To fill the gap, the state is looking to equip emergency rooms to handle obstetric emergenci
Read article →Judi Health launching employer Part D plan
Judi Health is launching a new Part D plan that aims to lean on its tech stack to drive transparency and outcomes. | Judi Health is launching a…
Read article →Redesigning prior authorization around the patient
Prior authorization serves a legitimate purpose, but the way the system has evolved can create uncertainty for patients, administrative disruption for provide
Read article →Why AI-driven payer intelligence is a revenue cycle imperative
How AI-powered payer intelligence prevents denials before they happen — and why you need it now.
Read article →Mental Health Parity Index
This first‑of‑its‑kind, open-access tool uses real‑time data to reveal where mental health and substance use disorder care falls behind physical health care.
Read article →Centene joins insurers waiving prior authorizations for top providers
Centene is the latest insurer to adopt a gold card program as states and the Trump administration push for prior authorization reform.
Read article →Readily nabs $11M series A for AI compliance platform
Artificial intelligence compliance platform Readily raised $11 million in series A funding to support development of its enterprise oversight platform. Define
Read article →Otter Health lands $8M to build smarter utilization management
Prior authorization has long been a source of friction between payers and providers, and now, with algorithmic tools for claims reviews and LLMs for appeals,
Read article →Next Governor To Face Thorny Choices After California’s Rapid Medicaid Expansion
Medi-Cal, the nation’s largest Medicaid program, was in trouble even before the GOP’s One Big Beautiful Bill Act. Rapid expansion, spiraling costs, and billio
Read article →Oct. 16, 2026: National Advocacy Update
Diverse collection of patient advocacy groups endorse Medicare physician pay reform legislation and more in the latest National Advocacy Update.
Read article →7 Takeaways From an Investigation Into Financial Aid at Texas Hospitals
Hospitals can prevent medical debt by preemptively wiping out a patient’s bill. But a Tradeoffs analysis finds that few nonprofit facilities in Texas use this
Read article →Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule (CMS-1848-P) — Medicare…
Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule (CMS-1848-P) — Medicare Shared Savings Program Proposals On July 14, 2026, the Centers f
Read article →Ensemble, Penelope Health link payer policies with claims data
Two Thoreau-backed healthcare companies are partnering to bring real-time payer policy intelligence into revenue cycle workflows. | Two Thoreau-backed healthc
Read article →When health technology works, patients and physicians get time back
Reid Health’s annual technology report shows how IT investments improve patient care, return time to physicians and demonstrate measurable value.
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