November 7, 2023

1. CMS proposes health equity mandates for Medicare Advantage prior authorizations Full story

2. Healthcare billing fraud: 10 recent cases Full story

3. Where are Leapfrog's 11 'F' hospitals? Full story

4. Boost your healthcare organization's profitability with Strategic Pricing in the era of Price Transparency. Read about overcoming challenges including “lesser of” charges and the hidden effects of denials.

5. Payers ranked by Q3 revenue, profit Full story

 

6. Scripps taps revenue cycle VP Full story

7. Complex claims can be a huge roadblock to reimbursement success. Learn how to better understand problem claims and maximize your reimbursements here.

8. BCBS Massachusetts to cut 14,000 prior authorization requirements Full story

9. Why Orlando Health became Walmart's 1st hospital partner Full story

10. When low attrition becomes a challenge Full story

 

11. Healthcare's finances woes are here to stay, but execs can better navigate them with the right strategies. Experts share more here.

12. Cigna reportedly considering selling Medicare Advantage business Full story

13. Minnesota bans hospitals from collecting on debts before screening for charity care Full story

14. Healthcare job listings per capita, by state Full story

15. Learning Opportunity: Hospital capacity woes have hit crisis levels, but Mary Washington Healthcare took action & realized $32M in financial benefits. This brief covers how

16. Learning Opportunity: Manual RCM processes drag down the bottom line. Learn how an end-to-end solution can cut denials, boost payments and drive appropriate care here.

17. Learning Opportunity: Before the pandemic, revenue cycle labor shortages were concerning. Now, they're unsustainable. Discover opportunities to address top issues & position your organization for success here.

 

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