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A Crisis in the US: Negative Reimbursement in Pharmacy
The U.S. healthcare system faces a critical yet often overlooked crisis that threatens patient access to essential medications: negative reimbursements to pharmacies. This is the case when pharmacies lose money…
How Medicaid Work Requirement Changes Could Impact Hospital Revenue Cycles
As states prepare to implement new Medicaid community engagement requirements, a coalition of 25 states and the District of Columbia has challenged portions of a Centers for Medicare & Medicaid…
Navigating Breast Cancer Grants: A Financial Lifeline
Every year, thousands of women face not only the emotional and physical challenges of breast cancer but also significant financial burdens. Breast cancer grants offer critical support during this difficult…
5 Pharmacy Grants Every Healthcare Organization Must Know
Innovative approaches are needed to navigate the complex landscape of healthcare financing, especially when it comes to enhancing pharmacy practice and improving patient care. Pharmacy grants represent a powerful but…
Why Managing TPL Internally Isn’t the Question Anymore
For many hospitals and health systems, managing Third-Party Liability (TPL) recovery internally seems like a logical and cost-effective choice. Existing revenue cycle teams already handle eligibility, billing, denials, and accounts…
VA Transformation: What Hospitals Should Expect from VISN Consolidation and CCN Changes
The Department of Veterans Affairs is advancing significant changes to both its Veterans Health Administration (VHA) structure and its Community Care Network contracting strategy. For hospitals and health systems serving…
Medicaid Work Requirements Accelerate as States Prepare for 2027 Rollout
Efforts to implement Medicaid work requirements are intensifying nationwide as states prepare for a federally mandated rollout on January 1, 2027, under the One Big Beautiful Bill Act (OBBBA). The…
Top Complex Claim Trends Affecting Hospitals and Health Systems
Hospital revenue cycles are under sustained pressure as complex claims, driven by denials, prior authorization, non‑standard payers, and rising patient responsibility, consume a growing share of administrative resources while delaying…
Understanding OBBBA: Timeline and What Hospital Leaders Need to Know
The One Big Beautiful Bill Act (OBBBA), signed into law last July, represents one of the most consequential shifts in U.S. healthcare financing. The law introduces sweeping changes to Medicaid,…
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