Finance

How Should Hospitals Track Suboptimal Discharges?
Management & Administration How Should Hospitals Track Suboptimal Discharges?

Data integrity remains a significant concern for hospitals that are unfairly penalized for readmissions caused by suboptimal post-acute placement decisions. In the current landscape of 2026, the traditional hospital billing system contains a significant structural gap that often leaves healthcare

Texas Couple Sentenced for $14 Million Medicare Fraud Scheme
Management & Administration Texas Couple Sentenced for $14 Million Medicare Fraud Scheme

Caregivers in the Rio Grande Valley are encouraged to act as a primary line of defense by regularly reviewing Medicare Summary Notices for suspicious billing activity. This proactive approach has become increasingly necessary following the sentencing of Jeremiah and Maria Luisa Yzaguirre, a

Parasol Med Tech Raises $2.75M for Metal-Free Heart Implant
Clinical & Pharma Parasol Med Tech Raises $2.75M for Metal-Free Heart Implant

University of Chicago interventional cardiologist Dr. Atman Shah observed that rigid, one-size-fits-all heart devices frequently force the human heart to conform to the hardware rather than the reverse. This profound observation became the catalyst for the founding of Parasol Med Tech, a startup

Why Do Payers Revisit Pre-Approval Evidence Over Time?
Management & Administration Why Do Payers Revisit Pre-Approval Evidence Over Time?

Effective market access now requires a long-term commitment to providing evolving evidence that reflects the changing priorities of formulary committees and health systems. This reality fundamentally challenges the long-held industry assumption that payers perform a cursory, one-time review of

HFMA Leads New Initiative to Tackle Healthcare Financial Crisis
Management & Administration HFMA Leads New Initiative to Tackle Healthcare Financial Crisis

The majority of patients currently covered by employer-sponsored or marketplace insurance describe their hospital bills as a primary source of significant emotional and financial stress. This stark reality highlights the deepening fracture within the American healthcare system, which is presently

Can Nonprofits Solve the American Medical Debt Crisis?
Management & Administration Can Nonprofits Solve the American Medical Debt Crisis?

For Jen Mattingly, a resident of Hillsborough County, the mail usually brought a sense of dread as she navigated the aftermath of a severe health decline involving blood clots in her lungs and a complex clotting disease. Like millions of other Americans, her dedicated career in social services did

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