CMS’s expanding RADV audit activity is changing the economics of risk adjustment. The question is no longer whether organizations can optimize retrospective chart chase. The question is whether their operating model can withstand continuous audit scrutiny at enterprise scale. Retrospective…
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Reimbursement changes and margin pressure are pushing more surgical volume out of the hospital operating room and into ASCs at rapid pace. For health systems chasing lower costs and new growth, the shift looks like an obvious win. But for…
The Watertown, N.Y., City Council is weighing a resolution urging the New York State Department of Health to reject North Star Health Alliance’s plan to close labor and delivery services at Claxton-Hepburn Medical Center in Ogdensburg and an ASC in…
Private equity is already deeply embedded in ASC ownership, with physician-investor platforms, national chains and health-system joint ventures relying on PE capital to fund growth and buyouts. A new Georgetown University Center on Health Insurance Reforms report on one firm’s…
For most health systems, the pharmacy is treated as a cost center. A growing number are proving it can be a growth engine instead, and KLAS just took a closer look at how. In its first Emerging Company Spotlight on…
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As anesthesiology braces for a looming workforce shortage, employers are competing for talent in increasingly creative ways, from seven-figure compensation packages to no-call, no-weekend practice models, according to a new analysis from Marit Health. Marit analyzed more than 4,000 active…
Picture a supply chain where every item, price and attribute traces back to a single trusted source, powered by Infor Supply Chain Management and Symmetric’s data sourcing and attribution capabilities. Imagine a future where off-contract spend is visible, price changes…
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Austin, Texas-based Ouma Health has acquired a multisite maternal-fetal medicine practice led by Tamara Takoudes, MD, expanding the telemedicine company’s footprint across Connecticut, Massachusetts, Maine and New Hampshire, according to an Aug. 4 news release. The acquisition adds established in-person…
Tom Serena, CEO of the Bethesda, Md.-based American Gastroenterological Association, plans to retire, effective Dec. 31, 2026, after 12 years leading the organization and more than three decades in other leadership roles there. Ahead of a national search led by…
Leapfrog Group’s new ASC Public Reporting Program ran into an obstacle hospitals rarely face: a meaningful share of ASCs still don’t have the systems in place to track their own quality data. “We found that ASCs have many more barriers…
