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Could AI Disrupt a Key Physician Retention Tool?

There's good news & bad news as AI creeps into medical malpractice: lower insurance costs may be offset by higher retention costs.

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News & Analysis

Medicare (Dis)Advantage: DRG Downgrades

MA plans are using millions of DRG downgrades as a "backdoor" tool for cutting hospital payments. Here are 3 ways to fight back.

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Medicare (Dis)Advantage: 35 Million Prior Authorizations

Prior authorizations have become the norm in Medicare Advantage, causing treatment delays for patients and financial headaches for providers.

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Medicare (Dis)Advantage: Hospitals Count the Cost

Medicare Advantage now covers more than half of U.S. seniors, putting huge new strains on healthcare delivery.

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Total Cost of Care: Lessons from the Maryland Model

A Maryland expert shares her experience with total cost of care as CMS pushes other states to consider the approach.

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Why Private Equity Is No Strategy for Struggling Hospitals

For providers in imminent danger of closing their doors and stopping all service, private equity might be better than nothing. But only just.

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Why the Post-Acute Crisis Is Acutely Troubling for Hospitals

Nursing homes are facing unprecedented staffing challenges in 2023 – with big implications for hospitals.

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