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Fact Sheet: Majority of Hospital Payments Dependent on Medicare or Medicaid

It is broadly acknowledged that Medicare reimburses hospitals less than the cost of providing care and their reimbursement rates are non-negotiable.
Medicare, Medicaid, Reimbursement
Member

HHS Proposes Actions Regarding ‘Sex-rejecting Procedures’ on Children

The Department of Health and Human Services (HHS) Dec. 18 proposed a series of regulatory actions intended to end the practice of “sex-rejecting procedures” (SRPs) on children.
Medicaid, CHIP, Advocacy & Public Policy, Medicare, Reimbursement, Access to Behavioral Health
Member

CMS Issues Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2026

The Centers for Medicare & Medicaid Services (CMS) Nov. 21 released its calendar year (CY) 2026 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule.
Ambulatory and Outpatient Care, Post-Acute Care, Advocacy & Public Policy, Medicare, Access to Behavioral Health, Reimbursement

CMS announces state distribution of $50 billion in rural health funds

The Centers for Medicare & Medicaid Services Dec. 29 announced $50 billion in funds awarded to all 50 states through the Rural Health Transformation Program.
Rural issues, One Big Beautiful Bill Act (OBBBA), Advocacy & Public Policy, Access to Behavioral Health, Medicare, Capacity Planning, Reimbursement

Optimize Your Hospital’s Revenue Cycle for Efficient, Patient-Centered Operations

Optimizing hospital’s revenue cycle for efficient, patient-centered operations and enhancing critical KPIs using AI and robotic process automation.
Patient-Centered Care, Financial Management, Leveraging Technology, Operational Excellence, Reimbursement, Artificial Intelligence (AI)

Intelligent Revenue Cycle Management

This Trailblazer explores how hospitals are improving revenue cycle performance by aligning technology, people and processes.
AHA Center for Health Innovation, Current & Emerging Payment Models, Reimbursement, Electronic Health Records (EHRs) - Meaningful Use, Financial Management
Member

Building and Implementing an Artificial Intelligence Action Plan for Health Care

Health care artificial intelligence action plan defines people, process and technology essentials, ROI, and AI use cases to transform care delivery.
Leadership, Patient-Centered Care, Quality & Patient Safety, Operational Excellence, Financial Management, Artificial Intelligence (AI), Leveraging Technology, Impact of Technology on the Workforce, ROI, Reimbursement, AHA Center for Health Innovation, Technology Strategy, Access to Behavioral Health, Innovation/New Models of Care
Legacy

Applying Supply Chain Best Practices from Other Industries to Healthcare

White Papers
Increasingly, the hospital and health care delivery system executives are viewing the supply chain as a strategic asset that can be leveraged to meet operational, clinical, and financial perf
Change Management, Cost Management, Data Standards, Reimbursement, Unique Device Identifier (UDI), Strategic Planning
Legacy

Architect RFP

Request for Proposals (RFP)
Please see a sample of a Architect RFP below - you will find this short document covers all the basics, and you can tailor it to your needs.
Clinical Resource Management (CRM), Products and Services Contracting, Cost Management, Reimbursement, Support Services
Legacy

Bundled Payments Reshape Healthcare and the Supply Chain

Supply Chain Strategies & Solutions Article
Bundled payments provide a single payment for a defined episode of care that is shared among the caregivers involved in the delivery of care, with the risk shifting primarily to hospitals.
Clinical Resource Management (CRM), Cost, Quality and Outcomes (CQO) Movement, Reimbursement, Strategic Planning