Healthcare Finance News (HIMSS Media)

Healthcare Finance News (HIMSS Media)

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Provider and payer finance, strategy, M&A, reimbursement, policy.

The AI Arms Race in the Revenue Cycle
NewsMay 28, 2026

The AI Arms Race in the Revenue Cycle

Hospitals are turning to AI‑driven coding and documentation tools to stem a surge in payer claim denials that lifted net‑revenue leakage by 25% in 2025, according to Kodiak Solutions. Insurers, led by AI‑enhanced audit engines, are processing claims faster and...

By Healthcare Finance News (HIMSS Media)
AI Needs Clean, Connected Data to Deliver Personalized Care
NewsMay 27, 2026

AI Needs Clean, Connected Data to Deliver Personalized Care

AI tools promise the personalized care patients increasingly demand, but their success hinges on clean, trustworthy health data. Juli Hysenbelli of HIMSS and ATA CEO Kyle Zebley warn that fragmented records and poor data quality limit AI’s clinical utility. They...

By Healthcare Finance News (HIMSS Media)
DSH Hospital System Has Little Money to Invest in AI
NewsMay 27, 2026

DSH Hospital System Has Little Money to Invest in AI

USA Health, a three‑hospital Disproportionate Share system in Mobile, Alabama, faces razor‑thin margins that limit AI investment in its revenue cycle. Chief revenue officer Candice Powers says the hospital must prioritize affordable, ROI‑driven tools and has begun embedding AI into...

By Healthcare Finance News (HIMSS Media)
AI Helps Clinicians Diagnose and Treat More Effectively
NewsMay 27, 2026

AI Helps Clinicians Diagnose and Treat More Effectively

Arcadia’s AI platform can mine massive healthcare data sets to spot potential misdiagnoses and detect early disease signals, according to CEO Michael Meucci. By analyzing electronic medical records, imaging, and lab results, the system flags anomalies that might otherwise be...

By Healthcare Finance News (HIMSS Media)
Governance, Security and Accountability Shape Public Health AI Use
NewsMay 26, 2026

Governance, Security and Accountability Shape Public Health AI Use

Illinois Department of Public Health (IDPH) announced a comprehensive AI governance framework that keeps humans in the loop for all algorithmic decisions. Director Dr. Sameer Vohra emphasized strict oversight, ethical review, and robust security controls to protect patient data. The...

By Healthcare Finance News (HIMSS Media)
Inside Denmark's New National Digital Healthcare Organisation
NewsMay 21, 2026

Inside Denmark's New National Digital Healthcare Organisation

Denmark has created a new national digital health agency, led by deputy director Klaus Larsen of Digital Health Denmark, to centralize and accelerate digital transformation across the country’s healthcare system. The organization will standardize electronic health‑record platforms, expand telehealth services,...

By Healthcare Finance News (HIMSS Media)
States Race to Demonstrate RHTP Progress
NewsMay 21, 2026

States Race to Demonstrate RHTP Progress

States participating in the federal Rural Health Transformation Program (RHTP) are struggling to demonstrate measurable gains in access, clinical outcomes, and affordability ahead of a looming federal performance review. InterSystems VP Tim Ferris highlighted data‑collection gaps and inconsistent interoperability as...

By Healthcare Finance News (HIMSS Media)
House Health Subcommittee Examines Physician Payment Reform
NewsMay 20, 2026

House Health Subcommittee Examines Physician Payment Reform

The House Energy and Commerce Committee’s Health Subcommittee is holding a hearing to scrutinize the Medicare Physician Fee Schedule (PFS) and the reforms introduced by MACRA. Lawmakers and medical leaders will discuss persistent payment instability, especially for surgical and specialty...

By Healthcare Finance News (HIMSS Media)
Artificial Sperm Research Presents Reproductive Medicine Potential
NewsMay 19, 2026

Artificial Sperm Research Presents Reproductive Medicine Potential

Paterna Biosciences, led by Dr. Alex Pastuszak, announced it has produced human sperm in the lab that can fertilize eggs and form embryos. The sperm are generated from stem cells and mimic natural function, offering a potential new avenue for...

By Healthcare Finance News (HIMSS Media)
Implement AI in the Mid-Cycle of Rev Cycle for the Biggest Return
NewsMay 19, 2026

Implement AI in the Mid-Cycle of Rev Cycle for the Biggest Return

Methodist Health System partnered with AKASA to embed an AI coding optimizer in its revenue‑cycle mid‑stage, allowing claims to be reviewed before submission. The tool cut payment turnaround from 90‑120 days to 30‑45 days, generating an extra $120,000‑$150,000 per month....

By Healthcare Finance News (HIMSS Media)
Validation Studies, Clinician Verification Keep Ambient AI Accurate
NewsMay 19, 2026

Validation Studies, Clinician Verification Keep Ambient AI Accurate

Wendy Charles of the University of Denver and Renee Pratt of the University of North Georgia detail a framework of safeguards that health systems can deploy to keep ambient AI‑generated clinical notes accurate. Their recommendations stress rigorous validation studies, mandatory...

By Healthcare Finance News (HIMSS Media)
Supreme Court Declines to Hear Drugmakers' Challenge to Price Negotiations
NewsMay 18, 2026

Supreme Court Declines to Hear Drugmakers' Challenge to Price Negotiations

The U.S. Supreme Court declined to hear appeals from six major drug manufacturers seeking to block the Medicare Drug Price Negotiation Program. The decision leaves lower‑court rulings that uphold the program intact, allowing the government to continue negotiating prices for...

By Healthcare Finance News (HIMSS Media)
More Hospitals Receive 5 Stars in the Hospital Star Ratings Program
NewsMay 15, 2026

More Hospitals Receive 5 Stars in the Hospital Star Ratings Program

The Centers for Medicare & Medicaid Services (CMS) announced that 385 hospitals earned a 5‑star rating in the 2026 Overall Hospital Quality Star Ratings, up from 291 in 2025. The distribution shows most facilities clustered in the middle tiers, with...

By Healthcare Finance News (HIMSS Media)
Yale New Haven Health Partners to Enroll Patients in Medicaid
NewsMay 13, 2026

Yale New Haven Health Partners to Enroll Patients in Medicaid

Yale New Haven Health (YNHHS) announced a partnership with AI‑driven financial platform Escher Health to proactively enroll eligible patients in Medicaid and other safety‑net programs. The collaboration builds on Escher Health’s track record of assisting more than 100,000 individuals nationwide...

By Healthcare Finance News (HIMSS Media)
Healthcare Finance News (HIMSS Media) | Pulse