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Site title: Healthcare Financial Management Association | HFMA

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An AI tool helped to cut emergency department (ED) lengths of stay (LOS), a recent study found. That improvement demonstrates the technology’s potential to drive operational efficiency, says one of its authors.

The prospective study, which was published last ...


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ACA marketplace plans lost $5.5 billion in 2025 — despite record enrollment and before extra subsidies expired, according to new data. Their course-correction strategies could hit hospitals and health systems.

The individual segment plans suffered a $5.5 billion underwriting loss in 2025, according to an


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The latest annual report on the state of Medicare funding reflects a conundrum for healthcare industry stakeholders.

Medicare spending on healthcare services is on an increasingly difficult fiscal track, projected to rise from $1.2 trillion in 2025 to $2 trillion in 2035. Yet as acknowledged in


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Telecom and connectivity costs are one of the largest unmanaged expenses in healthcare, and most organizations have no clear picture of what they are actually paying for. Carrier bills are complex, services outlive the facilities they were ordered for, and billing errors almost always run in the provider’s favor. Gartner research has found that roughly 80% of business telecom...


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Healthcare organizations face a familiar challenge: identifying which members are most likely to experience clinical deterioration before costly complications occur. As financial pressures intensify and workforce shortages continue, health plans, employers and provider organizations must allocate limited care management resources with increasing precision.

The quest...


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