Provider Operations & Workforce
Expert articles and analysis related to provider operations & workforce.
AI Summary — Last 24 Hours
Provider frustration with Medicare Advantage (MA) continues to intensify, as Jefferson Health has filed suit against Aetna over its recent “downcoding” policy affecting inpatient reimbursement, underscoring mounting tensions between health systems and payers around MA rate-setting, utilization management, and administrative burden—issues directly impacting ACO and value-based care contracting strategies (MedCity News). At the practice management level, new MGMA guidance on “RVU Attribution for Ancillary Services” highlights operational challenges as practices adapt compensation models for increasingly team-based, technology-enabled care, pressing questions for ACOs in light of ongoing CMS alternative payment model evolution ([MGMA article](https://news.google.com/rss/articles/CBMifEFVX3lxTFBiSnpGWEdGR3loNC11bjh5S2c2Y1FlSlJlb1hLZlBIeDVPWlFpV1
Related Articles
Payer denials and prior authorization delays are top RCM concerns
Hospitals are looking to AI automation to streamline revenue cycle processes and to offset payer denials, their biggest issue, according to a survey by the Healthcare Financial Management Association,...
California ASC completes first case with new spinal disc
Physicians at Advanced Surgery Center of Beverly Hills (Calif.) have performed the first post-FDA-approval case using the Synergy Disc. Todd Lanman, MD, and Joel Beckett, MD, completed a three-level c...
Anesthesiologist assistant pay breakdown in 10 stats
As of April 6, 2026, anesthesiologist assistants’ average annual salary is $247,000, according to salary transparency platform Marit Health’s compilation of 170 salaries. Here are 10 more stats to kno...
The hidden costs of outdated credentialing — and the case for modernization
The hidden costs of outdated credentialing — and the case for modernization Becker's Hospital Review
HRSA to dedicate $135M to rural health workforce, nutrition services
HRSA to dedicate $135M to rural health workforce, nutrition services Becker's Hospital Review
Setting the Standard: How Two Premier Members Are Redefining Pharmacy Compounding Excellence
Leading health systems like University Hospitals and BayCare are leveraging Premier’s collaboratives, data and advisory expertise to build safer, more efficient compounding operations, turning complia...
which faced scrutiny for understaffing
From newsletter: The LI Daily: HHS convenes health care execs, motivational speaker on panel to modernize health care HHS convenes health care execs, motivational speaker on panel to modernize healt...
Creating a Culture People Won’t Want to Leave
Creating a Culture People Won’t Want to Leave Medical Group Management Association - MGMA
Korea OKs first gen AI-powered CXR reporting tool
The South Korean Ministry of Food and Drug Safety has granted its first approval of a generative AI-powered software for draft chest X-ray reporting. WHAT'S IT ABOUT Local health tech startup Soombit....
Before you buy: Evaluating AI for coding and charge review in your practice
Before you buy: Evaluating AI for coding and charge review in your practice Medical Group Management Association - MGMA