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For many health systems, utilization management (UM) has long been a functional necessity, but rarely a strategic priority. Originally designed to ensure clinical appropriateness and support payer requirements, UM often grew up within hospital walls, shaped by local workflows and embedded within broader care management structures.

As advanced practice providers represent a growing percentage of the clinical workforce, health systems must ensure that APPs are being deployed in ways that enable the physicians they work with to operate at the top of their potential.

CMS proposed IPPS rate, Kennedy sets deadline to find cause of autism, President Trump to end “pill penalty”

In honor of Earth Day this Tuesday, this week’s graphic demonstrates the importance for hospitals to address climate change.

Trump pauses tariffs, House OK’s budget blueprint, CMS sets 2025 MA rate

Performance in February has remained stable. Volumes stayed strong, including in emergency departments. Non-labor expenses have been the primary driver of expense growth thus far in 2025.

States seek to block rescindment of public health grants, Oracle hacked, Utah bans fluoride in water.

This week’s graphic, highlighting data from NSI Nursing Solutions, Inc., details the current state of hospital turnover and nursing talent retention.

HHS announces major restructuring, two Trump healthcare picks confirmed, 23andMe files for bankruptcy.

Changes in operations and services, coupled with the need to invest more in patient-facing services, require health systems to assess corporate shared services to maximize efficiency and cost-effectiveness.

Hospital performance remains stable at the start of 2025. Inpatient revenue grew more quickly than outpatient revenue in January, and the rate of cost growth has slowed considerably.

HHS probationary workers fired, Hart-Scott-Rodino changes lead to deluge of premerger filings, the state of the flu response.