Search Sort by Newest to OldestOldest to NewestRelevanceA-ZZ-A Pagination Current page 1 Page 2 Page 3 … Next page › Last page Last Gist Weekly: May 30, 2025 Trump administration continues transparency push, Hinge Health’s splash IPO, CMS looks for Medicare Advantage fraud. Blog Modernizing utilization management: A case for system-level change 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. Article The CFO path: From reactive to transformative In today’s volatile healthcare landscape, CFOs are being called to step beyond traditional financial management and embrace a transformative leadership role. Article Creating a sustainable approach to corporate shared services 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. Article Unsure how to proceed amid tariff uncertainty As healthcare looks to another period of uncertainty — namely the impact of potential tariffs on its supply chain — it’s important to remain vigilant, keep informed and be purposeful about next steps Article Key Principles for Proactive Management of Patient Denials The proliferation of claims denials, especially by Medicare Advantage payers, has become a pressing issue for health system operations. Article Five Keys to Improving Observation Management Five key steps health systems should consider implementing to improve their observation management strategies and ensure appropriate reimbursement. Article The Early Impact of the Hospital Price Transparency Rule on the Healthcare Market Carol Skenes, Interim Vice President of Product at Turquoise, joins host J. Carlisle Larsen to talk about what their researchers found after reviewing industry-wide data. Podcast Commitment and Path Required in Change Management to Create a Sustainable Impact In 2021, Carilion Clinic, a $2 billion revenue, eight-hospital integrated system in Roanoke, Virginia, was facing a problem familiar to many systems around the country: stubbornly high... Case Study Care Transitions in an Academic Setting Care transition challenges are particularly acute for academic hospitals, driven in part by their unique tripartite academic mission. Learn how academic hospitals can apply the characteristics of high-performing hospitals to improve their care transitions and patient length of stay. Article Purchased Services Are a Mystery Worth Solving Purchased services represent a significant—but often unknown and overlooked—opportunity for cost savings. Discovering and quantifying the size of this opportunity requires a lot of detective work, but for most organizations, it is a mystery worth solving. Article Re-engaging Hospitalists, Rebuilding Care Teams, and Improving Length of Stay Length of stay affects many elements of a hospital’s financial performance, and it is also a key driver of patient satisfaction. Effective management of length of stay requires consistent leadership, and hospitalists are the logical choice to fill that leadership role. Article Pagination Current page 1 Page 2 Page 3 … Next page › Last page Last
Gist Weekly: May 30, 2025 Trump administration continues transparency push, Hinge Health’s splash IPO, CMS looks for Medicare Advantage fraud. Blog
Modernizing utilization management: A case for system-level change 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. Article
The CFO path: From reactive to transformative In today’s volatile healthcare landscape, CFOs are being called to step beyond traditional financial management and embrace a transformative leadership role. Article
Creating a sustainable approach to corporate shared services 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. Article
Unsure how to proceed amid tariff uncertainty As healthcare looks to another period of uncertainty — namely the impact of potential tariffs on its supply chain — it’s important to remain vigilant, keep informed and be purposeful about next steps Article
Key Principles for Proactive Management of Patient Denials The proliferation of claims denials, especially by Medicare Advantage payers, has become a pressing issue for health system operations. Article
Five Keys to Improving Observation Management Five key steps health systems should consider implementing to improve their observation management strategies and ensure appropriate reimbursement. Article
The Early Impact of the Hospital Price Transparency Rule on the Healthcare Market Carol Skenes, Interim Vice President of Product at Turquoise, joins host J. Carlisle Larsen to talk about what their researchers found after reviewing industry-wide data. Podcast
Commitment and Path Required in Change Management to Create a Sustainable Impact In 2021, Carilion Clinic, a $2 billion revenue, eight-hospital integrated system in Roanoke, Virginia, was facing a problem familiar to many systems around the country: stubbornly high... Case Study
Care Transitions in an Academic Setting Care transition challenges are particularly acute for academic hospitals, driven in part by their unique tripartite academic mission. Learn how academic hospitals can apply the characteristics of high-performing hospitals to improve their care transitions and patient length of stay. Article
Purchased Services Are a Mystery Worth Solving Purchased services represent a significant—but often unknown and overlooked—opportunity for cost savings. Discovering and quantifying the size of this opportunity requires a lot of detective work, but for most organizations, it is a mystery worth solving. Article
Re-engaging Hospitalists, Rebuilding Care Teams, and Improving Length of Stay Length of stay affects many elements of a hospital’s financial performance, and it is also a key driver of patient satisfaction. Effective management of length of stay requires consistent leadership, and hospitalists are the logical choice to fill that leadership role. Article