Leaders in the healthcare industry are balancing reimbursement challenges, inflation, and labor shortages. This can lead to questions about sustainability and growth in a difficult market. In some cases, divestitures can serve as a strategic tool to help reach these...
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How important is a succession plan during a healthcare merger?
Hospital group and private practice mergers can come with many benefits. A succession plan can help to better ensure a smooth transition. The changes at Centralus Health highlight the need for such a plan. The current CEO has announced his departure shortly after the...
Three tips to make the most of a changing pharmacy market
Leaders in the pharmacy industry know the market is undergoing significant transformation. Technological advancements, changing consumer expectations, and regulatory shifts drive these changes. To thrive in this market, pharmacy leaders must adopt innovative...
Tips for lab owners to avoid allegations of fraudulent claims to Medicare
Laboratory owners play an important role in the healthcare system, providing essential diagnostic services. However, they must make sure their operations are in compliance with complex regulations, particularly when dealing with Medicare claims. Allegations of...
What happens when a nurse is accused of selling drugs?
Nurses have heard the whispers of a colleague's reputation being tarnished by allegations of diverting medications for personal gain. But what happens when the accused is someone just like you - a dedicated healthcare professional with a spotless record and a passion...
Report finds health systems embrace AI faster than governance can keep up
The rapid adoption of artificial intelligence (AI) in health systems is outpacing the development of internal governance structures, posing significant challenges for healthcare leaders. According to a recent report by the Healthcare Financial Management Association...
How can I make sure my anesthesiology group does not violate the AKS?
Anesthesiology groups, like most specialties in healthcare, are facing challenges regarding burnout. The healthcare environment is different than it was decades ago as patients are sicker and the work is harder. This, in combination with the fact that elective...
Lab owners take note: 3 arrangements that may violate the AKS
Although the Anti-Kickback Statute (AKS) aims to prevent financial incentives that could influence medical decision-making, its enforcement can be misguided. Attempts to thwart illegal kickbacks can unintentionally deter arrangements made with the best of intentions —...
Five things to know about CMS’s proposed changes to Medicare billing rules
The Centers for Medicare & Medicaid Services (CMS) recently announced a proposed rule for the 2026 Medicare Physician Fee Schedule. It introduces significant changes aimed at modernizing Medicare, improving patient care, and reducing costs. These changes will...
How do I know if a Medicare audit notice is legitimate?
President Donald Trump and his administration have been clear on their intention to crackdown on Medicare overpayments. Whether considering new legislation to help provide additional tools to go after those it believes are seeking fraudulent payments or utilizing...

