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Vaccination Trends and Implications for Healthcare Planning

Aside from the political debate, vaccination rates play a role in healthcare planning. Is it time for a re-think?

Quick, timely blog posts. Thought-provoking trends. Detailed how-to guides. Whatever your role and whatever your needs, you can find our best thinking right here.

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News & Analysis

Medicare (Dis)Advantage: Hospital Observation Downgrades

Research shows that observation status is much more common under Medicare Advantage – bad news for patients and hospitals alike.

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Hospital Operating Margins in Limbo as Investments Drive Profitability

Hospital operating margins are highly uncertain, even as investment income provides an illusion of financial wellbeing.

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Medicare (Dis)Advantage: DRG Downgrades

MA plans are using millions of DRG downgrades as a "backdoor" tool for cutting hospital payments. Here are 3 ways to fight back.

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Medicare (Dis)Advantage: 35 Million Prior Authorizations

Prior authorizations have become the norm in Medicare Advantage, causing treatment delays for patients and financial headaches for providers.

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Medicare (Dis)Advantage: Hospitals Count the Cost

Medicare Advantage now covers more than half of U.S. seniors, putting huge new strains on healthcare delivery.

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Total Cost of Care: Lessons from the Maryland Model

A Maryland expert shares her experience with total cost of care as CMS pushes other states to consider the approach.

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