
Hosted by HFMA · EN

Erika Grotto talks with HFMA senior editor Jeni Williams about her new special report, Hospital of the Future. Nick Hut talks with Kathy Stull, HFMA's senior manager of revenue cycle analytics about prior authorization. More: CMS Interoperability and Prior Authorization Final Rule CMS-0057-F | CMS 2026 CMS Interoperability Standards and Prior Authorization for Drugs Proposed Rule | CMS Health Plans Take Action to Simplify Prior Authorization - AHIP

Nick Hut provides an up-to-date look at the value-based payment model landscape. Erika Grotto talks with Ziad Khoury, MD and Jason McKitrick about the challenges and opportunities in rural health.

Nick Hut and Kathy Stull discuss the latest in healthcare finance news, and Erika Grotto talks with Monica Christmas, MD, about how the healthcare industry can better care for women in perimenopause. Further reading: Inpatient Prospective Payment System FY27 proposed rule CJR-X Model

Nick Hut and Shawn Stack discuss the latest in healthcare finance news. Erika Grotto talks with Jonathan Wiik of FinThrive about how a great patient experience and AI can go together. Also in this episode, a fond farewell to Shawn as he departs the podcast and HFMA.

Nick Hut and Shawn Stack discuss notable regulatory and legislative developments in price transparency including April 1 enforcement of new requirements.

Nick Hut and Katie Gilfillan discuss a new accountable care organization model on deck for 2027.

Nick and Shawn discuss regulatory changes coming from CMS for the 2027 regulatory season.

Katie Gilfillan discusses a noteworthy new payment model from CMS, and Nick and Shawn review of key healthcare aspects of the FY26 budget bill.

Nick and Shawn discuss appropriations efforts and how various provisions will affect hospitals, specifically in outpatient department claims.

Nick Hut and Shawn Stack kick off the year by discussing the expired subsidies for ACA coverage as well as developments in the 340B drug program and price transparency.