Thought Leadership

When it comes to thought leadership and staying informed, we’ve got you covered. See below for recent articles, webinars, and downloadable resources available.

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Preserving 340B Eligibility: Why Hospitals Need a Proactive DSH Strategy

Proactive DSH Strategy for Preserving 340B Eligibility

For hospitals that depend on 340B savings, optimizing the Disproportionate Share Hospital (DSH) percentage that drives 340B eligibility should be treated as a financial and operational priority. In simple terms, […]

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FY 2027 Medicare Wage Index Final PUFs: Key Deadlines and Hospital Correction Rules

FY 2027 Medicare Wage Index Final PUFs: Key Deadlines and Hospital Correction Rules

In early April 2026, a notice was sent from CMS to each MAC regarding the April 30th, 2026, release of the final FY 2027 wage index data PUFs. May 29th, […]

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FY 2027 Hospital Wage Index: MAC Revisions and Appeals – Key Deadlines to Know

FY 2027 Hospital Wage Index: MAC Revisions and Appeals – Key Deadlines to Know

It’s March Madness, and we are not talking about basketball. The clock is ticking on the FY 2027 Medicare Wage Index; this process moves quickly, and missing a deadline can […]

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340B and Indiana Medicaid – Major Changes Planned

340B and Indiana Medicaid – Major Changes Planned

Covered entities have until Friday, March 27th to submit comments to FSSA ahead of proposed changes to eliminate 340B Program savings for Medicaid patients. The window is quickly closing for […]

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CMS Redistribution of Displaced Residents After Hospital Closures

CMS Redistribution of Displaced Residents After Hospital Closures

When a teaching hospital closes, there are several factors the hospital must consider. While there are many financial factors the hospital must figure out, including how to pay outstanding debts […]

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The Cost of Ignoring Managed Care Contracts: How Contract Audits Protect Hospital Revenue

The Cost of Ignoring Managed Care Contracts: How Contract Audits Protect Hospital Revenue

They sit in your computer’s hard drive, or perhaps even in an old file cabinet in the corner. They can create a lot of unnecessary work, force you to devote […]

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Mandatory Indiana 340B Program Reporting - First Filing Due by April 1st

Mandatory Indiana 340B Program Reporting: First Filing Due by April 1st

Effective July 1, 2025, the state has expanded oversight of the 340B Program, requiring all hospital covered entities with a service address in Indiana to submit detailed annual reports to […]

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Courts Strike Down HRSA’s 340B Offsite Registration Policy

Courts Strike Down HRSA’s 340B Offsite Registration Policy

With the exception of the COVID-19 pandemic timeframe, HRSA has long required hospital child sites to be reflected on a Medicare Cost Report prior to registration. A federal court now […]

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Benchmarking Physician Pay: How the Highest and Lowest Paid Specialties Compare

Benchmarking Physician Pay: How the Highest and Lowest Paid Specialties Compare

According to Medscape’s 2025 Physician Compensation Report, four specialties now average over $500,000 annually, with orthopedic surgery topping the list at $543,000. The report, based on responses from over 7,300 […]

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HRSA Update Regarding Rebate Model Pilot Programs

HRSA Update Regarding Rebate Model Pilot Programs

HRSA released a request for public input on potential future pilot programs on February 17th and also released a second request on February 25th regarding the burden of a pilot […]

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Preparing for the June 30 CMS Occupational Mix Survey Deadline

Preparing for the June 30 CMS Occupational Mix Survey Deadline

Occupational Mix Deadline The deadline for hospitals to submit the Occupational Mix Survey this year is June 30th.  CMS collects data every three years on the Occupational Mix of employees […]

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New PAMA Reporting Window Announced

New PAMA Reporting Window Announced: What Hospitals Should Know

Congress has again postponed the next PAMA clinical lab reporting period. Hospitals and outreach labs should still prepare. The new guidelines moved the reporting window to May 1, 2026, through […]

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New Federal Requirements Will Reshape How Hospitals Manage Provider-Based Off Campus Outpatient Departments

New Federal Requirements Will Reshape How Hospitals Manage Provider-Based Off-Campus Outpatient Departments

A significant policy shift is about to reshape how hospitals structure, track, and bill for their off-campus Provider-Based Hospital Outpatient Departments (PB HOPDs). With the approval of Section 6225 of […]

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2026 340B Program Federal Grantee Recertification

2026 340B Program Federal Grantee Recertification

A new recertification window is now open for the 2026 grantee recertification period for Consolidated Health Centers, Federally Qualified Health Centers & Look-Alikes, Ryan White Clinics, Comprehensive Hemophilia Treatment Centers, […]

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Medicare DSH, Worksheet S-10, and the OBBBA: Strategic Financial Implications for Hospital CFOs

Medicare DSH, Worksheet S-10, and the OBBBA: Strategic Financial Implications for Hospital CFOs

The One Big Beautiful Bill Act (OBBBA) introduces a series of downstream financial impacts that hospitals should closely monitor, particularly as they relate to Medicaid coverage shifts and the resulting […]

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Webinars

A wooden gavel resting on a courtroom desk with a judge in the background, representing the federal court ruling that vacated CMS's Medicare DSH rule

CMS 2023 Medicare DSH Ruling Vacated

On August 28, 2026, the U.S. District Court for the District of Columbia vacated CMS’s 2023 rule addressing the treatment of Medicare Advantage (Part C) inpatient days in the Medicare […]

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Worksheet S-12 FAQs: Medicare Cost Reporting Explained

By Becca Meredith, CPA, FHFMA, Senior Manager at Blue & Co. For Medicare cost reporting periods ending on or after January 1, 2026, many acute care hospitals will have to […]

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Hospital financial outlook 2026: medical supplies and diagnostic equipment illustrating rising healthcare expenses and pressure on hospital margins

Hospital Financial Outlook 2026: Revenue Growth, Margin Pressure, and Shifting Payor Mix

by Michael Koeninger The headline number from mid-2026 is technically encouraging: hospital revenue is growing. But revenue figures have a way of obscuring what’s actually happening on the margin line […]

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Unrelated Business Income and Alternative Investment Risks for Healthcare Organizations

Unrelated business income (UBI) remains one of the most fact-intensive areas of federal tax compliance for all exempt-organizations, particularly healthcare organizations. As health systems diversify revenue, expand ancillary services, and […]

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The U.S. Capitol Building in Washington D.C., representing the source of new Medicare legislation.

Newly Proposed Medicare Rules Create Significant 340B Impacts

This summer, the Centers for Medicare and Medicaid Services (CMS) proposed two new rules that, if finalized, will have significant financial and operational impacts on 340B covered entities. In early […]

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Healthcare professional representing Indiana nonprofit hospitals and IDOH Annual Community Benefit Reports

IDOH Annual Community Benefit Reports: What Indiana Nonprofit Hospitals Need to Prepare

By: Kim Scifres and Luke Lamb Indiana law now requires nonprofit hospitals to develop a Community Benefits Plan report and file it annually with the Indiana Department of Health (IDOH). […]

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