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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Network Integrity: Understanding the Basics | Part One of a Four Part Series | Text overlay on a photo of a hospital | An Introduction to Network Integrity

Network Integrity: Understanding the Basics

In the ever-evolving healthcare landscape, prioritizing initiatives to improve margins is crucial to maintain financial stability. As inflationary pressures continue to impact labor, purchased services, and supplies, it is imperative […]

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Wage Index Timeline Blog Post | Doctor typing on tablet at desk

Wage Index Timeline: Mid-Year Update and Looking into 2026

As we head into the second half of the 2025 calendar year, there are a few major dates that you need to be aware of for wage index purposes. These […]

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Therapy Compliance in SNFs: What Administrators Need to Know | Nurses working with elderly in skilled nursing facility physical therapy room

Therapy Compliance in SNFs: What Administrators Need to Know (Part Two)

Physical, occupational, and speech therapy services are vital in skilled nursing facilities (SNFs) for resident recovery, rehabilitation, and quality of life. However, beyond achieving clinical outcomes, therapy departments must navigate […]

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Therapy Compliance in SNFs: What Administrators Need to Know | Nurse in pink scrubs working with elderly

Therapy Compliance in SNFs: What Administrators Need to Know (Part One)

In Skilled Nursing Facilities (SNFs), therapy services—physical, occupational, and speech therapy—play a vital role in resident recovery, rehabilitation, and quality of life. However, beyond achieving clinical outcomes, therapy departments must […]

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Filing Medicare Bad Debt Listings With Medicare Advantage Plans | Medicare Advantage Plans | doctor with stethoscope standing in front of computer monitors

Filing Medicare Bad Debt Listings With Medicare Advantage Plans

Are you maximizing your reimbursement potential with Medicare Advantage (MA) plans? Many healthcare providers are unaware that they can file bad debt listings for additional reimbursement. The key lies in […]

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Nursing working with seniors at a SNF | CMS Releases SNF PPS Proposed Rule for FY 2026

CMS Releases SNF PPS Proposed Rule for Fiscal Year 2026

On April 11, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for updates to Medicare payment policies and rates for skilled nursing facilities under the […]

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The Importance of Benchmarking in Retirement Communities | Service dog with seniors living in a retirement community

The Importance of Benchmarking for Retirement Communities

Many Continuing Care Retirement Communities (CCRCs), also known as Life Plan Communities (LPCs), are facing complex and dynamic challenges. In addition to the significant pressure of supporting an aging baby […]

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The Benefits of Entity-Owned Pharmacies

The Benefits of Entity-Owned Pharmacies

Entity-owned pharmacies are an important consideration for hospitals, community health centers, and other 340B grantee types. As retail pharmacy closures rise and the complexities of the 340B Drug Discount Program […]

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Stack of papers next to a statue of a blindfolded woman holding a balance | Medicare Cost Report Appeal Types Infographic | Blue & Co., LLC | Medicare Cost Report Appeals | Medicare Cost Report

Medicare Cost Report Appeal Types & How to Navigate the Appeals Process

To appeal or not to appeal: that is the question. Medicare cost report appeals can be extremely profitable, but which issues are worth the time and effort to appeal? Without […]

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Nurse holding a patient's hand | Post-Acute Care Consulting | Therapy Compliance Monitoring in Alignment with the OIG Program Guide

Therapy Compliance Monitoring Under the OIG Program Guide

The therapy team plays a pivotal role in ensuring quality compliance and promoting person-centered care within nursing facilities. In November 2024, the Office of Inspector General (OIG) released its Nursing […]

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Stethoscope on an RX pad | CMS Issues Guidance Regarding Part B Preventive Vaccines for RHCs and FQHCs

CMS Issues Guidance Regarding Part B Preventive Vaccines for RHCs and FQHCs

In November, CMS finalized a change to how RHCs and FQHCs will bill for certain Part B Preventive vaccines as part of the 2025 Medicare Physician Fee Schedule Final Rules. […]

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What Indiana Nonprofit Hospitals Need to Know: Executive Order 25-22 and House Bill 1004

On January 21, 2025, Indiana Governor Mike Braun signed Executive Order 25-22, addressing the provision of charity care by nonprofit hospitals in the state. The order acknowledges that Indiana does […]

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Needle and medicine vial - 2025 340B Recertification

2025 340B Recertification Reminder for Federal Grantee Organizations

Updated February 11, 2025 A new recertification window has been announced for the 2025 Grantee recertification period for Consolidated Health Centers, Federally Qualified Health Centers & Look-Alikes, Ryan White Clinics, […]

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Bipartisan Support for Increased Internal Revenue Service Oversight of Nonprofit Hospitals

On November 19, 2024, Senators Charles Grassley and Elizabeth Warren submitted this linked letter to the Internal Revenue Service (IRS) urging the agency to increase its oversight of nonprofit hospitals […]

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CMS Ruling 1498-R3 Causing Medicare Cost Report Settlements

We have started to see a number of Medicare Cost Report settlements come through over the past month related to the CMS Ruling 1498-R3. The issue is related to the […]

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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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