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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. “Many of our health systems that have at-risk contracts are expecting headwinds in revenue of up to 20%.”

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Will New Medicaid Policies Put Hospital Margins at Risk?

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy After a tough few years marked by the pandemic, staffing shortages, and rising costs, hospitals are finally starting to catch their breath. New data reveals a rebound in hospital margins, offering hope for health systems. and operating margins to 5.2%.

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Engaging Physicians in Quality Improvement: Strategies for Driving Practice Change

EvidenceCare

When clinical teams embed learning into daily routines, reducing clinical variation becomes achievable and practice improvement in hospitals shifts from an initiative to a habit. Real-time dashboards can also flag length of stay variance, prompting collaboration to streamline processes and free up capacity for higher-acuity admissions.

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How Denver Health Reduced Length of Stay: A Step-by-Step Guide

EvidenceCare

Interview by Dr. Brian Fengler, Co-Founder and Chief Medical Officer Hospital length of stay (LOS) is a critical operational and clinical metric that directly impacts cost, patient flow, and care access. Many staff believed longer stays were justified due to the hospitals complex patient population.

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Independent physicians ‘are a viable alternative to hospitals' for patient outcomes, lower health care costs, study says

Medical Economics

Duly Health and Care showed significant Medicare cost savings across specialties, with oncology costs 32% lower than hospital-affiliated doctors. The study highlights community-based care as a viable alternative to hospital systems, offering better performance on quality metrics and patient outcomes. " Is Medicare saving money?

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Primary care news round-up (4th July – 9th July 2025)

Practice Index

It has pointed to Team Up Derbyshire, which links GPs, social workers, carers and nurses, as an example of what it wants to see. New NHS App could leave practices behind Patients could end up using better NHS technology than practices, GP leaders warned as the Government announced details of a new AI-enhanced NHS app.

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How to Implement FHIR: Detailed Checklist

Arkenea

With over 84% of hospitals adopting FHIR-enabled APIs since 2019, healthcare organizations need practical guidance on implementing this powerful standard. Set up your development environment with appropriate tools including FHIR client libraries, code editors, and testing frameworks.