Literature Review

Strategies for managing rising healthcare premiums with Jason Bradshaw Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Jason Bradshaw; 10/29/25 In this episode of TCNtalks, host Chris Comeaux welcomes back Jason Bradshaw, a seasoned benefits consultant with USI Insurance Services. Together, they unpack why healthcare premiums are rising, where volatility is coming from, and how employers can regain control without gutting benefits.  Jason shares practical funding models, transparency tools, and a playbook for building a cost culture that actually moves behavior.

AdventHealth saves $47.5M with redesigned nurse career ladderBecker's Clinical Leadership; by Mariah Taylor; 10/9/25 AdventHealth’s redesigned career ladder has prevented the departure of more than 700 nurses and saved the system an estimated $47.5 million in 2024. The Professional Excellence Program launched in 2022 to keep nurses at the bedside and counter the notion that they had to migrate into leadership, quality or safety roles to progress in their career. “Historically, to advance, nurses often felt they had to step away from the bedside because those roles didn’t fully recognize the specialized competencies they bring,” Trish Celano, RN, system chief nurse executive for the Altamonte Springs, Fla.-based system, told Becker’s. “The clinical ladder changes that.” 

CFO tenures at the 10 largest health systems Becker's Hospital Review; by Andrew Cass; 10/9/25 Healthcare CFOs’ tenures last an average of 4.7 years, according to a September report from Crist Kolder Associates. Here are the tenures of the CFOs at the 10 largest health systems in the U.S. (Health system size is determined by the number of hospitals, based on organizational data as of December.)

[England] One in five hospices ‘face a deficit of over £1m’ while many axe services – data MSN - The Irish News US; by  Jane Kirby and Ella Pickover; 10/9/25 One in five hospices in England have a deficit of more than £1 million, while many are cutting services, according to new data. Hospice UK said short-term Government funding has helped plug some gaps but the sector is still majorly struggling due to a lack of cash. Some 57% of hospices in England ended the last financial year (2024-25) in deficit, with a fifth having a deficit of more than £1 million.

The Alliance expresses concerns regarding MACPAC approach to HCBS rate setting National Care at Home, Alexandria, VA and Washington, DC; Press Release; 9/18/25 The National Alliance for Care at Home (the Alliance) released the following statement in response to the Medicaid and CHIP Payment and Access Commission’s (MACPAC) discussion regarding home- and community-based services (HCBS) rate-setting held during today’s September MACPAC meeting. The Alliance appreciates MACPAC’s interest in addressing issues related to worker pay in HCBS. These workers should receive higher wages and benefits as they are the backbone of the long-term care system in our country. ... Unfortunately, we are concerned about the draft recommendation MACPAC discussed during today’s meeting. Rather than seeking to address the root-cause of low worker wages, MACPAC’s recommendation instead focuses on collecting additional information that would further describe the issue. This approach increases administrative burden on states and providers without actually proposing solutions to this problem.

Research digs into costs, opportunities in hospice, palliative care Hospice News; by Jim Parker; 9/9/25 Researchers have recently uncovered significant financial trends taking shape in hospice and palliative care. Issues examined relate to cost-effectiveness, Medicare Advantage spending patterns, caregivers’ financial challenges and the cost-effectiveness of palliative care.

CMS: Annual Change in Medicaid Hospice Payment Rates—ACTIONCMS, Department of Health and Human Services; email from Rory Howe, director; 9/5/25The Centers for Medicare and Medicaid Services (CMS) has released the Medicaid hospice rates for FY 2026. They are slightly different than the Medicare rates and should be used when billing for Medicaid hospice patients. This memorandum contains the Medicaid hospice payment rates for federal fiscal year (FY) 2026. The rates reflect changes made under the final Medicare hospice rule published on August 1, 2025 (CMS-1835-F). Please inform your staff and all state agencies in your jurisdiction of these new payment rates, which are effective October 1, 2025. We expect state agencies to share the Medicaid hospice payment rates for FY 2026 with the hospice providers in their state.

The Medicare Advantage, ACA and No Surprises Act lawsuits to watch Modern Healthcare; by Bridget Early; 8/18/25 Legal challenges to Medicare Advantage marketing, health insurance exchange regulations and the No Surprises Act are working their way through the courts with major implications for the healthcare sector. Here are some key cases that could change how health insurance companies sell Medicare plans, how insurers and providers resolve out-of-network billing disputes, how consumers sign up for health insurance exchange plans, and how preventive healthcare is covered. 

State Medicaid coverage policies for community-based palliative care: Lessons from NASHP’s State Institute National Academy for State Health Policy; by Ella Taggart, Wendy Fox-Grage; 8/11/25 Six states recently participated in NASHP’s two-year State Policy Institute to Improve Care for People with Serious Illness (the Institute): Colorado, Maine, Maryland, Ohio, Texas, and Washington. ... Specifically, the six participating states received guidance on policy mechanisms to cover palliative care services in the community and completed cost analysis on palliative care services for Medicaid beneficiaries. While all the states balanced the same forces and demands, ... each state modeled a benefit that was responsive to its particular needs and circumstances. ... CBIZ Optumas and TFA Analytics then designed a cost calculator for each state to help with different scenarios. 

By the Bay Health CEO on stretching home health dollar, surviving proposed rate cuts Home Health Care News; by Joyce Famakinwa; 7/25/25 ... By the Bay Health CEO Skelly Wingard aims to improve the quality and accessibility of the company’s home health care line by enhancing the company’s clinical informatics and collaborating across service lines and managed care. These initiatives emerge amid regulatory uncertainty, as proposed Medicare home health rate cuts have raised alarms across the industry. Wingard warned that such cuts could force many providers out of business.By the Bay Health is an affiliate of the University of California San Francisco Health. The organization’s service lines include hospice, palliative, pediatric and skilled home health care. The company serves the entire Bay Area.

Where UnitedHealthcare, Humana rule the Medicare Advantage market Modern Healthcare; by Tim Broderick; 7/22/25 Medicare Advantage competition was meager in 97% of counties last year, where beneficiaries could choose among just a handful of dominant insurers. The health policy research institution KFF analyzed Centers for Medicare and Medicaid Services data on the plans available across the U.S. and Puerto Rico in 2024. The findings indicate that Medicare enrollees have few options in most areas. Market share was “highly concentrated” in 79% of counties and “very highly concentrated” in another 18%, KFF found, using metrics similar to those the Federal Trade Commission and the Justice Department employ to measure competitiveness. ... Ninety-three percent of Medicare-eligible people lived in “highly concentrated” or “very highly concentrated” counties. ... [Click here and scroll down for the national map with] the level of Medicare Advantage market concentration for each county and the market share for each county's top insurer.

Medicaid provisions threaten home and community-based services for millions of vulnerable Americans National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 7/3/25The National Alliance for Care at Home (the Alliance) issued the following statement today in response to the House’s passage of the “One Big Beautiful Bill Act,” also known as the Reconciliation bill, which now heads to President Trump’s desk for his signature. “The Alliance is deeply troubled by the Medicaid provisions within the One Big Beautiful Bill Act, which has passed both chambers of Congress and now awaits President Trump’s signature,” said Alliance CEO Dr. Steve Landers. “These provisions—including work requirements, reduced provider taxes, and new cost-sharing mandates—prioritize short-sighted budget savings over the health and wellbeing of our most vulnerable citizens who rely on home and community-based services (HCBS).” The home care community advocated throughout the legislative process for Congress to mitigate these harmful Medicaid provisions.

189 hospital and health system CFOs to know | 2025Becker's Hospital Review; by Anna Falvey; 6/30/25 The chief financial officers featured on this list are leading the financial strategy and operations for hospitals and health systems across the nation. These accomplished leaders play a pivotal role in driving strategic planning, overseeing expansions and guiding joint ventures. Tasked with ensuring financial stability and long-term sustainability, these CFOs are essential to the overall success and growth of their organizations. Note: Becker’s Healthcare developed this list based on nominations and editorial research. This list is not exhaustive, nor is it an endorsement of included leaders or associated healthcare providers. Leaders cannot pay for inclusion on this list. Leaders are presented in alphabetical order.