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FastFinance with Rich Daly
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FastFinance with Rich Daly

Author: HFMA

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HFMA’s FastFinance helps busy healthcare finance leaders and investors quickly digest the latest news and trends. Through forward-leaning, on-point analysis, award-winning editor and journalist Rich Daly will help you tackle the issues at play within dense payment rules, financial reports, research, proposed policies, court decisions and other developments. Sign up for the Fast Finance newsletter at https://www.hfma.org/fast-finance/fastfinance-hfma-cfo-newsletter.

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HFMA's FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Hospitals and health systems are dialing back their capex in 2026 and changing where those dollars flow. Learn the details and what they mean. Also, this week’s Weird Number: 34.9% is the share of rural hospitals that operated in the red in 2025, according to financial tracking by Chartis Center for Rural Health. One More Thing: Hospitals will face a range of financial impacts under the IPPS proposed rule from CMS. Hear the key numbers. Not a FastFinance subscriber? Learn more ⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠.
HFMA's FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Most hospital revenue is from non-patient-care sources, according to a new analysis. The shares of patient-care revenue vary widely by hospital type. Also, this week’s Weird Number: 40%. That’s the increase in bad debt and charity per calendar day when comparing year-to-date 2023 to year-to-date 2026. One More Thing: Hospital advocates raised a range of concerns about proposed changes to ACA marketplace plan rules for 2027, including allowing more to purchase catastrophic plans. Not a FastFinance subscriber? Learn more ⁠⁠⁠⁠here⁠⁠⁠⁠.
HFMA's FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Health systems will spend a record amount this year building new hospitals, with hospital and clinic construction budgets far outpacing outpatient facilities, like ASCs. Also, this week’s Weird Number: 39%. That's the projected growth in the demand for long-term care workers between 2022 and 2037, according to the Health Resources and Services Administration. One More Thing: A hospital finance expert pushed back on BCBSA research alleging AI-assisted coding was driving an increase in healthcare spending. Not a FastFinance subscriber? Learn more ⁠⁠⁠here⁠⁠⁠.
HFMA's FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Health systems face a growing physician unionization push this year, amid heightened overall strike activity. Also, this week’s Weird Number: 20. That's the number of states that have enacted mandatory minimum income limits for free or discounted care. One More Thing: CMS has issued two rules that aim to bar “sex-rejecting procedures” on children, which some warned will cost hospitals more than regulators estimate. Not a FastFinance subscriber? Learn more ⁠⁠here⁠⁠.
HFMA's FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Health systems face multiple potential financial hits from new off-campus HOPD reporting requirements. Also, this week’s Weird Number: 3%-5%. That the amount of net revenue lost annually by electronic health records and billing systems. One More Thing: Healthcare cost concerns could be a big factor in this year's mid-term election. A survey indicates it could give an opportunity to hospitals. Not a FastFinance subscriber? Learn more ⁠here⁠.
HFMA's FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Health systems are expected to ramp up their dealmaking activity next year but deep divides have emerged between for-profit and not-for-profit approaches. Also, this week’s Weird Number: $172 billion. That the amount of projected federal 10-year savings from site-neutral payment requirements on hospital billing in Medicaid included in a proposed Republican reconciliation package. One More Thing: Five approaches health systems are using to get ready for the 2027 start of bit Medicaid cuts. Not a FastFinance subscriber? Learn more here.
HFMA's FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Union activity is expected to accelerate at hospitals in 2026. But financial pressures are leading some organizations to push back. Also, this week’s Weird Number: 24%. That’s the share of providers who did not receive the Independent Dispute Resolution amount they were entitled to within the statutory time in 2024. One More Thing: Five changes to watch in the 340B discount drug program in 2026. Not a FastFinance subscriber? Learn more ⁠⁠⁠⁠⁠⁠⁠here.⁠⁠⁠⁠⁠
HFMA's FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. A list of alleged financial harms against hospitals are at the heart of Texas' anticompetitive lawsuit again EHR vendor Epic. Learn why its details are required reading. Also, this week’s Weird Number: 40%. That’s how much higher the year-to-date bad debt and charity care per day are for hospitals compared to their year-to-date amount in 2022. One More Thing: HHS is appealing the recent pause from a federal judge of the 340B rebate model. Not a FastFinance subscriber? Learn more ⁠⁠⁠⁠⁠⁠here.⁠⁠⁠⁠
HFMA's FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. As states are increasingly requiring pre-screening patients for charity care, a recent industry outreach effort gauged hospital interest and approaches. Also, this week’s Weird Number: 500,000. That’s how many people quit their jobs in healthcare or social assistance in August—the latest month with a breakdown on that from the Labor Department. One More Thing: A new lawsuit seeks to stop the Jan. 1 launch of the 340B rebate model. Hospitals filed a lawsuit against the federal government Dec. 1, seeking to halt implementation of the planned 340B rebate model before it begins. Not a FastFinance subscriber? Learn more ⁠⁠⁠⁠⁠here.⁠⁠⁠⁠
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Former hospital executives detail an approach that helped their organization improve quality while obtaining average commercial rates of 150% of Medicare. Also, this week’s Weird Number: $10 billion. The amount Medicare was expected to spend this year for provision of skin substitutes — one of the treatments on which a new prior authorization model will focus. One More Thing: Details of the recently issued hospital outpatient payment rule from Medicare, which carries significant financial ramifications. Not a FastFinance subscriber? Learn more ⁠⁠⁠⁠here.⁠⁠⁠
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Employers have a new data source that combines price, quality and safety data and was expected to fuel a renewed push on direct contracting. Also, this week’s Weird Number: 30%. Fewer than 30% of health systems earned significant ROI from most of their virtual care offerings, according to a recent survey of executives by Sage Growth Partners. One More Thing: Healthcare CFOs describe in an HFMA survey how they expect AI to change executive leadership at their organizations. Not a FastFinance subscriber? Learn more ⁠⁠⁠here.⁠⁠
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Health systems nationwide are pushing to increase efficiency ahead of federal funding cuts from the One Big Beautiful Bill Act. One health system is pretending the cuts have already begun in order to give urgency to its efforts. Also, this week’s Weird Number: $84 billion. That's the amount of higher spending Medicare is spending on enrollees in Medicare Advantage, compared to what it would have spent if they stayed in traditional Medicare. One More Thing: Employers mistakenly think their workers can afford their health insurance coverage, new polling found. Not a FastFinance subscriber? Learn more ⁠⁠here.⁠
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Congress is pressing CMS to release long-delayed rules that would implement requirements that providers create good faith estimates for their patients. Also, this week’s Weird Number: As of July, 96.5% of independent dispute resolution disputes submitted since the program’s start have been resolved or are less than 30 business days old. One More Thing: Hospitals could face reviews from HRSA on whether they complied with rules surrounding Provider Relief Fund monies. Not a FastFinance subscriber? Learn more ⁠here.⁠
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. An employer group identifies where businesses have pushed--and attained--the greatest healthcare savings from plans and providers. Also, this week’s Weird Number: $1.7 billion is available for hospitals from the Blue Cross and Blue Shield settlement. One More Thing: Learn what 340B policy proposals are drawing the greatest hospital concerns over their price tag. Not a FastFinance subscriber? Learn more ⁠⁠here.⁠
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. MedPAC found increasing local Medicare Advantage enrollment had little effect on hospitals' margins. But some have questioned those findings. Also, this week’s Weird Number: As many as one million patients fall in hospitals each year, which brings large costs. One More Thing: Learn why and how commercial payers are increasingly targeting hospital costs. Not a FastFinance subscriber? Learn more ⁠here.⁠
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Medicare enrollees' out-of-pocket drug costs have jumped this year, according to recent research. Learn what effects researchers expect. Also, this week’s Weird Number: 95% of business leaders expect no measurable business return from their AI pilot programs. One More Thing: Learn which hospitals are most vulnerable to proposed cuts in Medicare bad debt payments. Not a FastFinance subscriber? Learn more here.
Hospitals’ financial performance continues to improve this year, but expense trends are worrying, according to an industry tracker. Learn what spending is driving expenses. Also, this week’s Weird Number: One million people have recently lost their primary care physician in one state. One More Thing: Hospitals and health systems are expected to markedly improve their finances ahead of 2027 federal Medicaid cuts.
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