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Reimbursement
Healthcare groups prod Congress to stop CMS' payment cuts
Revenue Cycle Management
The transactional revenue cycle no longer works: Here's what does
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Q&A with Geisinger CEO and president Dr. Jaewon Ryu
Capital Finance
Cash shortages plague hospitals
Supply Chain
HIMSSCast: Embrace technology to replace the mundane tasks
Accounting & Financial Management
Optum growth fuels strong quarter for UnitedHealth Group
Budgeting
Insurers likely to pay $1.1 billion in rebates this fall
Quality and Safety
U.S. News revises 'Best Hospitals' methodology in wake of backlash
Billing and Collections
Paying for care creates mental, financial concerns
Claims Processing
94% of physicians report care delays due to prior authorization, AMA says
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AMA pushes to end noncompete clauses
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Sola launches in growing self-funded health plan market
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Humana teams with DME orgs on home care
Hospital/physician relations
Physicians would rather leave than work for Envision, doctor says
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Providence announces $712M expansion in southern California
Compliance & Legal
Florida men plead guilty to $67 million Medicare fraud scheme
Policy and Legislation
CMS expanding Medicare Diabetes Prevention Program
Community Benefit
AMA and others launch collective call for health equity
Accountable Care
CMS is testing new primary care model
Acute Care
A cyberattack is partly to blame for St. Margaret's Health closing all operations
Ambulatory Care
Hospitals face direct competition from the 'retailization' of healthcare
Analytics
Top Stories: Patient information exposed in PharMerica breach
Business Intelligence
Healthcare job cuts increase 97% from 2022
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
CMS overhauls meaningful use as 'Promoting Interoperability'
Medicare & Medicaid
Significant differences uncovered between MA, FFS enrollees
Patient Engagement
Commercial health plan member satisfaction declining
Pharmacy
Pharmacy leaders meet with White House on Rx drug benefits
Population Health
One in four adults skip wellness appointments, regular checkups
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
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Telehealth linked to fewer in-person follow-up visits
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M&A activity returning to pre-pandemic levels
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Collaboration spurs medical device innovation
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Top Stories
NAHC sues Medicare to preserve home health service benefit
Hospitals to get $9 billion in proposed remedy to 340B ruling
Ex-Optum Everycare CEO to helm Confluent Health
Ambulatory Care
Jun 13 | Susan Morse
A cyberattack is partly to blame for St. Margaret's Health closing all operations
The Illinois Catholic health system has signed a nonbinding letter of intent with OSF Healthcare to acquire…
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Jun 09 | Susan Morse
Updated list: Medicare members to pay less for 43 drugs whose prices rose faster than inflation
CMS intends to send the first invoices in 2025 to manufacturers for the rebates owed to…
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Jun 08 | Susan Morse
CMS is testing new primary care model
The model excludes ACOs, objects NAACOS.
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Jun 07 | Susan Morse
Mayo Clinic announces plan to renovate, expand downtown campus
Flexible physical spaces would be added to allow for full integration of digital technology.
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May 26 | Susan Morse
CVS to lose up to $1B in net income due to MA star ratings
There are no assurances CVS will improve its star ratings as CMS makes it harder to achieve four or more stars. CVS says.
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Apr 28 | Susan Morse
Humana's financial growth driven by senior-focused Medicare Advantage and CenterWell
Medicaid contracts also grew earnings for the business, which no longer includes employer group…
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Apr 06 | Susan Morse
DOJ appeals Texas court decision blocking preventive care coverage
While Texas decision eliminated constitutional grounds for coverage it doesn't mean insurers would stop the benefit,…
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Feb 28 | Jeff Lagasse
Medicare Advantage sees fewer avoidable hospitalizations than original Medicare
Apparent differences in potentially avoidable hospitalizations among MA plans may be explained by shifting…
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Dec 30, 2022 | Susan Morse
Hospitals face direct competition from the 'retailization' of healthcare
Investment may slow down in 2023, but inroads into primary care will continue, says Paul Schuhmacher.
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Dec 19, 2022 | Susan Morse
Mass General Brigham suffers $2.3 billion in financial losses
Many health systems and hospitals nationwide are experiencing the worst year financially since the start of COVID-19, health…
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