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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
Strategic Planning
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
Workforce
AMA pushes to end noncompete clauses
Operations
Sola launches in growing self-funded health plan market
Medical Devices
Humana teams with DME orgs on home care
Hospital/physician relations
Physicians would rather leave than work for Envision, doctor says
Construction & Facilities Management
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
Telehealth
Telehealth linked to fewer in-person follow-up visits
Mergers & Acquisitions
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
News
Jul 06 | Jeff Lagasse
Medicare Advantage quality bonus program failing to meet objectives, report finds
The concern is that the QBP overpays MA organizations and does not encourage ...
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Jul 06 | Susan Morse
The transactional revenue cycle no longer works: Here's what does
Some futuristic day there will be no need for a back end to the revenue cycle, but until then, ...
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READ
Jul 05 | Jeff Lagasse
U.S. News revises 'Best Hospitals' methodology in wake of backlash
The changes come on the heels of scrutiny from medical experts for alleged imprecise ...
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Jul 05 | Susan Morse
AI's automation can transform the revenue cycle
It's important to have IT and operations work together and to get employees onboard, say experts speaking ...
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Jul 05 | Jeff Lagasse
South Dakota expanding Medicaid to 52,000 residents
The move makes South Dakota the 39th state, along with Washington, D.C., to adopt the ACA's Medicaid ...
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Jul 05 | Jeff Lagasse
Payers could see 7% spike in healthcare costs in 2024
The impact of inflation is further exacerbated by continued clinical workforce shortages and pharmaceutical ...
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Jul 03 | Susan Morse
Home Health payments proposed to decrease by 2.2%
The decrease is due in part to a permanent behavior assumption adjustment.
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Jul 03 | Jeff Lagasse
BCBS Arizona launches Prosano Health Solutions subsidiary
AZ Blue said the new company will reduce waste and complexity and advance the total healthcare experience ...
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Jul 02 | Susan Morse
Bright Health announces sale of its remaining Medicare Advantage plans
Proceeds from the sale to Molina Healthcare will bolster its capital and satisfy lending ...
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Jun 30 | Susan Morse
HIMSSCast: How AI is reducing physician burden at one New Jersey health system
A reduction in clinical note-taking leads to better outcomes for both patients and ...
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