Reimbursement
The drugmaker says it believes the rebate model is legally permissible and needed to improve the integrity of the 340B program.
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Revenue Cycle Management
Virginia-based health system has selected Ensemble, joining numerous other hospitals that are outsourcing some or all of rev cycle operations.
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Strategic Planning
Longitude Health says it plans to invest in solutions to address healthcare's most complex challenges.
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Capital Finance
Healthcare does not need a profit-driven approach to patient outcomes, but it does need private equity, says Vin Phan of Ankura.
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Supply Chain
Hospitals had 50% more product available to them this past week as compared to the week prior, HHS says.
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Budgeting
It's the second consecutive month in which operating margins tightened, Strata's data shows.
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Quality and Safety
The potential return on investment from reducing these inequities could be enormous, a Deloitte analysis finds.
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Billing and Collections
The group says its action aims to protect consumers from predatory practices that can lead to inflated healthcare costs.
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Claims Processing
Through the real-time platform, providers can submit and track electronic claims, claims status, remittance and claims payment information.
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Workforce
The awards, HRSA says, will expand the number of nurses and primary care physicians while increasing behavioral health support.
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Operations
UMC has been able to keep its ER open, but other services have been disrupted.
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Medical Devices
Every language model demonstrates instances of racist tropes, or a repetition of unsubstantiated claims about race, study says.
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Compliance & Legal
The payment is the largest in a healthcare antitrust case, providers say, and settles 12 years of litigation.
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Policy and Legislation
The focus will be on ensuring rural communities have access to primary care, emergency services and specialty care.
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Community Benefit
The American Hospital Association took issue with the report, saying the methodology is flawed.
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Accountable Care
The CMMI model includes downsize risk and accounts for holistic care, such as mental and behavioral health, and health equity.
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Acute Care
The report stresses the importance of continued innovation and collaboration across the healthcare system to further adoption.
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Ambulatory Care
Business model is unsustainable due to a challenging reimbursement environment and escalating operating costs, company says.
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Analytics
Confusion around CMS' final rules has been a challenge, yet the industry continues to advance seamless data exchange.
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ICD-10 & Coding
Doctors need to carefully and properly use the HCC codes, which indicate the expected costs for a patient.
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Meaningful Use
Final rule disincentives include hospitals not being able to earn three quarters of the annual market basket increase.
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Medicare & Medicaid
Coverage applies to specific facilities, including the Indian Health Service, the 17th largest healthcare system in the nation, director says.
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Patient Engagement
Twenty-three percent of marketplace enrollees were in a plan with a network that included a quarter or fewer of the doctors in their area.
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Pharmacy
The lower price for members is due to a new Pharmacy Care Reimagined model that unbundles the traditional PBM model, company says.
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Population Health
The rise in chronic disease among the elderly is driving up healthcare costs, putting pressure on Medicare and other payer systems.
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Risk Management
Individuals can be assisted, "perhaps even literally while waiting for their clothes to dry," says UPMC for You president.
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Telehealth
Expiration of the pre-deductible telehealth coverage exception in January 2025 may reduce mental health service use if not extended, authors say.
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Mergers & Acquisitions
The biggest merger of the quarter was between CommonSpirit Health and Essentia Health, both multibillion-dollar organizations.
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