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Reimbursement
Senators urge action on physician payment cut
Revenue Cycle Management
MultiCare Health System pilots new AI tool
Strategic Planning
CommonSpirit, University of Utah Health team on access
Capital Finance
Cigna nixes speculation of a Humana merger
Supply Chain
Feds shore up supply chain in wake of hurricanes
Accounting & Financial Management
Health systems see margin gains; expenses still high
Budgeting
Health system operating margins declined in August
Quality and Safety
US healthcare system ranks last in equity, access
Billing and Collections
CFPB warns of illegal tactics by medical debt collectors
Claims Processing
Denials top reason for eroding provider-payer relationship
Workforce
Elevance laying off 123 California employees
Operations
UAB, Press Ganey launch certificate program for healthcare leaders
Medical Devices
Healthcare chatbots may promote racist misinformation
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling
Construction & Facilities Management
Alabama hospital expanding behavioral health
Compliance & Legal
Anesthesiologist sentenced to 190 years for IV bag tampering
Policy and Legislation
Planned Parenthood, other groups decry House bill
Community Benefit
AMA pushes for stricter standards for hospital charity care policies
Accountable Care
NAACOS pushes ACO REACH extension
Acute Care
SDOH, tech key to advancing value-based care
Ambulatory Care
Cleveland Clinic and Amazon One Medical collaborate
Analytics
Interoperability in healthcare moving forward despite challenges
Business Intelligence
VillageMD CEO steps down
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking
Medicare & Medicaid
Ex pharma head sentenced in $11.5M Medicare fraud case
Patient Engagement
HHS, Illinois reach agreement on disability rights
Pharmacy
CMS announces obesity drug coverage
Population Health
Reproductive care, including abortion, facing challenges
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Telehealth prescribing of controlled drugs extended
Mergers & Acquisitions
CHS subsidiary buys urgent care centers in Arizona
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Call centers are a revenue generating tool
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List: Healthcare M&A in 2018
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Top Stories
CMS announces obesity drug coverage
UnitedHealthcare wins lawsuit over star ratings
Express Scripts, Caremark, OptumRx sue FTC
Affordable Care Act
Nov 19 | Jeff Lagasse
HHS, Illinois reach agreement on disability rights laws
The agreement comes after a complaint alleged Illinois unjustly institutionalized a person with disabilities.
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Nov 14 | Susan Morse
AMA pushes for stricter standards for hospital charity care policies
Government should enact penalties or revoke a tax-exempt status for hospitals that don't comply, AMA says.
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Nov 13 | Jeff Lagasse
AHA promotes healthcare navigators in letter to CMS
Part of the reason navigators are so valuable, the group says, is that health insurance coverage falls short for many Americans.
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Nov 07 | Susan Morse
What Trump's election means for healthcare
The expectation is for a new Congress to create policy around AI and cybersecurity, says Tom Leary of HIMSS.
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Nov 07 | Jeff Lagasse
UnitedHealthcare expands ACA presence to 30 more states
The new coverage areas bring UHC's ACA Marketplace plans to more than 1,250 counties across several states.
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Oct 23 | Jeff Lagasse
Oscar Health expands ACA presence and chronic condition plans
Oscar is launching a multi-condition plan for members with diabetes and pulmonary and cardiovascular disease.
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Oct 17 | Jeff Lagasse
US healthcare system ranks last in equity, access
The poor showing by the U.S. stands in stark contrast to how much it spends on healthcare, Commonwealth Fund finds.
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Sep 27 | Jeff Lagasse
New legislation seeks to make ACA premium tax credits permanent
The initiative arrives as the temporary expansion of tax credits is set to expire after 2025.
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Sep 18 | Jeff Lagasse
Cigna launching E-Treatment virtual care through MDLIVE
Beginning this month, Cigna members can connect for urgent care from board-certified doctors without phone or video.
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Sep 17 | Jeff Lagasse
Insurers will make $11.8 billion in Medicare Advantage quality bonus payments
This is an 8% decline following the expiration of pandemic-era policies that temporarily increased star ratings…
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