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Elevance, UnitedHealth among insurers accused of alleged price fixing
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Mary Washington Healthcare latest to outsource revenue cycle
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Two CFOs see promise of AI, but have yet to build a dedicated budget
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Cigna nixes speculation of a Humana merger
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Feds shore up supply chain in wake of hurricanes
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US healthcare system ranks last in equity, access
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CFPB warns of illegal tactics by medical debt collectors
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Denials top reason for eroding provider-payer relationship
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Elevance laying off 123 California employees
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UAB, Press Ganey launch certificate program for healthcare leaders
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University Hospitals expanding with $3.2M donation
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J&J sues HRSA for blocking 340B plan
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Planned Parenthood, other groups decry House bill
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AMA pushes for stricter standards for hospital charity care policies
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NAACOS pushes ACO REACH extension
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SDOH, tech key to advancing value-based care
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Cleveland Clinic and Amazon One Medical collaborate
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Interoperability in healthcare moving forward despite challenges
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AMA: Insurance markets still highly concentrated
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Practices keeping close watch on risk adjustment coding
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Financial disincentives for providers who commit information blocking
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Trump picks Dr. Mehmet Oz to head CMS
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HHS, Illinois reach agreement on disability rights
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CerpassRx, Waltz team on AI to manage specialty drug spend
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Reproductive care, including abortion, facing challenges
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UPMC for You offers Medicaid redetermination coverage in laundromats
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Telehealth prescribing of controlled drugs extended
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Cardinal Health set to acquire two companies for combined $3.9B
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Top Stories
Elevance, UnitedHealth among insurers accused of alleged price fixing
J&J sues HRSA for blocking 340B plan
Telehealth prescribing of controlled drugs extended
Billing and Collections
Oct 09 | Jeff Lagasse
CFPB warns of illegal tactics by medical debt collectors
The group says its action aims to protect consumers from predatory practices that can lead to inflated healthcare costs.
Read more >>
READ
Oct 03 | Susan Morse
HIMSSCast: Out-of-pocket expenses are a challenge to keeping people well
Give patients the financial options that empower them to take charge of their own health, says Beto Casellas of…
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Aug 23 | Susan Morse
CMS reports over 12,000 No Surprises Act violations
CMS has directed that over $4 million in monetary relief be paid to consumers or providers.
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Aug 06 | Jeff Lagasse
Few patients challenge claims denials despite high prevalence
Half of adults who challenged coverage denials reported success in getting some or all denied services approved, survey shows.
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Jun 21 | Susan Morse
HIMSSCast: The middle section of the revenue cycle can be the hardest
Improvement is all about the cash flow and getting it right the first time, says Ronnie Simpson.
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May 07 | Susan Morse
Senator asks for investigation on use of algorithms in healthcare pricing
Senator Klobuchar has introduced legislation prohibiting the use of pricing algorithm collusion through the use of…
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Feb 21 | Jeff Lagasse
No Surprises Act implementation coincided with in-network claims growth
There was a relatively sharp increase in in-network percentages nationally and in all regions across all specialties.
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Feb 02 | Jeff Lagasse
No Surprises Act prevented 10 million surprise bills in 2023, survey finds
The only negative trend was a dramatic increase in the use of the Independent Dispute Resolution process.
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Jan 31 | Susan Morse
16 million have lost Medicaid coverage since redeterminations began
Some 34% have had their coverage renewed and 17% have been disenrolled, according to KFF's latest analysis of…
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Jan 28 | Susan Morse
CMS seeks feedback on transparency in Medicare Advantage plans
CMS is seeking data-related input from the public related to access to care, prior authorization, supplemental benefits and…
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