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Senators urge action on physician payment cut
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MultiCare Health System pilots new AI tool
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Ashland hospital expanding as part of strategic plan
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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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Healthcare expenditures rise on increased coverage and utilization
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Health system operating margins declined in August
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American Heart Association launching HCM initiative
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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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Trends 2025: The future of physician hiring
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Children's Mercy Kansas City names Dr. Alejandro Quiroga as president and CEO
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Healthcare chatbots may promote racist misinformation
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Hospitals, physicians submit opposing views to FTC ruling
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Children's Medical expands with new patient tower
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Nebraska sues Change over ransomware attack
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CBO: Premiums to increase if ACA subsidies expire
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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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UnitedHealth Group CEO Andrew Witty addresses backlash
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Practices keeping close watch on risk adjustment coding
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Financial disincentives for providers who commit information blocking
Medicare & Medicaid
Trends 2025: MA prospects strong despite challenges
Patient Engagement
HHS, Illinois reach agreement on disability rights
Pharmacy
Senate bill proposes to rein in PBMs
Population Health
Weight loss drugs can save patients and healthcare dollars
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
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Trends 2025: Telehealth's future faces a Friday deadline
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Addus Homecare buttons up $350M Gentiva acquisition
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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LG NOVA holds Startup Pitch Competition at InnoFest event
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Top Stories
UnitedHealth Group CEO Andrew Witty addresses backlash
Luigi Mangione indicted on first degree murder charge
Nebraska sues Change over ransomware attack
Government Accountability Office
Nov 14 | Jeff Lagasse
Johnson and Johnson sues HRSA for blocking 340B plan
HRSA informed J&J in August that its rebate model was inconsistent with the 340B statute.
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Sep 30 | Jeff Lagasse
OIG: New York paid $23.3 million in Medicaid payments to deceased beneficiaries
To date, New York has refunded approximately $10 million to the federal government and recovered roughly $19…
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Sep 26 | Jeff Lagasse
GAO urges action to prevent Medicaid fraud
GAO identified systemic issues that impair Medicaid's ability to root out fraudulent activities and offered recommendations.
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Sep 09 | Susan Morse
PBM executives face penalties if their testimony goes uncorrected
The deadline to respond is September 11, says chairman for the House Committee on Oversight and Accountability.
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Aug 26 | Jeff Lagasse
CMS blocks private sector enrollment sites from ACA marketplace
CMS received more than 200,000 complaints in the first six months of the year about such actions.
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May 22 | Susan Morse
Appeals court sides with drug manufacturers in 340B case
The court left room for the possibility of future enforcement if 340B conditions are violated.
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Mar 28 | Jeff Lagasse
Of $236B in 'improper payments,' $100B was from Medicare, Medicaid
This is despite payment errors under Medicaid dropping by $30 billion from the previous year.
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Nov 14, 2023 | Susan Morse
GenAI: Risk vs. reward causing adoption to stall
AI is not yet 100% accurate, with a tradeoff between risk and productivity for financial savings.
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Aug 09, 2023 | Jeff Lagasse
Senators press Treasury, IRS on nonprofit hospitals' tax exemptions
Lawmakers say more is required to ensure nonprofit hospitals' community benefit information is standardized,…
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Jun 12, 2023 | Susan Morse
AI can help hospitals bill complete medical record
Physician-trained AI can recover millions in lost revenue by reducing denials, says Dr. Michael Gao, CEO and cofounder of SmarterDx.
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