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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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Labor expenses continue to challenge hospitals
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Health system operating margins declined in August
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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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Healthcare chatbots may promote racist misinformation
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Hospitals, physicians submit opposing views to FTC ruling
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University Hospitals expanding with $3.2M donation
Compliance & Legal
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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CVS announces Dr. Sreekanth Chaguturu as president, Health Care Delivery
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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
Survey: Almost a quarter of Americans underinsured
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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
Telehealth
Telehealth prescribing of controlled drugs extended
Mergers & Acquisitions
Cardinal Health set to acquire two companies for combined $3.9B
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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All-digital Oklahoma system centers on the patient experience
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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
MedPAC
Nov 18 | Jeff Lagasse
Planned Parenthood, other groups decry executive power in House bill
The bill would grant executive authority to nix nonprofits deemed 'supportive' of terrorist organizations.
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Oct 31 | Susan Morse
Bill would give physicians a pay increase, block Medicare cuts
Congress must enact permanent reform instead of making last-minute payment fixes each year, says MGMA.
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READ
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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Aug 22 | Jeff Lagasse
Medicare Advantage growth could be challenging for hospitals
The growth poses challenges to providers' credit quality, given growing risks to reimbursement from MA plans.
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Jul 12 | Susan Morse
Proposed physician pay decrease: 'Death by a thousand cuts continues'
Groups are calling on Congress to prevent the proposed 2.93% proposed payment reduction for 2025.
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May 08 | Susan Morse
Medicare Trustees warn of low physician payment
"It would be political malpractice for Congress to sit on its hands and not respond to this report," says AMA president.
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Jan 04 | Susan Morse
Americans pay more for brand name drugs than in other countries
Rebates bring down prices by as much as half.
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Jul 18, 2023 | Jeff Lagasse
Healthcare groups prod Congress to stop CMS' payment cuts
AMGA and the AHA said the proposed cuts would hinder the ability of multispecialty medical groups to provide high-quality care to…
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Jul 06, 2023 | 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 quality improvement or help…
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Mar 30, 2023 | Jeff Lagasse
Bipartisan legislation takes aim at Medicare Advantage upcoding
Senators Cassidy and Merkley contend that MA plans have a financial incentive to make beneficiaries appear sicker than they…
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