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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
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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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UPMC, Vanderbilt join Aegis Ventures in digital consortium
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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
Office of the Inspector General (OIG)
Oct 08 | Jeff Lagasse
Medicaid insurers 'missing opportunities' to improve maternal care
The U.S. is experiencing a maternal health crisis, and has worse outcomes than in any other high-income country, according…
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Oct 07 | Jeff Lagasse
OIG: Opioid treatment gaps persist among Medicare, Medicaid enrollees
Enrollees in high-need areas often lack access to providers who can prescribe or dispense these medications, OIG finds.
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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 20 | Jeff Lagasse
CVS' Oak Street Health paying $60M over alleged Medicare Advantage kickbacks
Payments to insurance agents incentivize them to base referrals on financial considerations, DOJ says.
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Sep 04 | Jeff Lagasse
St. Peter's Health paying $10.8 million over alleged false claims
DOJ says St. Peter fraudulently submitted claims for services performed by an oncology doctor.
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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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Jun 24 | Susan Morse
Financial disincentives for providers who commit information blocking
Final rule disincentives include hospitals not being able to earn three quarters of the annual market basket increase.
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Mar 08 | Jeff Lagasse
Feds launch $50M rural opioid treatment initiative
The funding will support establishing and expanding comprehensive substance use disorder treatment and recovery services in rural areas.
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Feb 20 | Susan Morse
OIG audit finds millions in MA overpayments for one company over 2 years
The MA insurer sampled received at least $3.7 million of net overpayments for 2017 and 2018, the OIG found.
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Jan 05 | Susan Morse
AHA joins chorus against information blocking rules
The disincentive structure proposed is excessive and threatens the financial viability of economically fragile hospitals, AHA says.
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