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Reimbursement
Elevance, UnitedHealth among insurers accused of alleged price fixing
Revenue Cycle Management
Mary Washington Healthcare latest to outsource revenue cycle
Strategic Planning
Two CFOs see promise of AI, but have yet to build a dedicated budget
Capital Finance
Cigna nixes speculation of a Humana merger
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Feds shore up supply chain in wake of hurricanes
Accounting & Financial Management
Labor expenses continue to challenge hospitals
Budgeting
Health system operating margins declined in August
Quality and Safety
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
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
UPMC, Vanderbilt join Aegis Ventures in digital consortium
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking
Medicare & Medicaid
Trump picks Dr. Mehmet Oz to head CMS
Patient Engagement
HHS, Illinois reach agreement on disability rights
Pharmacy
CerpassRx, Waltz team on AI to manage specialty drug spend
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
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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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
Retail Health Clinic
May 15 | Susan Morse
Retail clinic failures show collaboration may work better than competition
CVS has fared better because of its ability to scale and coordinate its other business model resources, Aetna and…
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Oct 03, 2023 | Jeff Lagasse
Insurers tout Medicare Advantage benefits
Major insurers are rolling out MA benefits for 2024, ahead of open enrollment, starting on October 15.
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Jun 01, 2023 | Jeff Lagasse
Retail clinics seeing utilization soar, popularity grow
Retail clinic claims volumes grew 200% from 2017 through 2022, mainly due to high usage during the pandemic.
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Apr 11, 2023 | Susan Morse
MGMA: What stays, what ends on May 11
Telehealth as an accepted benefit ends with the PHE, though there have been some legislative attempts around this, says MGMA.
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Nov 22, 2022 | Susan Morse
Wisconsin-based health systems Bellin and Gundersen to merge
This merger of equals, as the systems put it, is being carried out to enhance care and patient experience.
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Sep 16, 2021 | Susan Morse
Northwell Health and Walgreens partner on 5-year digital agreement
The organizations are exploring a retail health clinic collaboration throughout the tristate area.
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May 05, 2021 | Jeff Lagasse
HHS directing about $1 billion from American Rescue Plan for rural COVID-19 response
More vaccines will be sent to rural communities, which will have an opportunity to strengthen their…
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Apr 14, 2021 | Susan Morse
House extends moratorium on 2% Medicare sequester cuts through 2021
President Biden is expected to sign the bill into law.
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Dec 06, 2019 | Jeff Lagasse
Patients intrigued by digital health services, but still value face-to-face interactions
Most patients showed willingness to use apps and online scheduling systems, but they were a lower…
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Nov 27, 2019 | Jeff Lagasse
Emergent technologies are allowing consumers greater control and access to care
The shift happening in healthcare is similar to trends in personal wealth management, with beneficiaries…
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