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Reimbursement
J&J backs down from its planned 340B rebate model
Revenue Cycle Management
Mary Washington Healthcare latest to outsource revenue cycle
Strategic Planning
Four health systems form Longitude Health
Capital Finance
HIMSSCast: Is private equity the bad guy in healthcare?
Supply Chain
Feds shore up supply chain in wake of hurricanes
Accounting & Financial Management
Elevance stock slides on lower forecast
Budgeting
Health system operating margins declined in August
Quality and Safety
U.S. healthcare system ranks last in equity, access
Billing and Collections
CFPB warns of illegal tactics by medical debt collectors
Claims Processing
Johns Hopkins Health Plans announces multi-payer portal
Workforce
Feds grant $100M to grow healthcare workforce
Operations
UMC Health System hit with IT outage linked to ransomware
Medical Devices
Healthcare chatbots may promote racist misinformation
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling
Construction & Facilities Management
Cleveland Clinic partnering with Cavs on new sports complex
Compliance & Legal
BCBS reaches $2.8 billion settlement agreement
Policy and Legislation
HHS investing $75 million in rural healthcare infrastructure
Community Benefit
Report: Hospitals' charity care falling behind tax breaks
Accountable Care
ACO REACH changes not positive, says participant
Acute Care
SDOH, tech key to advancing value-based care
Ambulatory Care
Walmart is closing clinics and virtual care
Analytics
Interoperability in healthcare moving forward despite challenges
Business Intelligence
CVS Health mulls potential breakup
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking
Medicare & Medicaid
Medicaid to cover traditional Tribal community healthcare
Patient Engagement
KFF: Patients see narrow networks in ACA marketplace plans
Pharmacy
Insurer challenges PBM model to lower cost of Humira biosimilar
Population Health
Reproductive care, including abortion, facing challenges
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Patients who pay cost-sharing less likely to seek virtual care
Mergers & Acquisitions
In M&A deals, seller size by revenue is above historical norms
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Opinions
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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AI is transformative around research
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List: Healthcare M&A in 2018
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Top Stories
See the list: 7 plans, compared to 38 last year, receive 5 stars in the MA Star Ratings
BCBS reaches $2.8 billion settlement agreement
UnitedHealth's Q3 earnings show impact of Change cyberattack
Safe Harbor Regulations
Apr 18 | Jeff Lagasse
AHA concerned over penalties for cybersecurity standards
Imposing fines or cutting Medicare payments, in the AHA's view, would diminish resources needed to combat cybercrime.
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Apr 17 | Susan Morse
House subcommittee scrutinizes Change cyberattack
Witnesses and members of Congress slam insurers for making money while providers struggle.
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Jul 26, 2023 | Jeff Lagasse
Proposed rules build on Mental Health Parity and Addiction Equity Act
Insurers are prohibited from imposing copayments, prior authorization and other requirements that are more restrictive…
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Dec 28, 2022 | Susan Morse
Hospitals get omnibus wins in extension of telehealth and hospital at home programs
The legislation extends waivers for both programs that were put in place under the public health emergency.
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Jul 07, 2022 | Jeff Lagasse
Senate Democrats release plan for Medicare drug negotiations
Under the legislation, HHS would select 10 drugs eligible for negotiation in 2026, with the number of drugs increasing in…
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Sep 07, 2021 | Susan Morse
AHIP wants more time for insurers to implement the interim final rule on surprise billing
The final regulations must make clear what constitutes emergency services, including…
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Feb 01, 2021 | Jeff Lagasse
UPDATED: Trump-era rebate rule for Medicare Part D on hold until 2023
The parties have been ordered to submit a joint status report identifying whether and how this case should proceed by…
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Nov 21, 2020 | Susan Morse
HHS issues final rule ending pharmacy benefit manager drug rebates to insurers
Opponents say the rule will not lower drug prices, and some question whether it is legal, having bypassed the…
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Nov 16, 2020 | Susan Morse
CMS is expected to release new rebate rule soon
Better Medicare Alliance said the rule threatens to raise seniors' health costs amid a global pandemic.
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Dec 11, 2019 | Jeff Lagasse
Telehealth laws and regulations in 2019 have set the stage for increased access and use
As the care delivery platform becomes more legitimate and accepted, governments, payers and providers…
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