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Senators urge action on physician payment cut
Revenue Cycle Management
Mary Washington Healthcare latest to outsource revenue cycle
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CommonSpirit, University of Utah Health team on access
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Cigna nixes speculation of a Humana merger
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Feds shore up supply chain in wake of hurricanes
Accounting & Financial Management
UnitedHealthcare wins lawsuit over star ratings
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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
Claims Processing
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
Construction & Facilities Management
Alabama hospital expanding behavioral health
Compliance & Legal
Anesthesiologist sentenced to 190 years for IV bag tampering
Policy and Legislation
Planned Parenthood, other groups decry House bill
Community Benefit
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
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Interoperability in healthcare moving forward despite challenges
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VillageMD CEO steps down
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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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Ex-pharma head sentenced in $11.5M Medicare fraud case
Patient Engagement
HHS, Illinois reach agreement on disability rights
Pharmacy
CMS announces obesity drug coverage
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Reproductive care, including abortion, facing challenges
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
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Telehealth prescribing of controlled drugs extended
Mergers & Acquisitions
CHS and Woodbridge end $120 million deal
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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HIMSS Healthcare Cybersecurity Forum affirms local efforts
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Top Stories
CMS announces obesity drug coverage
UnitedHealthcare wins lawsuit over star ratings
Express Scripts, Caremark, OptumRx sue FTC
Accountable Care
Nov 21 | Susan Morse
CVS announces Dr. Sreekanth Chaguturu as president, Health Care Delivery
Mike Pykosz, who has served in that role and confounded Oak Street Health, is leaving CVS.
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Nov 13 | Jeff Lagasse
NAACOS pushes ACO REACH extension after $1.54B in savings
Net savings to ACOs were $948.4 million (3.4%) compared to model benchmarks, according to CMS.
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Nov 08 | Susan Morse
Venture capital firm HATCo to buy Summa Health for $485 million
The deal will allow Summa Health to eliminate $850M in existing debt.
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Oct 31 | Jeff Lagasse
MSSP yielded $2.1 billion in net savings in 2023, CMS says
MSSP earned shared savings payments totaling $3.1 billion, the highest since the program's inception.
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Oct 23 | Susan Morse
Providence Health & Services in Oregon optimizes value-based care
Risk-based contracts became a financial lifeline for a challenging payer mix in southern Oregon, says Chief Executive Chris…
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Oct 10 | Jeff Lagasse
SDOH, tech key to advancing value-based care, says UHG
The report stresses the importance of continued innovation and collaboration across the healthcare system to further adoption.
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Sep 25 | Susan Morse
CMS final rule holds ACOs harmless for suspect catheter billings
Medicare claims for catheters have increased, and CMS found a rise in billings by a small group of durable medical equipment…
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Aug 21 | Susan Morse
ACO REACH changes more negative than positive, says participant
The CMMI model includes downsize risk and accounts for holistic care, such as mental and behavioral health, and health equity.
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Aug 14 | Jeff Lagasse
Vivid Health expanding AI platform to home health market
The company is already engaged with multiple home health and hospital-at-home organizations that have expressed interest.
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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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