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Reimbursement
Hospitals sue HHS over DSH hospital payments
Revenue Cycle Management
RCM accelerates cash and secures financial health
Strategic Planning
Walgreens considering selling all of its VillageMD business
Capital Finance
Risant Health to invest $1 billion in Cone Health
Supply Chain
FDA to providers: Prepare for supply chain disruptions
Accounting & Financial Management
Humana logs $679 million in Q2 profit
Budgeting
Insurers likely to pay $1.1 billion in rebates this fall
Quality and Safety
HIMSSCast: Investors are helping to drive climate change initiatives
Billing and Collections
CMS reports over 12,000 No Surprises Act violations
Claims Processing
Johns Hopkins Health Plans announces multi-payer portal
Workforce
Feds grant $100M to grow healthcare workforce
Operations
Dana-Farber CEO and president to step down
Medical Devices
Healthcare chatbots may promote racist misinformation
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling
Construction & Facilities Management
Christus to see $25M expansion at Texas hospital
Compliance & Legal
CVS' Oak Street paying $60M over alleged MA kickbacks
Policy and Legislation
Inpatient rehabs get 3% payment increase
Community Benefit
Report: Hospitals' charity care falling behind tax breaks
Accountable Care
ACO REACH changes not positive, says participant
Acute Care
AHA: Hospitals improve patient safety measures
Ambulatory Care
Walmart is closing clinics and virtual care
Analytics
Interoperability in healthcare moving forward despite challenges
Business Intelligence
Cigna launching virtual care through MDLIVE
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking
Medicare & Medicaid
Insurers to make $11.8B in MA quality bonus payments
Patient Engagement
KFF: Patients see narrow networks in ACA marketplace plans
Pharmacy
Express Scripts sues Federal Trade Commission over PBM report
Population Health
Survey: Many women skip care due to access issues
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
CHS to acquire 10 urgent care centers in Arizona
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Clinician trust in AI is complicated
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Top Stories
Steward CEO faces criminal contempt resolution
Elevance to acquire Indiana University Health Plans
Walgreens to pay $106.8M to settle prescription billing claims
Policy and Legislation
Sep 19 | Susan Morse
HRSA warns Johnson & Johnson of consequences of 340B rebates
The drug company faces civil monetary penalties and the termination of its Pharmaceutical Pricing Agreement.
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Sep 17 | Susan Morse
Steward CEO faces criminal contempt resolution by Senate committee
HELP Committee will vote Thursday on Contempt Resolutions for civil enforcement and criminal contempt.
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Sep 09 | Jeff Lagasse
Feds' final rules address equitable access to mental health benefits
The rules are intended to achieve the promise of the Mental Health Parity and Addiction Equity Act of 2008, federal…
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Sep 09 | Susan Morse
PBM executives face penalties if their testimony goes uncorrected
The deadline to respond is September 11, says chairman for the House Committee on Oversight and Accountability.
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Sep 05 | Susan Morse
Steward CEO refuses to testify before Senate committee
Hearing is a "pseudo-criminal proceeding" attorney says in response to subpoena for Dr. Ralph de la Torre to appear on Sept.…
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Aug 29 | Jeff Lagasse
White House to award $100 million to healthcare navigators
CMS streamlined the application process and focused on navigators helping historically underserved groups.
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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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Aug 22 | Jeff Lagasse
Texas sues over nursing home staffing rule
The suit claims rural nursing homes in particular may be forced to shut down due to a lack of qualified candidates in the labor market.
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Aug 20 | Jeff Lagasse
Humana to pay $90 million to settle allegedly fraudulent Part D bids
The suit alleges Humana committed to providing the required level of coverage, but in fact planned to provide less.
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Aug 15 | Jeff Lagasse
Administration reaches negotiation agreement on 10 drugs
CMS said that if the new prices had been in effect last year, Medicare would have saved an estimated $6 billion across the 10 drugs.
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