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Reimbursement
Home health agencies get half a percent pay increase
Revenue Cycle Management
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
Capital Finance
Cigna nixes speculation of a Humana merger
Supply Chain
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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Johns Hopkins Health Plans announces multi-payer portal
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Elevance laying off 123 California employees
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Rutgers to promote 'translational' science with $47.5M grant
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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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Cleveland Clinic partnering with Cavs on new sports complex
Compliance & Legal
DOJ sues to block UnitedHealth's acquisition of Amedisys
Policy and Legislation
AHA promotes healthcare navigators in CMS letter
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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
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Interoperability in healthcare moving forward despite challenges
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MD Anderson launches new cancer research center
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking
Medicare & Medicaid
Elevance Health 'considering options' following star ratings hit
Patient Engagement
KFF: Patients see narrow networks in ACA marketplace plans
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
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Teladoc posts $640.5 million in revenue
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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Maternal health is a priority for health equity
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Top Stories
What Trump's election means for healthcare
DOJ sues to block UnitedHealth's acquisition of Amedisys
Cigna nixes speculation of a Humana merger
Reimbursement
Nov 07 | Susan Morse
Walgreens pays $100 million to settle class action drug case
Insured customers paid more for drugs than members of its Prescription Savings Club, lawsuit alleges.
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Nov 06 | Susan Morse
Elevance latest insurer to sue over Medicare Advantage star ratings
Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.
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Nov 06 | Jeff Lagasse
Aetna underperforms, plans recovery as CVS Health logs $95.4B in revenue
CEO David Joyner put much of the onus on the poor performance on elevated utilization coming out of the pandemic.
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Nov 05 | Susan Morse
Home health agencies get half a percent pay increase
Providers have gotten a nearly 9% permanent cut to home health payment since 2023, says LeadingAge.
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Nov 05 | Susan Morse
Medical groups push for end to yearly payment cuts
Time is running out for Congress to pass legislation to avert the cuts, AMA says.
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Nov 05 | Jeff Lagasse
CMS gives renal dialysis facilities a 2.7% increase
CMS is finalizing a new specific wage index that will be used to adjust payments for geographic differences in area wages.
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Nov 05 | Jeff Lagasse
AHA criticizes 2.9% increase in CMS' OPPS final rule
The AHA says the final rule only worsens the problem of "sustained and substantial underpayment" of hospitals.
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Oct 31 | Susan Morse
Bill would give physicians a pay increase, block Medicare cuts
Congress must enact permanent reform instead of making last-minute payment fixes each year, says MGMA.
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Oct 28 | Susan Morse
CHS reports losses due to hurricanes, payer denials, increased workforce expenses
Hurricane Helene resulted in a $7M loss of revenue and response effort expenses.
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Oct 28 | Jeff Lagasse
AMA files lawsuit alleging price-fixing by MultiPlan
According to the AMA, this has undercut fair payment for out-of-network healthcare services and eliminated market competition.
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