Reimbursement

Reimbursement

Feb 28 | Jeff Lagasse

Revenue cycle challenged by low collection rates, high denials

Providers have partially offset a lower patient collection rate by improving POS collections and collection on bad debt.

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Feb 26 | Susan Morse

Sen. Grassley wants UnitedHealth to hand over MA billing records

Letter to CEO Andrew Witty follows report of DOJ launching investigation into the company's billing methods.

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Feb 24 | Susan Morse

Judge denies PBM motion to stop FTC lawsuit

The FTC maintains that PBMs systematically prefer high list price insulin products with high rebates and fees over low list products.

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Feb 23 | Jeff Lagasse

Fewer clinicians entering primary care, data shows

A lack of revenue limits practices' capacity to provide high-quality primary care, report says.

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Feb 18 | Jeff Lagasse

Almost half of rural hospitals in the red, data shows

Sequestration and bad debt reimbursement continue to place added pressure on revenues.

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Kim Baldwin, chief growth officer at Traditions Health

Feb 14 | Susan Morse

Chief growth officer on the competitiveness of home health market

Home care M&A has decreased since the pandemic but the market and demand for services continues to grow.

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Feb 12 | Susan Morse

Mass General Brigham to lay off hundreds of non-clinical staff

Layoffs are due to a $250M financial gap over the next two years combined with poor financial performance in recent years.

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Person distraught over line graph figures

Feb 12 | Jeff Lagasse

Aetna's high medical costs hammer CVS earnings

CVS Health logs $1.6 billion in Q4 profit, down from $2 billion last year.

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Feb 10 | Jeff Lagasse

Behavioral health should shift to value-based care despite challenges, Evernorth says

Challenges include technology gaps, provider shortages and reliance on data, the paper finds.

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Feb 07 | Nathan Eddy

AI's ability to transform value-based care

One of VBC's biggest issues is its reliance on complex financial models instead of direct provider enablement.

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