U.S. Department of Health and Human Services (HHS)

Jan 17 | Susan Morse

Kate Goodrich, CMO for CMS, is leaving job for Humana

Among her duties at CMS, Goodrich has been responsible for the value-based incentives programs and developing collaborations with other …

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Jan 07 | Susan Morse

Former Anthem executive Brad Smith named CMMI director

Smith co-founded Aspire Health, which Anthem acquired in 2018.

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Jan 02 | Jeff Lagasse

HHS issues new vaping enforcement policy targeting e-cigarettes with kid-friendly flavors

The policy, which will be enforced by the FDA, specifically targets cartridge-based e-cigarettes…

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Dec 27, 2019 | Susan Morse

Omnicare and parent company CVS Health accused of prescription drug fraud

Lawsuit alleges Omnicare pushed invalid drugs out the door as quickly as possible to make more money.

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Dec 20, 2019 | Susan Morse

CMS final rule requires ACA insurers to collect separate payment for abortions

Rule would pertain to 18 states that have health plans that offer coverage of non-Hyde abortion services.

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Dec 18, 2019 | Susan Morse

HHS releases proposed rule to import drugs from Canada to lower the price for consumers

Drug companies have said they are hamstrung by the current pharmacy benefit manager system, says HHS…

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Dec 13, 2019 | Susan Morse

Health and Human Services appeals site neutral payments ruling

Beyond cost, CMS said it adopted the lower payments for hospital outpatient facilities as a method to control unnecessary…

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Dec 13, 2019 | Susan Morse

CMS to pay hospitals millions in site neutral payments for 2019

The AHA is calling on CMS to "abandon further illegal cuts for 2020" that CMS says would save Medicare $800 million.

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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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Dec 11, 2019 | Susan Morse

Trade deal takes away pharma's biologic exclusivity and promotes drug competition

Intellectual property protections are needed for the ongoing discovery of drug treatments, PhRMA says.

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Featured Resources

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

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Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

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Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data ...

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