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

Oct 09 | Susan Morse

HHS and CMS are offering safe harbor to Stark Law to promote value-based, coordinated care

Example of changes is allowing a hospital to donate free cybersecurity software to each physician…

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Oct 03 | Susan Morse

President Trump signs executive order to protect traditional Medicare and MA plans

The order outlines sweeping policy and regulatory proposals including modifying Medicare fee for service…

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Oct 02 | Susan Morse

AARP files brief to HHS appeal of big pharma ruling

The rule does not have the "vast economic and political significance" put forward by the district court as it would cost drug…

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Oct 01 | Susan Morse

Affordable Care Act plans will be able to offer wellness incentives under CMS pilot

Insurers can offer premium discounts or other incentives to engage in healthy activities, but questions…

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Sep 18 | Susan Morse

Court rules in favor of hospitals on site-neutral payments

The decision saves hospitals from a $760 million rate cut in 2020.

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Sep 04 | Susan Morse

Trump administration announces $1.8 billion in funding to states to combat opioid crisis

Drug overdose deaths dropped by 5% from 2017 to 2018 and deaths from opioids went down 2.8%.

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Aug 22 | Susan Morse

HHS proposes substance use disorder regulatory reforms to increase sharing of information

Current regulations are so complex that some providers opt not to serve substance use disorder…

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Aug 22 | Susan Morse

Hospitals are demanding secure medical devices before they buy

The IoT: "Every something that comes on the market is in essence it's own small computer with an ability to find its…

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Aug 14 | Susan Morse

Pharmacy benefit managers keep less than 1% percent of rebates for Medicare Part D drugs, GAO says

Part D plan sponsors mainly used five PBMs in 2016: CVS Caremark, OptumRx, Express Scripts,…

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Jul 31 | Susan Morse

HHS and FDA propose plan for importation of prescription drugs from other countries

Manufacturers have wanted to offer lower cost versions but were locked into contracts with other parties…

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Featured Resources

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.

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?

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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.

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.

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. ...

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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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