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Want to rid healthcare of fax machines? First, standardize prior authorization
Aug 10 | Susan Morse
Providers conduct 77 million prior authorizations a year, and getting payers and ...
CMS overhauls Medicare ACO program by limiting upside risk to only two years
Aug 09 | Susan Morse
Administrator Seema Verma says it's time for ACOs to take on downside risk, in a ...
CMS proposes additional rule to address risk adjustment
Aug 08 | Susan Morse
The 2018 benefit year will now determine risk adjustment payments to insurers, using the statewide average ...
Big surge in numbers of hospitals and physician groups signing up for BPCI Advanced
Aug 08 | Susan Morse
'One nut that we haven't really cracked is how we effectively engage ...
Tenet reports increased earnings but delay in sale of Conifer
Aug 08 | Susan Morse
As a result of divestiture activity at Tenet and other customers, Conifer's revenue decreased 3.5 ...
CMS is allowing Medicare Advantage plans to cross negotiate Part B and D drug prices
Aug 07 | Susan Morse
Starting in 2019, insurers may use step therapy to choose the least expensive ...
Humana files suit against 37 drug makers accusing them of price fixing
Aug 07 | Susan Morse
The conspiracy involving secret meetings resulted in higher prices for insurers, the ...
Henry Ford signs direct employer insurance plan contract with General Motors
Aug 07 | Susan Morse
The agreement will drive down costs through the monitoring of chronic conditions, ...
CMS Administrator Seema Verma calls for an end to physician fax machines by 2020
Aug 06 | Susan Morse
CMS is also seeking Blue Button 2.0 app developers, Verma says at second ...
What it takes to enable data interoperability between health insurers and hospitals: Trust and tech
Aug 03 | Susan Morse
To get to value-based care and a reduction in healthcare costs, ...

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