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Bipartisan House bill introduced to stop physician pay cut
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Trends 2025: The demand for interim revenue cycle executives
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Advocate Health closing Illinois clinics inside of Walgreens
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17 health systems invest in Truveta Genome Project
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Hospitals face rising costs as tariff uncertainty continues
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Most rural healthcare providers optimistic about finances
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Health system operating margins declined in August
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Senate report slams private equity's ownership of hospitals
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CFPB warns of illegal tactics by medical debt collectors
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Healthcare.gov plans denied 20% of claims in 2023
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Bill seeks to boost nursing workforce through preceptors
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Provider investment needed to close digital divide
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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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Prisma Health opens $3.7 million behavioral health facility
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Pfizer pays close to $60 million to resolve kickback allegations
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AHA: White House should grant tariff exceptions
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AMA pushes for stricter standards for hospital charity care policies
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HIMSS25 session shows how physicians are incentivized in APMs
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SDOH, tech key to advancing value-based care
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Cleveland Clinic and Amazon One Medical collaborate
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190M people affected by Change cyberattack
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Centene reports $283 million in Q4 profit
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Practices keeping close watch on risk adjustment coding
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Financial disincentives for providers who commit information blocking
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Many independent pharmacists will not stock price-negotiated drugs
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HHS, Illinois reach agreement on disability rights
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Kroger resume ties with Express Scripts
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Weight loss drugs can save patients and healthcare dollars
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UPMC for You offers Medicaid redetermination coverage in laundromats
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Teladoc teams with Amazon on chronic care
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Teladoc acquires Catapult Health for $65M
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Top Stories
Advocate Health closing Illinois clinics inside of Walgreens
Many independent pharmacists will not stock price-negotiated drugs
Healthcare.gov plans denied 20% of claims in 2023
Claims Processing
Feb 04 | Jeff Lagasse
Cigna to accelerate prior authorization and tie executive pay to member satisfaction
Initiatives include adding new concierge teams to support customers experiencing challenges with claims…
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Feb 03 | Jeff Lagasse
Healthcare.gov plans denied 20% of claims in 2023
Reasons include prior authorization or referral, excluded services and administrative issues, KFF finds.
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Jan 28 | Jeff Lagasse
190 million people affected by Change Healthcare cyberattack
The figure of 190 million people has been amended from past estimates, which put the total at about 100 million.
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Jan 06 | Susan Morse
Mayo Clinic sues Sanford Health Plan over unpaid medical bill
Mayo alleges that Sanford in South Dakota is responsible for $739,956.20 in medical expenses incurred by a patient in 2022.
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Dec 30, 2024 | Nathan Eddy
Athenahealth leverages AI to power RCM offering
AI automates the process of reading insurance card images and addresses potential claim denials in real time.
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Nov 26, 2024 | Susan Morse
CMS announces obesity drug coverage in Medicare, Medicaid
The proposed rule would need to become final under the Trump Administration.
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Nov 14, 2024 | Susan Morse
Denials top reason for eroding provider-payer relationship
Most CFOs are not looking to technology or AI as a solution, says new HFMA report.
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Oct 28, 2024 | 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 18, 2024 | Susan Morse
HIMSSCast: AI as assistant, not replacement
AI is only as good as the quality of the data, says Sundar Shenbagam, chief technology officer at Edifecs.
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Oct 01, 2024 | Jeff Lagasse
UMC Health System hit with IT outage linked to ransomware
UMC has been able to keep its ER open, but other services have been disrupted.
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