Compliance & Legal

Apr 15 | Susan Morse

Sutter Health pays $30 million to settle alleged overpayment of Medicare Advantage funds

Sutter admits no liability in settlement; There's a federal lawsuit against health system and…

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Apr 10 | Nathan Eddy

FBI, DOJ bust 24 people in $1.2 billion telemedicine fraud scheme

The scheme preyed upon hundreds of thousands of elderly and disabled patients, DOJ says.

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Mar 29 | Susan Morse

Seema Verma under fire for allegedly spending millions on outside GOP consultants

Energy and Commerce Chairman calls for OIG investigation into taxpayer spending for outside communications,…

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Mar 27 | Jeff Lagasse

With Medicare-for-all unlikely to pass, is Medicare buy-in option a realistic alternative?

With the most expensive medical care in the world and shorter life expectancies, the US is in what…

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Mar 26 | Jeff Lagasse

House Democrats unveil Affordable Care Act stabilization bill

The legislation would protect pre-existing conditions and also aims to lower costs, though passage of the entire package is…

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Mar 26 | Susan Morse

Department of Justice says entire ACA should be thrown out

The federal opinion is submitted as Democrats say they will release legislation to protect pre-existing conditions.

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Mar 25 | Susan Morse

Democrats to unveil new healthcare legislation on Tuesday

The bill is being released near the ninth anniversary of the Affordable Care being signed into law.

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Mar 22 | Jeff Lagasse

Affordable Care Act delivers significant benefits for women, research finds

A greater proportion of women were able to find affordable access to acute and preventive services, as well as…

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Mar 20 | Beth Jones Sanborn

(Updated)CHI Franciscan, Washington state settle suit over alleged antitrust violations in physician group acquisition

State argued CHI Franciscan acquisition of WestSound Orthopaedics and…

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Mar 12 | Beth Jones Sanborn

Capital Regional Medical Center hit with $1.1 million verdict after hospital visitor slips, falls on wet floor

According to law firm representing victim, $1.1 million award is compensation…

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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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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. ...

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.

Whitepapers

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 ...

Credible, Defensible Estimates In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

Clinical Quality Measures 101 Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report ...

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