Compliance & Legal

Sep 17 | Susan Morse

Hospitals ask appeals court for a rehearing on 340B decision

At stake is $1.6 billion in payments per year to thousands of 340B hospitals that serve vulnerable populations, the AHA said.

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Sep 16 | Kat Jercich

Taskforce on Telehealth Policy releases final report on safeguarding virtual care

Its recommendations include lifting limitations on originating sites, allowing telehealth for various types…

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Sep 15 | Jeff Lagasse

With price transparency an inevitability, hospitals need to start working toward compliance

Meeting the objectives of the final rule will be necessary to ensure compliance by January 1.

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Sep 14 | Jeff Lagasse

Trump signs executive order on drug pricing, prompting pushback from stakeholders

"Most favored nation" approach would break from GOP free-market orthodoxy by tying Medicare…

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Sep 10 | Kat Jercich

MedPAC members weigh future of telehealth coverage

The commission, which advises Congress on issues affecting Medicare, put forth a number of options aimed at maximizing care access while…

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Sep 04 | Jeff Lagasse

HHS announces $2 billion provider relief fund nursing home incentive payment plans

The distribution is the latest update in the previously announced $5 billion in support to nursing homes…

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Aug 28 | Susan Morse

President Trump touts record on virus, testing and lowering drug costs during acceptance speech

In his 70-minute speech from the South Lawn of the White House last night, President Donald…

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Aug 26 | Jeff Lagasse

National Nurses United seeks OSHA sanctions on HCA Healthcare

The complaint cited "dangerous" conditions, including failing to notify workers when they've been exposed to…

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Aug 25 | Susan Morse

Humana sues QuivvyTech for alleged telemarketing scam

Humana says it was billed millions of dollars for fraudulent prescription claims and members received unwanted expensive creams.

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Aug 24 | Susan Morse

Supreme Court to hear ACA case after presidential election

At the heart of the legal battle is whether the ACA can stand without the tax mandate for individuals to have health insurance.

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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.

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?

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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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.

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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