Meaningful Use

Nov 27 | Jeff Lagasse

Emergent technologies are allowing consumers greater control and access to care

The shift happening in healthcare is similar to trends in personal wealth management, with beneficiaries…

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Jun 12 | Susan Morse

American Medical Association urges creation of APMs focused on at-risk populations

The AMA is advocating for appropriate risk adjustment of performance results based on clinical and social…

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Jun 11 | Susan Morse

Humana to integrate IntelligentRx into Epic's e-prescribing workflow

Humana says it is the first national insurer to collaborate with Epic to bring together patients, providers, and the…

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Feb 13 | Susan Morse

CMS Administrator Seema Verma lays out plan for 'digital data revolution'

Health plans doing business in Medicare, Medicaid, and the ACA are being asked to share claims data, and all…

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Jan 08 | Susan Morse

CMS Administrator Seema Verma names Chris Traylor acting director to replace Mary Mayhew

Traylor has been named acting director for the Center for Medicaid and CHIP services.

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Nov 07, 2018 | Susan Morse

Medicaid expansion gains passage in three states

Utah, Idaho and Nebraska passed petitioned ballot measures to allow additional individuals to be covered under Medicaid.

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Nov 01, 2018 | Susan Morse

CMS final rule delays coding reforms that affect physician payment

Physician fee schedule and quality payment rule also makes updates to interoperability, telehealth and prescription drug…

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Sep 17, 2018 | Susan Morse

CMS removes Medicare requirements identified as unnecessary, obsolete or excessively burdensome

Proposed rule on removing such mandates as "re-approval" is expected to save…

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Jun 29, 2018 | Jeff Lagasse

How disparate EHR systems, lack of interoperability contribute to physician stress, burnout

The evolution of the patchwork EHR landscape has been complex, and one expert traces the problem…

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The good and bad in new CMS promoting interoperability rule

Apr 25, 2018 | Susan Morse

Promoting interoperability: What hospitals are saying about the new CMS rule revamping meaningful use

The Centers for Medicare and Medicaid Services effort to reduce regulatory burdens are…

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Featured Resources

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?

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.

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Former Aetna CEO Mark Bertolini talks about insurers staying relevant

Optum: UnitedHealth's secret weapon

List: 769 hospitals fined for medical errors, infections

UPDATED: List of 2020 Medicare Advantage star ratings

News

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. ...

Whitepapers

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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