Topics
Reimbursement
Lowering anesthesiology costs is a tangible benefit of value-based care frameworks
Lowering anesthesiology costs a benefit of value-based care
Revenue Cycle Management
30% of hospitals and health systems using revenue cycle automation require two or more vendors
30% of hospitals use multiple RCM vendors
Strategic Planning
The top ten things CEOs got right during the pandemic
The top ten things CEOs got right during the pandemic
Capital Finance
Healthcare M&As poised to come off extended pause
Healthcare M&As poised to come off extended pause
Supply Chain
Hospitals need vaccine supply predictability 'all the way to the loading docks'
Hospitals need vaccine supply predictability
Accounting & Financial Management
Kaiser Permanente hit by pandemic but remains in the black in 2020
Kaiser remains in the black in 2020
Budgeting
Employers' health benefits costs expected to grow, but most won't take cost-saving measures
Employers' health benefits costs expected to increase in 2021
Quality and Safety
Biomaterials could mean better vaccines, virus-fighting surfaces in hospitals
Biomaterials could mean better vaccines
Billing and Collections
CMS issues billing codes for Eli Lilly's COVID-19 antibody treatment
CMS issues billing codes for Eli Lilly's COVID-19 antibody treatment
Claims Processing
Payers are working to meet deadline for interoperability mandate
Payers work to meet interoperability deadline
Workforce
Healthcare employment falls for the first time since last April
Healthcare employment falls for the first time since last April
Operations
Methodist Hospital of Southern California uses automated contact tracing to contain COVID-19
Methodist Hospital uses automated contact tracing to contain COVID-19
Medical Devices
Faced with shortages, researchers combine heat and humidity to disinfect N95 masks
Heat and humidity effective at disinfecting N95 masks
Hospital/physician relations
AMA removes bust of founder from public display over racist past
AMA removes bust of 'racist' founder
Construction & Facilities Management
$1.5B Children's Healthcare hospital to be named after donor, owner of the Atlanta Falcons
$1.5 Children's Healthcare hospital to be named for Falcons owner
Compliance & Legal
Athenahealth to pay $18.25M for alleged False Claims Act violations
Athenahealth to pay $18.25M for alleged False Claims Act violations
Policy and Legislation
Health plans banned from denying coverage of COVID-19 tests for asymptomatic individuals
Health plans banned from denying coverage of COVID-19 tests
Community Benefit
Universal coverage of long-term care for older Americans may stabilize provider revenues
Universal long-term care coverage may benefit providers
Accountable Care
Updated with list: Majority of Next Generation ACOs earned shared savings
Updated list: Most Next Gen ACOs earned shared savings
Acute Care
Blood vessel damage, inflammation found in COVID-19 patients' brains, but no infection
COVID-19 patients show blood vessel damage, inflammation
Ambulatory Care
Oak Street Health opens three new clinics at Walmart supercenters in Texas
Oak Street Health opens new clinics at Walmart supercenters in Texas
Analytics
Automating 'high level' healthcare tasks can create high value savings
Automating 'high level' healthcare tasks can create high value savings
Business Intelligence
Fourth quarter COVID-19 costs catch up to insurers
Fourth quarter COVID-19 costs catch up to insurers
ICD-10 & Coding
Physician practices examine risk adjustment coding in wake of federal lawsuits
Practices keeping close watch on risk adjustment coding
Meaningful Use
CMS overhauls meaningful use EHR program, renames it 'Promoting Interoperability'
CMS overhauls meaningful use as 'Promoting Interoperability'
Medicare & Medicaid
CMS gives $2.3 million in additional Navigator funding for ACA special enrollment period
CMS gives $2.3M in additional Navigator funding
Patient Engagement
A more active role for consumers will decelerate health spending over the next two decades
Active consumers will decelerate health spending
Pharmacy
Merck to open facilities to Johnson & Johnson for speedier COVID-19 vaccine production  
Merck opening facilities to J & J for COVID-19 vaccine production  
Population Health
HIMSSCast: Health equity, caregiver diversity and COVID-19
Health equity, caregiver diversity, and COVID-19
Risk Management
FBI, HHS warn of 'increased and imminent' cyber threat to hospitals
FBI, HHS warn of 'increased and imminent' cyber threat to hospitals
Telehealth
Telehealth used less in disadvantaged areas, Health Affairs study finds
Telehealth used less in disadvantaged areas, Health Affairs study finds
Mergers & Acquisitions
Jefferson Health and Einstein Healthcare Network merger moves forward after FTC withdraws challenge
Jefferson-Einstein merger moves forward after FTC withdraws challenge
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Medicare & Medicaid

Mar 02 | Jeff Lagasse
Lowering anesthesiology costs is a tangible benefit of value-based care frameworks
It's a complicated speciality that provides a potential roadmap to broader savings across the…
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READ
Two people puzzle over a phone display
Mar 02 | Susan Morse
CMS gives $2.3 million in additional Navigator funding for ACA special enrollment period
Navigators reach underserved communities that historically have experienced lower access to health…
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READ
The Medicare Act “prohibits Medicare payment for services that are not furnished within the United States,” according to the filing.
Mar 01 | Mallory Hackett
RemoteICU sues HHS for not reimbursing for telehealth provided by physicians outside of the country
The Medicare Act "prohibits Medicare payment for services that are not furnished…
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Stays at the highest severity level are vulnerable to inappropriate billing practices, OIG says.
Mar 01 | Jeff Lagasse
OIG: Hospitals are upcoding severity levels for Medicare patients
Stays at the highest severity level are vulnerable to inappropriate billing practices, OIG says.
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Providers may seek federal reimbursement for costs incurred for COVID-19 testing or vaccines to those who are uninsured.
Feb 26 | Susan Morse
Health plans banned from denying coverage of COVID-19 tests for asymptomatic individuals
Providers may seek federal reimbursement for costs incurred for COVID-19 testing or vaccines to those…
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Similar to the COVID-19 vaccine, Medicare will cover these infusions for the duration of the public health emergency.
Feb 23 | Mallory Hackett
CMS issues billing codes for Eli Lilly's COVID-19 antibody treatment
Similar to the COVID-19 vaccine, Medicare will cover these infusions for the duration of the public health emergency.
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U.S. Supreme Court building
Feb 23 | Jeff Lagasse
Supreme Court will hear challenge to Trump Administration's 'public charge' rule
Rule requires legal immigrants to submit to a public charge determination if they use public benefits,…
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Although RAND said price regulation is the most effective way to reduce spending, the researchers said this method has the most opposition.
Feb 19 | Mallory Hackett
Hospital price-setting would have the most impact in reducing healthcare spending
Although RAND said price regulation is the most effective way to reduce spending, the researchers said this…
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A report calls for establishing universal coverage for all Americans' long-term care needs through Medicare.
Feb 19 | Jeff Lagasse
Universal coverage of long-term care for older Americans may stabilize provider revenues
A report calls for establishing universal coverage for all Americans' long-term care needs…
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Person in hospital bed with monitor
Feb 19 | Jeff Lagasse
As insurers end grace period for COVID-19 hospital costs, out-of-pocket costs may rise
Flu data from 2018, the closest analog, shows costs for patients could add up to hundreds or even…
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