Topics
Reimbursement
American Hospital Association and PhRMA question legality of Most Favored Nation Model
AHA and PhRMA question legality of new favored nation model
Revenue Cycle Management
Automating revenue cycle on the back end improves patient engagement on the front
Automating the back end of revenue cycle improves patient engagement
Strategic Planning
Aetna president to take helm of CVS Health as CEO Larry Merlo steps down next year
Aetna president to take helm of CVS as CEO Larry Merlo steps down
Capital Finance
Healthcare M&As poised to come off extended pause
Healthcare M&As poised to come off extended pause
Supply Chain
Premier joins 34 health systems in DeRoyal partnership for expanded domestic isolation gown production
Premier, 34 health systems partner on gown production
Accounting & Financial Management
Healthcare executives fear for their organizations' viability without a COVID-19 vaccine
Executives fear for their hospitals' financial viability without a vaccine
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
FDA approves first COVID-19 home test 
FDA approves first COVID-19 home test 
Billing and Collections
HFMA task force releases best practices for resolving patient medical bills
HFMA task force releases best practices for resolving patient medical bills
Claims Processing
Payers are working to meet deadline for interoperability mandate
Payers work to meet interoperability deadline
Workforce
Struggles of care home staff during COVID-19 first wave revealed in Whatsapp messages
Whatsapp messages reveal care home struggles
Operations
CMS finalizes changes to Stark Law that hinder physician referral 
CMS finalizes changes to Stark Law on physician referral
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
Quality of initial training makes a big difference in EHR satisfaction, KLAS report finds
Poor EHR training brings down provider satisfaction
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
Hospitals need to post their negotiated prices in less than six short weeks
Hospitals need to post negotiated prices in 6 weeks
Policy and Legislation
ATA applauds reforms to Stark Law, Anti-Kickback Statute
ATA applauds reforms to Stark Law, Anti-Kickback Statute
Community Benefit
Intermountain Healthcare, United Way and more partner to address social determinants of health in Utah
Intermountain Healthcare, United Way and more address SDOH
Accountable Care
Centers for Medicare and Medicaid Services announces 51 direct contracting entities
CMS announces 51 direct contracting entities
Acute Care
CMS announces new flexibilities for care outside of a hospital setting amid COVID-19 surge
CMS announces new flexibilities for care outside of a hospital setting
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
HIMSS Stage 7 explained: Only six organizations worldwide have achieved this status on three different maturity models
HIMSS Stage 7 explained
Business Intelligence
Northwell website patterns predict COVID-19 caseload
Northwell website patterns predict COVID-19 caseload
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 proposed rule reduces user fee in ACA exchanges 
CMS proposes reducing user fee in ACA exchanges
Patient Engagement
More than 758,000 people select healthcare plans in the third week of open enrollment
758K sign up in week 3 of open enrollment
Pharmacy
PhRMA, others sue HHS and FDA for allowing import of drugs from Canada
PhRMA sues HHS and FDA for rule allowing drugs from Canada
Population Health
Moderna seeks regulatory authorization for its COVID-19 vaccine
Moderna seeks regulatory authorization for its COVID-19 vaccine
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 ICU tech helps Geisinger quickly expand capacity and enhance care
Telehealth ICU tech helps Geisinger quickly expand capacity and enhance care
Mergers & Acquisitions
Beth Israel Lahey Health to add Joslin Diabetes Center to its network
Beth Israel Lahey Health to add Joslin Diabetes Center to its network
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Medicare & Medicaid

Nov 30 | Jeff Lagasse
More than 758,000 people select healthcare plans in the third week of open enrollment
That brings the total number of enrollees to 2.4 million, a 41% jump over last year but also with more…
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CMS issued a proposed payment rule late on Thanksgiving Eve.
Nov 28 | Susan Morse
CMS proposed rule reduces user fee in ACA exchanges 
States, as Georgia has done, could waive certain ACA requirements to develop their own state healthcare programs.
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CMS is allowing acute care for some health systems in the home. (Photo by Hugh Hastings/Getty Images)
Nov 25 | Susan Morse
CMS announces new flexibilities for care outside of a hospital setting amid COVID-19 surge
Medicare beneficiaries can receive telehealth services from any location, including their homes. 
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Person with stethoscope consults person in a hospital bed
Nov 24 | Mallory Hackett
CMS releases HHS risk adjustment data validation program final rule
Risk adjustment data validation ensures payment integrity and accuracy - and it affects what plans are paid.
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Person wearing stethoscope handles papers and a calculator
Nov 24 | Susan Morse
Hospitals need to post their negotiated prices in less than six short weeks
Barring an appeals court decision overturning the rule, the mandate goes into effect on January 1, 2021.
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A person in scrubs examines a prescription pill bottle that another holds up
Nov 24 | Susan Morse
PhRMA, others sue HHS and FDA for allowing import of drugs from Canada
PhRMA questions the cost savings and says the rule leaves safety considerations to state governments, rather than the…
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The treatment will be available at no cost to patients, although healthcare facilities may charge for the administration.
Nov 23 | Mallory Hackett
HHS will begin allocating Regeneron's COVID-19 therapeutic this week
The treatment will be available at no cost to patients, although healthcare facilities may charge for the administration.
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The AHA is against the Most Favored Nation Model as hospitals would lose drug reimbursement.
Nov 23 | Susan Morse
American Hospital Association and PhRMA question legality of Most Favored Nation Model
The interim rule would cut drug reimbursements to hospitals by an average of 65% when fully phased in,…
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CMS changed Stark Law regulations on Friday.
Nov 21 | Susan Morse
CMS finalizes changes to Stark Law that hinder physician referral 
The old federal regulations burdened providers with added administrative costs and fear of financial consequences, CMS…
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On Friday, HHS issued a final rule ending PBM rebates to insurers.
Nov 21 | Susan Morse
HHS issues final rule ending pharmacy benefit manager drug rebates to insurers
Opponents say the rule will not lower drug prices, and some question whether it is legal, having bypassed the…
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