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Apr 03 | Susan Morse

United Health Foundation donates $5 million to support the homeless, food insecure, during COVID-19 crisis

UnitedHealth Group previously announced $50 million to fight COVID-19 by supporting…

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Apr 02 | Susan Morse

Survey confirms physicians lack tests and equipment to fight COVID-19

Half of U.S. physicians say they have treated a patient with COVID-19 symptoms, while three-quarters report not being…

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Apr 02 | Susan Morse

AHIP supports federal regulation of PBMs in Supreme Court case

Should states win their case to regulate how PBMs contract with pharmacies, plan costs will rise, AHIP says.

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Apr 02 | Jeff Lagasse

Coronavirus is impacting the financial health of nonprofit hospitals, but CFOs have some options

Revenue is tanking, while expenses are going up, as organizations prepare for big surges in…

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Apr 02 | Susan Morse

Humana is expediting claims processing and prior authorization during COVID-19 pandemic

Prior authorization requirements have hindered freeing up hospital beds due to delays in getting…

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Mar 31 | Susan Morse

AHA wants federal stimulus funds to go directly to hospitals

HHS and CMS should immediately distribute funds to every hospital at the rate of $25,000 per bed, or $30,000 in hot spots, AHA…

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Mar 31 | Susan Morse

Cigna, Humana, other insurers waive costs for COVID-19 treatment

Humana joins Aetna in covering in-patient hospital admissions for COVID-19 related treatment.

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Mar 31 | Jeff Lagasse

COVID-19: Heart and kidney patients should keep taking their medicines

Forgoing these medications would increase health risks for millions of patients with hypertension and congestive heart…

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Mar 30 | Susan Morse

Hospitals can bill for treatment outside their four walls in new regulatory flexibility

CMS is also allowing ERs to use drive-through testing and telehealth, and for tests to be done at home…

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Mar 30 | Susan Morse

DOJ accuses Anthem of fraud in risk adjustment payments for its Medicare Advantage plans

Anthem claims the DOJ has violated the law in holding Medicare Advantage plans to payment standards…

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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?

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.

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.

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News

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.

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.

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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