Policy and Legislation

Jun 14 | Susan Morse

AHIP wants more oversight over consolidation of hospitals and physicians

While most vertical mergers do not impair competition, it should not be assumed that all are benign or that savings…

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Jun 03 | Susan Morse

U.S. Supreme Court sides with DSH hospitals on payments

American Hospital Association applauds the decision, in which billions of dollars are at stake.

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May 24 | Susan Morse

Senate committee proposes massive bill to lower healthcare costs

Also, HHS revises LGBT discrimination protections in Affordable Care Act it says likely unenforceable and will save $3.6…

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May 24 | Jeff Lagasse

First states to expand Medicaid saw larger screening rate increases

An additional 355,184 people would have been screened for colorectal cancer if non-expansion states had seen the same…

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May 20 | Jeff Lagasse

Private insurers in California pay more than double what Medicare does for similar services

The ratio of private insurance to Medicare payments is even higher than the 209 percent average at…

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May 14 | Jeff Lagasse

CDC concurs with panel on misapplication of opioid guidelines

A number of clinicians and payers have been enforcing hard limits on opioid doses, regardless of the patient's situation.

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May 10 | Jeff Lagasse

Mental health patients insured by marketplace health plan less likely to receive a medical appointment

Success was highest for those with employer coverage while marketplace enrollees were…

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May 09 | Susan Morse

President Trump calls for an end to surprise medical bills

AHIP wants reimbursement based on market rates determined by contracted amounts paid by insurers to similar doctors in a geographic…

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May 08 | Susan Morse

Drug companies are being required to post list prices in TV ads

If pharmaceutical manufacturers are ashamed of their drug prices, then change the price, HHS Secretary Alex Azar says.

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May 03 | Jeff Lagasse

CMS outlines comprehensive strategy to foster innovation for transformative medical technologies

The actions represent components of a strategy to address barriers to medical innovation in…

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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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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. ...

Whitepapers

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 ...

Credible, Defensible Estimates In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

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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