Policy and Legislation

Jan 17 | Mike Miliard

Chief Data Officer Mona Siddiqui to depart HHS

As she leaves the agency after three years, Siddiqui touts data-driven accomplishments such as AI, data privacy, opioid response and work with…

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Jan 17 | Jeff Lagasse

Hospital readmission policy did not increase patients' mortality risk

The findings support the notion that the readmission policy is safe and not increasing the risk of death by turning away…

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Jan 17 | Susan Morse

AHIP, hospitals ask Supreme Court to expedite review of ACA decision

Valuable reforms designed to improve healthcare and lower cost hang in limbo, AHA says.

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Jan 17 | Jeff Lagasse

Single payer systems likely to save money in U.S., analysis finds

In all, 19 of 22 models predicted net savings in the first year after implementation, averaging 3.5% of total healthcare…

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Jan 16 | Jeff Lagasse

Pricing disparities an issue as Trump's executive order on healthcare price transparency takes hold

The national disparity between gross charges for each procedure is significant with a 297%…

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Jan 13 | Susan Morse

DOJ, Republican states, oppose ACA Supreme Court petition

If the Court decides in favor of the Democratic states, responses should be due February 3 and oral arguments heard in April or May,…

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Jan 08 | Jeff Lagasse

Department of Justice claims Community Health Network fraudulently billed Medicare

CHN allegedly received referrals from physicians in violation of the Stark Law and submitted Medicare…

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Jan 08 | Jeff Lagasse

Price transparency rule could lead to narrower networks, experts say

For capitalism to continue in healthcare, negotiations need to continue behind closed doors, one expert said.

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Jan 06 | Susan Morse

20 Democratic states ask Supreme Court to review ACA decision

The petition asks the Court to review the case before the end of the current term in June.

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Jan 03 | Jeff Lagasse

New Maine law says private health insurers must provide hearing aid benefits

Previously, Maine required hearing aid coverage for children under the age of 18, and capped the insurer's…

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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.

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.

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 ...

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