Policy and Legislation

Jul 01, 2019 | Jeff Lagasse

Medically unnecessary ambulance rides soar in New York after ACA expansion

Medically unnecessary rides may add to city congestion, slow response time to actual emergencies and threaten the…

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Jun 27, 2019 | Jeff Lagasse

Repeat emergency department users changed how they used EDs after gaining Medicaid coverage

Patients in Medicaid expansion states shifted their ED usage toward more critical injuries and…

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Jun 26, 2019 | Susan Morse

AMA files lawsuit to block law forcing physicians to give scripted information regarding abortion

North Dakota and eight other states have passed laws requiring providers to tell patients…

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Jun 25, 2019 | Jeff Lagasse

Proposed solutions to surprise medical bills a growing social risk for the healthcare industry, says Moody's

The impact of legislation to curb surprise medical bills would be pronounced for…

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Jun 25, 2019 | Mike Miliard

EHRA to CMS on IPPS rules: focus 'high-value' measures, keep 90-day reporting

The HIMSS EHR Association tells the Centers for Medicare & Medicaid Services that the Promoting…

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Jun 25, 2019 | Susan Morse

Supreme Court will hear insurers' argument for billions in risk corridors funds

At question is whether a temporary cap on funds makes retroactive payments moot, even as insurers upheld their…

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Jun 24, 2019 | Susan Morse

President Trump signs executive order requiring hospitals and insurers to reveal their negotiated prices

American Hospital Association, America's Health Insurance Plans say order will…

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Jun 24, 2019 | Jeff Lagasse

Coverage losses, confusion in Arkansas months after state implements Medicaid work requirements

Not only were there no employment changes, but Medicaid coverage rates have been dropping due…

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Jun 19, 2019 | Jeff Lagasse

Democrats, Republicans agree politics should be taken out of health policymaking

Most respondents to a public opinion survey say evidence should have "a lot of influence" on…

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Jun 18, 2019 | Susan Morse

Providers and payers should negotiate without government interference, AHA tells Senate committee

The Lower Health Care Costs Act from the Senate HELP committee will be marked up next week…

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Featured Resources

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.

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.

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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. ...

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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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