Policy and Legislation

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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May 03 | Susan Morse

Congressional Budget Office looks at impact of Medicare for All

Two primary concerns of a single-payer system are the methods it would use to pay providers and set their payment rates, both…

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May 02 | Susan Morse

Office of Civil Rights final rule steps up enforcement of conscience and religious rights

This includes the protection of medical conscious of practitioners, says OCR Director Roger Severino.

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Apr 30 | Susan Morse

House committee holds first hearing on Medicare for All bill

America's Health Insurance Plans says MFA would likely result in higher premiums for consumers with private coverage.

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Apr 30 | Jeff Lagasse

Readmission penalties for safety net hospitals drop under new rules

The stratified payment method showed the biggest impact among hospitals tending to the socioeconomically disadvantaged.

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Apr 30 | Jeff Lagasse

More Americans say they will oppose Trump in 2020 elections due to his handling of healthcare, poll finds

Forty percent of respondents said Trump's handling of healthcare makes them…

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Apr 24 | Jeff Lagasse

Many seniors can't afford healthcare despite paying billions, finds Gallup

Seniors also reported their concern that rising healthcare costs will result in significant and lasting damage to…

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Apr 23 | Susan Morse

Medicare Hospital Insurance Trust Fund will run out money in 7 years, trustees say

Part D drug spending projections are lower than last year because of slower price growth and a continuing…

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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.

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.

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?

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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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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.

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 ...

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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