Policy and Legislation

Mar 04 | Jeff Lagasse

Approaches, public policies that could help health insurance coverage expand through public plans

For a number of approaches, the paper examines where the plan would operate and who would be…

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Feb 28 | Susan Morse

Medicare for all: Don't rip health system apart and start from scratch, insurers and providers say

Government has a history of slashing provider payments for government health programs;…

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Feb 26 | Susan Morse

Senate Finance Committee wants pharma commitment for lower list prices on drugs

End rebates for both Medicare and commercial plans, and they will lower list prices, pharmaceutical…

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Feb 26 | Jeff Lagasse

ACA's pre-existing condition and age clauses had immediate impact on people with diabetes

The rise from 2014 to 2016 in the percentage of people with private health insurance coverage who…

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Feb 25 | Susan Morse

Seven big pharma executives are being asked to explain drug prices before Senate Finance Committee

On Tuesday morning, executives from seven pharmaceutical companies will face ...

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Feb 22 | Susan Morse

Planned Parenthood barred from Title X funds under final rule

Planned Parenthood vows to fight rule, which American Medical Association calls a gag order between provider and patient.

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Feb 22 | Beth Jones Sanborn

Zuckerberg San Francisco General Hospital to halt "balance billing" amidst uproar from patients smacked by massive surprise bills

Privately insured patients have gotten hit with bills in the…

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Feb 21 | Susan Morse

CMS launches podcast to discuss policies and agency updates

First "CMS: Beyond the Policy" podcast explains physician fee schedule for 2019, in a conversational format.

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Feb 20 | Susan Morse

CMS predicts healthcare spending will skyrocket to $6 trillion by 2027

Baby boomers, higher income, will drive growth in healthcare spending over the next 8 years, CMS Office of the Actuary…

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Feb 14 | Susan Morse

Healthcare has so much data but we're 'probing in the dark,' expert says at HIMSS19

AI will spur innovation in technology that comes from sources other than healthcare that will help the…

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Featured Resources

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.

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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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 ...

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.

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