Policy and Legislation

Dec 04, 2020 | Jeff Lagasse

About 523,000 people select healthcare plans in the fourth week of open enrollment

That brings the total number of enrollees to 2.9 million, a slight jump over last year but with more days…

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Dec 03, 2020 | Jeff Lagasse

CMS announces new Geographic Direct Contracting model to advance regional value-based care

The model is part of CMMI's suite of direct contracting models and offers incentives to…

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A vaccine is expected to be available to all by spring 2021.

Dec 03, 2020 | Susan Morse

Operation Warp Speed is looking to start distributing COVID-19 vaccine by mid-month

There should be enough of the vaccine for every American who wants it, by spring, HHS Secretary Alex Azar…

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One request is for commercial plans to cover all approved COVID-19 therapies without prior authorization and to reimburse hospitals for costs.

Dec 02, 2020 | Mallory Hackett

AHA asks HHS for more COVID-19 flexibilities for providers

One request is for commercial plans to cover all approved COVID-19 therapies without prior authorization and to reimburse hospitals…

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Moderna reports that its data analysis indicates a vaccine efficacy of 94.1%, based on 196 COVID-19 cases.

Nov 30, 2020 | Mallory Hackett

Moderna seeks regulatory authorization for its COVID-19 vaccine

Moderna reports that its data analysis indicates a vaccine efficacy of 94.1%, based on 196 COVID-19 cases.

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Nov 30, 2020 | Jeff Lagasse

More than 758,000 people select healthcare plans in the third week of open enrollment

That brings the total number of enrollees to 2.4 million, a 41% jump over last year but also with more…

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A patient consults with a doctor via telemedicine

Nov 25, 2020 | Kat Jercich

ATA applauds reforms to Stark Law, Anti-Kickback Statute

The American Telemedicine Association said the newly released final rules move the healthcare industry closer to a value-based care…

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CMS changed Stark Law regulations on Friday.

Nov 21, 2020 | Susan Morse

CMS finalizes changes to Stark Law that hinder physician referral

The old federal regulations burdened providers with added administrative costs and fear of financial consequences, CMS…

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The letter warns that the new thresholds are too high and will force many clinicians to exit from APMs and revert back to fee-for-service.

Nov 20, 2020 | Mallory Hackett

Provider groups pressure Congress to freeze incentive payment thresholds for advanced APMs

The letter warns that the new thresholds are too high and will force many clinicians to exit from…

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Sign-on screen with the words: "Open enrollment is here - and ends December 15"

Nov 20, 2020 | Jeff Lagasse

More than 803,000 select healthcare plans in the second week of open enrollment

It's comparable to the first week of this year's open enrollment, which saw 818,365 people sign up…

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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?

Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to learn strategies that increase patient ...

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Healthcare M&A's down in 2020 but analysts say COVID-19 is a catalyst for future deals Forty-four percent of healthcare CFOs say the pandemic will drive an increase in partnerships across the healthcare ecosystem.

HHS extends COVID-19 public health emergency declaration until April This action marks the fourth time HHS has extended the declaration that has paid parity for telehealth and continues reporting waivers.

CMS issues final rule on healthcare technology access for seniors The rule is meant to ease undue burden for innovators and speed access to potentially lifesaving technologies.

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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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