Policy and Legislation

Medicaid expansion battles in Maine and Virginia

May 03 | Susan Morse

Medicaid expansion battles persist in Maine and Virginia

Both states are struggling over whether or not to broaden Medicaid programs to insure more citizens.

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May 02 | Jeff Lagasse

Trump's plan to cut health funding would kill jobs, cost money

U.S. investments in global health research and development from 2007 to 2015 not only created jobs but injected millions into…

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May 02 | Jeff Lagasse

Evidence keeps mounting that Affordable Care Act's individual mandate was a success

Former HHS Secretary Tom Price's statements and new research from the Commonwealth Fund suggest that…

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Tom Price says ending individual mandate drives up costs

May 01 | Susan Morse

Former HHS Secretary Tom Price: Individual mandate repeal 'drives up costs' in ACA market

The Congressional Budget Office has projected that repeal would increase premiums by 10 percent.

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CMS proposes increasing payment to skilled nursing, psychiatric facilities

Apr 30 | Susan Morse

CMS issues proposed rules increasing payment to skilled nursing, inpatient rehab and psychiatric facilities

Rule eases regulatory burden estimated to cost providers $39 billion a year and…

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Apr 27 | Susan Morse

CMS is releasing Medicare Advantage encounter data for researchers to analyze

The data provides detailed information about services to beneficiaries enrolled in a MA managed plan.

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AHA to FCC: Restore funding to Rural Health Care Program

Apr 26 | Beth Jones Sanborn

AHA calls on FCC to restore funding levels for Rural Health Care program

American Hospital Association says that telehealth and connectivity are in jeopardy due to big cuts to rural…

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The good and bad in new CMS promoting interoperability rule

Apr 25 | Susan Morse

Promoting interoperability: What hospitals are saying about the new CMS rule revamping meaningful use

The Centers for Medicare and Medicaid Services effort to reduce regulatory burdens are…

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Apr 24 | Susan Morse

Senate health committee advances opioid bill

HELP Committee Chairman Lamar Alexander said he would ask Senate leaders to consider the bill this summer.

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AMA to CMS: Shorten MIPS reporting period to 90 days

Apr 23 | Beth Jones Sanborn

American Medical Association, other groups urge 90-day reporting period for MIPS in 2018

Letter from numerous groups to Seema Verma called out policy changes, slow updates to QPP website and…

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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.

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?

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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Top 10 healthcare issues to watch in 2016

CMS cancels mandatory bundles, reduces joint model participation

Docs must now explain 'observational' statuses

List: 769 hospitals fined for medical errors, infections

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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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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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