Policy and Legislation

Sep 04 | Susan Morse

Trump administration announces $1.8 billion in funding to states to combat opioid crisis

Drug overdose deaths dropped by 5% from 2017 to 2018 and deaths from opioids went down 2.8%.

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Aug 29 | Jeff Lagasse

Medicare Plan Finder gets upgrade for the first time in a decade

The new Plan Finder walks users through the Medicare Advantage and Part D enrollment process from start to finish.

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Aug 28 | Jeff Lagasse

One-third of pre-approved prescription drugs have not completed the FDA approval process

From 1992 to 2008, 36% of post-market studies had not been completed, and many took five years to…

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Aug 27 | Jeff Lagasse

Medicare patients with multiple sclerosis bear the burden of rising drug prices

Price increases do indeed get passed down to patients, the authors found, and that can negatively impact…

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Aug 27 | Jeff Lagasse

California legislature passes bill requiring Kaiser Permanente to follow financial disclosure laws

The bill would require Kaiser Permanente to provide more data about the revenue and profits…

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Aug 26 | Jeff Lagasse

Education on Medicare is lacking among the general public, survey finds

Many healthcare consumers are lacking even basic knowledge about the existing federal program.

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Aug 23 | Susan Morse

Centene, Aetna protest losing Louisiana MCO contracts worth billions

The Centene subsidiary, Aetna and three other MCOs were paid $7.6 billion by Medicaid to cover more than 1.7 million…

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Aug 23 | Susan Morse

AHIP supports a federal model of California law to end surprise billing

Following adoption of the legislation, the number of physicians in provider networks increased by 16%.

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Aug 22 | Susan Morse

HHS proposes substance use disorder regulatory reforms to increase sharing of information

Current regulations are so complex that some providers opt not to serve substance use disorder…

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Aug 22 | Jeff Lagasse

Kidney transplants covered by Medicaid increased in states after Medicaid expansion

Preemptive kidney transplants covered by Medicaid have shown much greater increases in expansion states.

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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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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. ...

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.

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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 ...

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