Policy and Legislation

Aug 15 | Jeff Lagasse

Majority of providers fall short of compliance with HIPAA access requirements

The primary reason for noncompliance was that most providers don't send records electronically even when so…

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Aug 15 | Susan Morse

Insurers' collective premium rate increases are less than 1% for 2020 ACA plans

Numerous states reported requested rate decreases and only three have double-digit increases.

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Aug 14 | Susan Morse

Pharmacy benefit managers keep less than 1% percent of rebates for Medicare Part D drugs, GAO says

Part D plan sponsors mainly used five PBMs in 2016: CVS Caremark, OptumRx, Express Scripts,…

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Jul 31 | Susan Morse

HHS and FDA propose plan for importation of prescription drugs from other countries

Manufacturers have wanted to offer lower cost versions but were locked into contracts with other parties…

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Democratic candidates take the stage during first debate in June.

Jul 31 | Healthcare Finance Staff

In Wednesday's second Democratic debate, 7 of 10 candidates support Medicare for All

Expanding coverage, lowering healthcare costs, central to Democratic agenda.

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DETROIT, MICHIGAN - JULY 29: The Fox Theater and surrounding downtown area is prepared for the Democratic Presidential Debate hosted by CNN on July 29, 2019 in Detroit, Michigan. The debate, which will take place on July 30 and 31, will feature the top 20 Democratic candidates. (Photo by Scott Olson/Getty Images)

Jul 30 | Jonah Comstock

Where Tuesday's 10 Democratic debaters stand on healthcare

Tonight, 10 out of 20 Democratic primary contenders will take the stage at ...

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Jul 30 | Jeff Lagasse

FTC's $5 billion penalty for Facebook security lapses includes new health privacy restrictions

The fine is the largest ever imposed on any company for violating consumers' privacy,…

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Jul 29 | Susan Morse

Senate Finance drug pricing bill faces opposition in full Senate

Prescription Drug Pricing Reduction Act passes in bipartisan effort in committee, but full Senate approval may mean bill…

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Jul 23 | Jeff Lagasse

Critical heart drug too pricey for some Medicare patients

Even with insurance, the cost to Medicare patients may be more than $1,600 a year, which may prohibit some from even taking the drug…

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Jul 18 | Susan Morse

Insurers applaud end of Cadillac tax

The House voted overwhelmingly to repeal the tax on high-end health plans.

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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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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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