Policy and Legislation

Feb 14 | Susan Morse

HHS unwraps long-awaited new information blocking rule

Healthcare providers and plans need to implement open data sharing technologies to support transitions of care as patients move between…

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Feb 13 | Susan Morse

CMS Administrator Seema Verma lays out plan for 'digital data revolution'

Health plans doing business in Medicare, Medicaid, and the ACA are being asked to share claims data, and all…

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Feb 07 | Jeff Lagasse

Medicare rules increase out-of-pocket costs of multiple sclerosis drugs

Medicare beneficiaries without low-income subsidies can expect to spend $6,894 a year out-of-pocket for treatment of…

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Feb 07 | Jeff Lagasse

Government payment policies tied to hospital performance fail to improve patient safety

Implementation of these programs was not associated with reductions in device-associated CAUTI rates.

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Jan 30 | Jeff Lagasse

New Association Health Plans showing promising trends, double-digit cost savings

The data shows a trend toward comprehensive benefits and significant cost savings, though concerns remain,…

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Jan 29 | Jeff Lagasse

Physicians ask Senate Finance Committee to address kickbacks, other factors driving up drug costs

The AAPS recommended a number of specific solutions, including ending the safe harbor to the…

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Jan 28 | Kaiser Health News

Analysis: Pulling back curtain on hospital prices adds new wrinkle in cost control

What has long been shrouded in darkness is now being thrown into the light.

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Jan 24 | Jeff Lagasse

Disclosing drug prices won't drive down costs, JAMA says

Even if it's passed into law, proposed legislation to force price disclosures is unlikely to create the kind of competition that…

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Jan 24 | Beth Jones Sanborn

38 hospitals sue HHS over site-neutral payment rule

Hospitals named in the suit include Vanderbilt Medical Center, Atrium Health, Rush University Medical Center, Ochsner Clinic Foundation…

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Jan 15 | Susan Morse

Supreme Court hears case over disproportionate share hospital payments

Hundreds of millions of dollars in reimbursement are at stake; $3-4 billion from 2005 to 2013.

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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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News

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.

Whitepapers

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.

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 ...

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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