Policy and Legislation

Mar 26 | Susan Morse

Department of Justice says entire ACA should be thrown out

The federal opinion is submitted as Democrats say they will release legislation to protect pre-existing conditions.

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Mar 25 | Jeff Lagasse

CMMI model helped several states make big strides in population health integration

CMMI gave more than $622 million to 11 states as part of the Round 2 Model Test; New York implementing the…

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Mar 25 | Susan Morse

Democrats to unveil new healthcare legislation on Tuesday

The bill is being released near the ninth anniversary of the Affordable Care being signed into law.

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Mar 22 | Jeff Lagasse

Affordable Care Act delivers significant benefits for women, research finds

A greater proportion of women were able to find affordable access to acute and preventive services, as well as…

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Mar 15 | Susan Morse

Efficient hospitals operate on -2% margins in Medicare payments, MedPAC reports

MedPAC recommends removing the $1 billion in financial penalties hospitals incur each year under two incentive…

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Mar 14 | Beth Jones Sanborn

Physicians for Fair Coverage proposes ban on surprise medical bills for out-of- network care, creation of reimbursement standards

Proposal creates a national protocol for alternative dispute…

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Mar 13 | Susan Morse

Medicare X could cost hospitals $800 billion over 10 years and disrupt health insurance market, study says

The legislation, introduced in 2017, is grabbing attention as Democrats make…

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Mar 12 | Susan Morse

HHS $87.1 billion budget includes funding to end opioid epidemic, HIV

HHS Secretary Alex Azar announces appointments of two officials in wake of resignation of FDA Commissioner Scott…

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Mar 11 | Beth Jones Sanborn

American Medical Association urges more time for detailed feedback on ONC, CMS information blocking rules

Moving too quickly could lead to unintended consequences that could negatively…

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Mar 08 | Susan Morse

Bill proposes to extend Medicare and Medicaid rebate rule to commercial market

The bill and HHS rule would increase premiums by 25 percent, as insurers use the rebates to lower premiums,…

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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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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. ...

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.

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 ...

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 ...

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