Policy and Legislation

Jan 15 | Jeff Lagasse

Americans express growing concern over Texas ruling on Affordable Care Act

A vast majority said they don't trust the government to protect their health insurance, and reserved most of…

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Jan 14 | Jeff Lagasse

More than three-quarters of Americans believe health system is experiencing a 'major crisis'

The numbers have been consistent for years, but major differences are starting to show between…

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Jan 14 | Susan Morse

Judge rejects DOJ motion to delay response in CVS/Aetna case due to government shutdown

DOJ also filed a motion to stay the Affordable Care Act appeals case until after funding is restored.

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Jan 10 | Kaiser Health News

As hospitals post sticker prices online, most patients will remain befuddled

As of Jan. 1, in the name of transparency, the Trump administration required that all hospitals post their list…

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Jan 09 | Jeff Lagasse

Majority supports allowing small businesses to offer cost-saving, 'large company' health plans

Large company health insurance is typically less expensive than small group and individually…

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Jan 08 | Susan Morse

CMS Administrator Seema Verma names Chris Traylor acting director to replace Mary Mayhew

Traylor has been named acting director for the Center for Medicaid and CHIP services.

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Jan 04 | Beth Jones Sanborn

Medicare, Medicaid underpaid U.S. hospitals by $76.8 billion in 2017, American Hospital Association says

Also in 2017, hospitals provided $38.4 billion in uncompensated care, the AHA said.

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Jan 04 | Susan Morse

Mary Mayhew, director of Medicaid and CHIP, resigns to take Florida post with Governor-elect Ron DeSantis

As former Maine Health and Human Services Commissioner, Mayhew opposed Medicaid…

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Jan 03 | Susan Morse

ACA enrollment down by 3 percent, but numbers show steady signups in a good economy, CMS says

When open enrollment began November 1, there were more than 2 million jobs added to the economy…

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Jan 03 | Jeff Lagasse

Healthcare groups urge Congress to protect patients from surprise billing

The AHA and FAH said they believe a policy solution to resolve such surprise bills should prohibit balance billing…

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Featured Resources

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?

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.

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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Anthem accelerates start for PBM IngenioRX

IBM Watson Health lists top 15 health systems

Gender, minority bias revealed in med student evals

List: 769 hospitals fined for medical errors, infections

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.

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 ...

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