Policy and Legislation

Jul 17 | Mike Miliard

Intermountain launches new spinoff with focus on value-based care

Castell will offer technologies and services to guide care decisions, manage patient experience, implement virtual care,…

READ

Jul 16 | Susan Morse

New CMS resources help states waive ACA requirements

Most states have gotten or are seeking the Section 1332 waivers to establish a reinsurance program to fully or partially reimburse…

READ

Jul 16 | Jeff Lagasse

Family of four faces $25,000 in average annual unsubsidized ACA costs in 2019

Costs for two- and four-person families rose despite overall premiums being relatively flat compared to last…

READ

Jul 11 | Dave Muoio, Mobihealth News

FCC advances, seeks public comment on $100M rural telehealth pilot

The program would provide an 85% discount on telehealth connectivity expenses for health organizations serving rural…

READ

President Trump stands with HHS Secretary Alex Azar. Today the administration announced it would not implement a drug rebate rule.

Jul 11 | Susan Morse

Trump administration withdraws drug rebate rule

Moody's credit analysts called the move positive for health insurers that own large PBMs.

READ

Jul 10 | Susan Morse

President Trump executive order, new payment models target kidney care

CMS said it would encourage development of wearable or implantable artificial kidneys through cooperation between…

READ

Jul 10 | Susan Morse

Appeals court appears ready to strike down Affordable Care Act

The ACA is not a Jenga tower that will collapse upon removing the piece of the individual mandate, America's Health…

READ

Jul 09 | Susan Morse

Affordable Care Act gets day in court

Appeals court scheduled to hear oral arguments, with no immediate decision expected.

READ

Jul 05 | Jeff Lagasse

Some generics can cost Medicare recipients more than brand-name drugs

Medicare Part D beneficiaries can have higher out-of-pocket spending for generics if they use expensive specialty drugs.

READ

Texas Attorney General Ken Paxton is among Republicans arguing against the constitutionality of the ACA.

Jul 03 | Susan Morse

Affordable Care Act heads to appeals court on Tuesday

The federal court declined a request by Republicans for more time; Briefs are to be filed by end-of-day Friday.

READ

Pages

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.

MostPopular

Former Aetna CEO Mark Bertolini talks about insurers staying relevant

Optum: UnitedHealth's secret weapon

List: 769 hospitals fined for medical errors, infections

UPDATED: List of 2020 Medicare Advantage star ratings

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

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 ...

Search form

Policy and Legislation

Pages

Publications

Education

Career Advancement

Newsletters

About us