Policy and Legislation

Apr 09 | Susan Morse

PBM execs say competition, biosimilars are solutions to lowering drug prices

The rebate rule will not solve the drug affordability problem, PBM executives told the Senate Finance Committee.

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Apr 08 | Jeff Lagasse

Fewer people died from heart disease in states that expanded Medicaid coverage through the Affordable Care Act

Counties in states that expanded Medicaid had about four fewer deaths from…

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Apr 02 | Susan Morse

Insurers, hospitals, physicians united in stance on ACA lawsuit

Texas court battle will put Medicare for all on back burner in 2020 general election, veteran legislator and attorney says.

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Mar 29 | Susan Morse

Seema Verma under fire for allegedly spending millions on outside GOP consultants

Energy and Commerce Chairman calls for OIG investigation into taxpayer spending for outside communications,…

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Mar 28 | Mark Klimek

Healthcare providers call for greater clarity and stability from CMMI

CMS should eliminate mandatory mid-year changes and providers should be given more opportunity to give feedback, groups…

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Mar 27 | Jeff Lagasse

With Medicare-for-all unlikely to pass, is Medicare buy-in option a realistic alternative?

With the most expensive medical care in the world and shorter life expectancies, the US is in what…

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Mar 26 | Jeff Lagasse

House Democrats unveil Affordable Care Act stabilization bill

The legislation would protect pre-existing conditions and also aims to lower costs, though passage of the entire package is…

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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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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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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.

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.

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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