Policy and Legislation

Feb 25 | Susan Morse

Seven big pharma executives are being asked to explain drug prices before Senate Finance Committee

On Tuesday morning, executives from seven pharmaceutical companies will face ...

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Feb 22 | Susan Morse

Planned Parenthood barred from Title X funds under final rule

Planned Parenthood vows to fight rule, which American Medical Association calls a gag order between provider and patient.

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Feb 22 | Beth Jones Sanborn

Zuckerberg San Francisco General Hospital to halt "balance billing" amidst uproar from patients smacked by massive surprise bills

Privately insured patients have gotten hit with bills in the…

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Feb 21 | Susan Morse

CMS launches podcast to discuss policies and agency updates

First "CMS: Beyond the Policy" podcast explains physician fee schedule for 2019, in a conversational format.

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Feb 20 | Susan Morse

CMS predicts healthcare spending will skyrocket to $6 trillion by 2027

Baby boomers, higher income, will drive growth in healthcare spending over the next 8 years, CMS Office of the Actuary…

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Feb 14 | Susan Morse

Healthcare has so much data but we're 'probing in the dark,' expert says at HIMSS19

AI will spur innovation in technology that comes from sources other than healthcare that will help the…

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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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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.

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.

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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.

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. ...

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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