Policy and Legislation

Dec 26, 2018 | Susan Morse

Insurer group urges CMS Administrator Seema Verma to reconsider pass-through funding for non-ACA plans

America's Health Insurance Plans wants CMS to reissue the guidance on funding…

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Dec 21, 2018 | Jeff Lagasse

AGS expresses concern for future stability of high-quality, affordable healthcare

Last week's ruling in district court has questioned the constitutionality of the Affordable Care Act,…

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Dec 21, 2018 | Jeff Lagasse

Fewer people cite healthcare as country's most important problem following midterms, Gallup finds

Pollsters attribute the dip in part to decreased media attention in the weeks following the…

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Dec 20, 2018 | Susan Morse

Affordable Care Act enrollment surges in final week

Declining consumer numbers and a ruling in Texas striking down the ACA threatened to a relatively stable market this year.

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Dec 20, 2018 | Jeff Lagasse

New Affordable Care Act policies could drive down uninsured rate from 12 to 7.3 percent

There are a number of specific steps outlined in a new report that would drive the uninsured rate back…

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Dec 20, 2018 | Jeff Lagasse

Orphan drug exclusivity resulting in on-market drug prices rising more slowly than common drugs

Adding an orphan indication to an on-market drug didn't correlate with a…

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Dec 18, 2018 | Susan Morse

What's next for the Affordable Care Act

Democratic attorneys general led by California have filed a motion to allow for an immediate appeal of the decision to the Fifth Circuit Court of…

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Dec 15, 2018 | Susan Morse

Texas judge strikes down Affordable Care Act

Supreme Court hearing all but certain as Democrats say they will appeal the ruling that is also decried by insurers and providers.

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Dec 13, 2018 | Susan Morse

ACA enrollment drops by half a million

Individual mandate is not the reason most consumers buy insurance, says insurer in New Jersey, which has its own individual mandate.

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Dec 11, 2018 | Jeff Lagasse

What does expanded Medicaid mean for enrollees' health? A lot

Nearly half of people covered by Michigan's expanded Medicaid program felt that their physical health improved in the first…

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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?

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.

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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IBM Watson Health lists top 15 health systems

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News

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.

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 ...

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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