Policy and Legislation

AHIP, AHA urge Congress to include CSRs, reinsurance, in bill

Mar 19 | Susan Morse

AHIP, AHA and others appeal to Congress to include cost-sharing reduction payments, reinsurance, in omnibus bill

Several industry associations call for provisions that would extend the…

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Mar 19 | Jay Hancock, Kaiser Health News

Paying hospitals to keep people out of hospitals? It works In Maryland

In the four years since Maryland implemented a statewide system of pushing hospitals to lower admissions, such savings…

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Mar 16 | Susan Morse

CMS approves Next Generation Sequencing for cancer patients

The FoundationOne CDx test is the first breakthrough-designated in vitro diagnostic test and can detect genetic mutations in 324…

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Mar 16 | Beth Jones Sanborn

CMS promises more APM's, continued flexibility, better alignment of reporting tracks for MACRA

Moving more physicians toward APMs is a "top strategic goal," says CMS Chief Medical…

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AHIP: MACPAC recommendations needed for managed Medicaid

Mar 16 | Susan Morse

AHIP wants Congress to enact MACPAC recommendations to streamline managed Medicaid

MACPAC also wants more guidance on the implementation of telehealth and weighs in on DSH payments.

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CDC to award over $15M in opioid prevention funds

Mar 16 | Susan Morse

Centers for Disease Control to award over $15 million in opioid overdose prevention funds

The resulting research will be used to improve state and local health departments' ability to…

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Mar 14 | Jeff Lagasse

House committee probing CMS, Joint Commission over accreditation process

At issue are discrepancies between state survey agencies and CMS-approved accrediting organizations, such as the…

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Mar 12 | Susan Morse

Fate of cost-sharing reduction payments comes into question during spending bill debate

Congress is hammering out premium stabilization measures that may or may not include CSRs or be part…

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Mar 09 | Susan Morse

CMS tells Idaho it must comply with the Affordable Care Act

CMS Administrator Seema Verma suggests Idaho's state-based plans could be modified to be sold as short-term health insurance.

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CVS Health touts its point-of-sale drug rebate discount

Mar 09 | Susan Morse

HHS Secretary Alex Azar backs point-of-sale drug rebates by UnitedHealthcare, CVS Health

Director of Pharmacy Plan Services says Azar is out-of-touch as the discounts are unfair to healthier…

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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?

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