Policy and Legislation

Person in scrubs holding head while seated

Jan 21 | Mallory Hackett

California COVID-19 surge leaves hospital nurses frustrated over staffing shortages

The state's nurses union urges Congress to pass President Biden's $1.9 trillion American Rescue…

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Elizabeth Richter, left, has been named interim head of CMS, replacing Administrator Seema Verma.

Jan 21 | Jeff Lagasse

Elizabeth Richter named interim head of CMS as Biden transitions to new era

The move is the first sign of future healthcare policy changes, given Biden's promises to reform the industry.

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Jan 21 | Mike Miliard

Micky Tripathi named by Biden administration to lead ONC

As National Coordinator for Health IT, the interoperability veteran will bring deep standards expertise as the rubber hits the road…

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Person wearing stethoscope places hundred dollar bills in lab jacket pocket

Jan 20 | Jeff Lagasse

HHS pushes back CARES reporting timeline, updates guidance

HHS is encouraging all relief fund recipients who have received aggregate payments exceeding $10,000 to establish a reporting…

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President Joe Biden is expected to issue executive orders on coronavirus. (Photo by Win McNamee/Getty Images)

Jan 20 | Susan Morse

President Joe Biden's plan to control the COVID-19 pandemic on day one

Biden is expected to issue a national mask mandate and create an office of COVID-19 response, headed by the new…

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Rule requiring payers to implement APIs for data sharing and to streamline prior authorization is “half-baked,” AHIP says.

Jan 19 | Mallory Hackett

CMS receives payer pushback on final interoperability and prior authorization rule

Rule requiring payers to implement APIs for data sharing and to streamline prior authorization is…

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A person with a clipboard speaks with someone else

Jan 19 | Jeff Lagasse

CMS touts falling premiums in announcing Medicare Advantage and Part D rates

This earlier release of the rate announcement will help MA and Part D plans better plan for 2022 plan costs, CMS…

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HHS Secretary Alex Azar leaves office Wednesday. (Photo by Win McNamee/Getty Images)

Jan 19 | Susan Morse

HHS Secretary Alex Azar submits letter of resignation, effective Wednesday

In the letter, Azar points to the events on January 6 as threatening to "tarnish" the Trump…

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President-elect Biden (Getty Editorial Photo by Sean Rayford.)

Jan 15 | Susan Morse

President-elect Joe Biden releases $1.9 trillion COVID-19 relief plan

The American Rescue Plan calls for investing $20 billion in a national vaccine program and $50 billion in testing.

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Jan 15 | Jeff Lagasse

CMS issues changes to Medicare Advantage and Part D meant to improve coverage, access

The changes are effective in 2022 and may lower enrollee cost sharing on the most expensive prescription…

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Featured Resources

Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to learn strategies that increase patient ...

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?

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Healthcare M&A's down in 2020 but analysts say COVID-19 is a catalyst for future deals Forty-four percent of healthcare CFOs say the pandemic will drive an increase in partnerships across the healthcare ecosystem.

CMS issues final rule on healthcare technology access for seniors The rule is meant to ease undue burden for innovators and speed access to potentially lifesaving technologies.

HHS extends COVID-19 public health emergency declaration until April This action marks the fourth time HHS has extended the declaration that has paid parity for telehealth and continues reporting waivers.

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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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