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Reimbursement
AHA backs bill revising reimbursement for long-term care
Revenue Cycle Management
Cleveland Clinic to debut AI tools for revenue cycle
Strategic Planning
26 rural hospitals launch the Ohio High Value Network
Capital Finance
Orlando Health, Watson Clinic partnering on new hospital
Supply Chain
Tariffs will impact supply chain and balance sheet stability
Accounting & Financial Management
Crozer Health to close, laying off over 2,600 employees
Budgeting
Health system operating margins declined in August
Quality and Safety
AHA and Health-ISAC warn hospitals of a potential terrorist attack
Billing and Collections
Revenue cycle challenged by low collection rates, high denials
Claims Processing
Optum levying strict measures on Change outage loan repayment
Workforce
Mass layoffs at HHS are underway
Operations
Chief growth officer on the competitiveness of home health market
Medical Devices
Payers' member digital experiences lagging
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling
Construction & Facilities Management
UVA Health Children's expanding neonatal ICU
Compliance & Legal
Walgreens to pay up to $350 million to settle opioid complaint
Policy and Legislation
NIH to integrate patient data for autism study
Community Benefit
Mobile Healthcare does house calls
Accountable Care
HIMSS25 session shows how physicians are incentivized in APMs
Acute Care
CMS proposing 2.4% increase for hospice care
Ambulatory Care
Fewer clinicians entering primary care
Analytics
Yale New Haven Health data breach affects 5M
Business Intelligence
Centene pulls in $1.3 billion in Q1 earnings
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking
Medicare & Medicaid
HHS rolls back reports of a national autism registry
Patient Engagement
HIMSSCast: 'How do we grow again?'
Pharmacy
Reforms are needed in the 340B drug program, Senate report says
Population Health
Enrollment in ACA exchanges has exploded in recent years
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Alliance for Connected Care outlines policy requests to CMS
Mergers & Acquisitions
CareSource finalizes Commonwealth Care Alliance acquisition
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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'Significant improvements' from direct C-Suite feedback initiative
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Top Stories
CMS denies Humana's Medicare Advantage star ratings appeal
UnitedHealth's stock drops 23% after 'unusual and unacceptable' performance
26 rural hospitals launch the Ohio High Value Network
Risk Management
Mar 14 | Susan Morse
HIMSSCast: The 'genetic revolution' is underway
Genomics CEO Sir Peter Donnelly believes genome testing will become routine within 10 years, leading to lives saved.
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Feb 07 | Susan Morse
HIMSS25 session shows how physicians are incentivized in alternative payment models
At CommonSpirit Health, accountability is 50/50 shared and the healthcare dividend is split with the…
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Oct 03, 2024 | Jeff Lagasse
Employers look to dodge cost-shifting in midst of rising expenses
More than half of employers plan to implement programs that will reduce total costs, a WTW survey finds.
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Oct 02, 2024 | Susan Morse
CMS releases Acute Hospital Care at Home study
The report compares cost, care, patient experience and more to brick-and-mortar care, ahead of the expiration of the waiver.
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Sep 13, 2024 | Susan Morse
HIMSSCast: How care collaboration impacts patients and providers
Sutter Health in California has collaborated with PointClickCare's ED Optimization to track patients who travel between…
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Sep 11, 2024 | Nathan Eddy
Finance execs are focused on cutting costs through technology
AI has emerged as a critical area of investment, with 57% of executives planning to invest this year.
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Aug 14, 2024 | Susan Morse
Healthcare organizations ask Congress for continuous Medicaid eligibility
Nationwide policy of 12-month continuous eligibility would allow these programs to operate more like private…
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Jul 26, 2024 | Jeff Lagasse
HHS overhauling its tech, cybersecurity and AI functions
The reorganization is intended to clarify and consolidate these functions in a number of ways, HHS says.
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Jul 05, 2024 | Susan Morse
HIMSSCast: One clinical data set for payers and providers
Payers need information for risk adjustment and providers need data to close gaps in care, says Piyush Khanna of Care First BCBS.
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May 30, 2024 | Susan Morse
Clover Health is offering its AI assistant to all Medicare Advantage payers and providers
Clinicians using Counterpart Assistant see over 1,000 basis point differential in Medical Cost…
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