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Management Summit.
4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM WILL HOSPITAL PATIENT VISITS RETURN TO NORMAL IN 2021? January 29, 2021 - Hospitals still have some time before they recover from historic patient visit reductions during the COVID-19 pandemic in 2020, according to a new analysis.. Hospital patient visits are unlikely to return to pre-pandemic volumes in 2021 and are likely to stay at lower levels throughout the new year, the analysis released earlier this week by TransUnion Healthcare revealed. BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, CMS DELAYS CODIFYING DEFINITION OF “REASONABLE AND NECESSARY” May 20, 2021 - CMS announced that it will delay the effective date of a final rule updating the definition of “reasonable and necessary” and the guidelines surrounding the Medicare Coverage of Innovative Technology (MCIT) pathway. This delay is intended to give CMS time to address stakeholder issues that surfaced during its public commentperiod.
TOP VALUE-BASED PAYMENT CHALLENGES FOR SKILLED NURSING November 26, 2019 - As long-term and post-acute care (LTPAC) programs transition to value-based payment options, various challenges arise for skilled-nursing facilities (SNFs) and other long-term and post-acute care (LTPAC) clinicians, according to an Advancing Excellence in Long-Term Care Collaborative report on VBP programs.. Chief among the challenges is lack of inclusivity, stated the PRIVATE EQUITY FIRMS INCREASINGLY BUYING PHYSICIAN PRACTICES February 25, 2020 - Private equity firms acquired 355 physician practices from 2013 to 2016, and the number of acquisitions rose exponentially during the period, according to research published in JAMA.. The research letter from experts at the Oregon Health & Science University, Wharton School of the University of Pennsylvania, and Johns Hopkins University found that 1,426 sites and VALUE-BASED CARE REDUCES COSTS BY 5.6%, IMPROVES CARE QUALITY June 18, 2018 - Value-based care strategies are starting to achieve the goals of the Triple Aim, payers reported in a new ORC International study commissioned by Change Healthcare.. The analysis of 120 payers across a range of organization size and type revealed that medical costs fell 5.6 percent, on average, under value-based care models, while care quality and patient engagement also PRE-ACCESS CENTER COLLECTS MORE PATIENT FINANCIAL The scripts are working for St. Luke’s. Prior to all the improvements and the creation of the pre-access center, the hospital was collecting about $400,000 a year in timely service payments. Now, the hospital exceeds $1 million a year in patient payments and the hospital is pushing for $2 million in 2019. “You need to invest inthe front
REVENUE CYCLE MANAGEMENT AND June 7, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM WILL HOSPITAL PATIENT VISITS RETURN TO NORMAL IN 2021? January 29, 2021 - Hospitals still have some time before they recover from historic patient visit reductions during the COVID-19 pandemic in 2020, according to a new analysis.. Hospital patient visits are unlikely to return to pre-pandemic volumes in 2021 and are likely to stay at lower levels throughout the new year, the analysis released earlier this week by TransUnion Healthcare revealed. BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, CMS DELAYS CODIFYING DEFINITION OF “REASONABLE AND NECESSARY” May 20, 2021 - CMS announced that it will delay the effective date of a final rule updating the definition of “reasonable and necessary” and the guidelines surrounding the Medicare Coverage of Innovative Technology (MCIT) pathway. This delay is intended to give CMS time to address stakeholder issues that surfaced during its public commentperiod.
TOP VALUE-BASED PAYMENT CHALLENGES FOR SKILLED NURSING November 26, 2019 - As long-term and post-acute care (LTPAC) programs transition to value-based payment options, various challenges arise for skilled-nursing facilities (SNFs) and other long-term and post-acute care (LTPAC) clinicians, according to an Advancing Excellence in Long-Term Care Collaborative report on VBP programs.. Chief among the challenges is lack of inclusivity, stated the PRIVATE EQUITY FIRMS INCREASINGLY BUYING PHYSICIAN PRACTICES February 25, 2020 - Private equity firms acquired 355 physician practices from 2013 to 2016, and the number of acquisitions rose exponentially during the period, according to research published in JAMA.. The research letter from experts at the Oregon Health & Science University, Wharton School of the University of Pennsylvania, and Johns Hopkins University found that 1,426 sites and VALUE-BASED CARE REDUCES COSTS BY 5.6%, IMPROVES CARE QUALITY June 18, 2018 - Value-based care strategies are starting to achieve the goals of the Triple Aim, payers reported in a new ORC International study commissioned by Change Healthcare.. The analysis of 120 payers across a range of organization size and type revealed that medical costs fell 5.6 percent, on average, under value-based care models, while care quality and patient engagement also PRE-ACCESS CENTER COLLECTS MORE PATIENT FINANCIAL The scripts are working for St. Luke’s. Prior to all the improvements and the creation of the pre-access center, the hospital was collecting about $400,000 a year in timely service payments. Now, the hospital exceeds $1 million a year in patient payments and the hospital is pushing for $2 million in 2019. “You need to invest inthe front
VALUE-BASED CARE NEWS Remote Patient Monitoring, Telehealth Support Value-Based Contracts. May 25, 2021 by Jacqueline LaPointe. The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services TOP HEALTHCARE FRAUD TAKEDOWNS OF 2020 Feds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including hospital managers, laboratory owners, billers, and recruiters, for their alleged involvement in a pass-through billing scheme using struggling rural hospitals in theSouth.
REPORT IDENTIFIES MARKETS RIPE FOR PAYVIDER ADOPTION, GROWTH 1 day ago · June 10, 2021 - “Payvider” adoption is increasing but some areas are riper for growth than others, according to a recent analysis by healthcare consulting firm Guidehouse.. A payvider is a provider organization that operates its own health plans. But the payvider model also includes other risk-based collaborations between payers and providers, such as direct employment of physicians by HOW PROVIDERS CAN IMPROVE PATIENT FINANCIAL EXPERIENCE June 09, 2021 - In the wake of COVID-19, calls for patient financing flexibility, a shift to digital payment methods, and a need for increased bill transparency have providers changing course when it comes to improving patient financial experience.. Two recent reports, one from Patientco and another by VisitPay, revealed new insights on the impact of the pandemic on patient financial CMS INCREASES MEDICARE PAYMENTS FOR AT-HOME COVID-19 June 09, 2021 - Medicare payments will increase by $35 per dose for providers who administer at-home COVID-19 vaccinations for Medicare beneficiaries, CMS announced today. In alignment with President Biden’s goal of ensuring vaccine accessibility, this increase will incentivize providers and allow beneficiaries who cannot leave their homes the opportunity to receive the vaccine. OVER THIRD OF HOSPITAL EXECS REPORT CLAIM DENIAL RATES June 07, 2021 - Hospital claim denial rates are at an all-time high, signaling a need for better claims denial management, a recent survey from Harmony Healthcare reveals. The healthcare industry has seen a 20 percent increase in claim denial rates in the past five years, and the COVID-19 pandemic has only worsened the trend. REVENUE CYCLE OUTSOURCING SOLVES STAFFING CHALLENGES FOR 1 day ago · June 10, 2021 - The billing team at Tucson Gastroenterology was meeting a bar of excellence, according to Julie Wester, contract administrator at the Arizona-based specialty practice. But that bar was threatened when long-time staff members were starting to retire. “Some people had been there for a long time, like 19 years, and they were retiring and moving on,” Westerrecently told
ONE MEDICAL WILL EXPAND CARE WITH ACQUISITION OF IORA HEALTH June 08, 2021 - One Medical has announced its plans to acquire human-centric, value-based primary care group Iora Health.. The agreement will allow One Medical, a human-centered and technology-powered primary care organization, and Iora Health to work together to accelerate and expand their missions to improve healthcare for consumers, employers, payers, providers, and health 51 ORGANIZATIONS JOIN NEW DIRECT CONTRACTING OPPORTUNITY The 51 participants, otherwise known as Direct Contract Entities, will take part in the model’s implementation year from Oct. 1, 2020, through March 31, 2021. November 05, 2020 - CMS recently announced that 51 organizations will take part in a new directing contracting opportunity that will test what the agency calls the “next evolutionof
ALTERNATIVE PAYMENT MODELS NEWS AND RESOURCES FOR CMS Announces 184 Participants For ET3 Model, New Funding. March 16, 2021 by Jacqueline LaPointe. CMS has shared the final list of 184 public and private ambulance providers and suppliers selected to participate in the agency’s Emergency Triage, Treat, and Transport (ET3) Model, an alternative payment model that encourages REVENUE CYCLE MANAGEMENT AND June 7, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
MEDICAID PHYSICIAN REIMBURSEMENT RATES LAG MEDICARE February 10, 2021 - Medicaid physician reimbursement is significantly lower than commercial payer and even Medicare payments for the same services despite growing enrollment in the public healthcare program, reveals a new Urban Institute study.. The study recently published in Health Affairs found that Medicaid physician reimbursement in the fee-for-service portion of the program was ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION By Jacqueline LaPointe. January 25, 2021 - Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477 ACOs are participating in Medicare’s flagship ACO program in 2021, down from 517 ACOs in2020.
4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, TOP HEALTHCARE FRAUD TAKEDOWNS OF 2020 Feds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including hospital managers, laboratory owners, billers, and recruiters, for their alleged involvement in a pass-through billing scheme using struggling rural hospitals in theSouth.
KEY COVID-19 CLAIM DENIAL TRENDS ARISING FROM THE CARES ACT July 06, 2020 - The Coronavirus Aid, Relief, and Economic Security (CARES) Act was developed to provide the healthcare resources needed to fight COVID-19. Signed into law March 27, 2020, the Act was designed to provide fast and direct economic assistance for US workers and their families, small businesses, and to preserve jobs.. Under the CARES Act, group health plans and health insurance 5 KEY WAYS TO ENSURE HOSPITAL COMPLIANCE PROGRAM CONSISTENCY 2. Write out policies, procedures, and schedules. Having policies, procedures, and schedules detailed in a compliance handbook or other official document is key to program consistency. OIG advises healthcare boards to establish “a comprehensive policy and objectives to define your quality improvement and patient safetyprogram.”.
GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTS The organizations could reduce supply-related purchasing costs by 13.1 percent for hospitals and nursing homes, the analysis shows. With GPOs significantly reducing supply chain costs, Dobson DaVanzo & Associates economists estimate that the organizations will reduce total healthcare spending for hospitals and nursing homes by up to $456.6 REVENUE CYCLE MANAGEMENT AND June 7, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
MEDICAID PHYSICIAN REIMBURSEMENT RATES LAG MEDICARE February 10, 2021 - Medicaid physician reimbursement is significantly lower than commercial payer and even Medicare payments for the same services despite growing enrollment in the public healthcare program, reveals a new Urban Institute study.. The study recently published in Health Affairs found that Medicaid physician reimbursement in the fee-for-service portion of the program was ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION By Jacqueline LaPointe. January 25, 2021 - Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477 ACOs are participating in Medicare’s flagship ACO program in 2021, down from 517 ACOs in2020.
4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, TOP HEALTHCARE FRAUD TAKEDOWNS OF 2020 Feds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including hospital managers, laboratory owners, billers, and recruiters, for their alleged involvement in a pass-through billing scheme using struggling rural hospitals in theSouth.
KEY COVID-19 CLAIM DENIAL TRENDS ARISING FROM THE CARES ACT July 06, 2020 - The Coronavirus Aid, Relief, and Economic Security (CARES) Act was developed to provide the healthcare resources needed to fight COVID-19. Signed into law March 27, 2020, the Act was designed to provide fast and direct economic assistance for US workers and their families, small businesses, and to preserve jobs.. Under the CARES Act, group health plans and health insurance 5 KEY WAYS TO ENSURE HOSPITAL COMPLIANCE PROGRAM CONSISTENCY 2. Write out policies, procedures, and schedules. Having policies, procedures, and schedules detailed in a compliance handbook or other official document is key to program consistency. OIG advises healthcare boards to establish “a comprehensive policy and objectives to define your quality improvement and patient safetyprogram.”.
GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTS The organizations could reduce supply-related purchasing costs by 13.1 percent for hospitals and nursing homes, the analysis shows. With GPOs significantly reducing supply chain costs, Dobson DaVanzo & Associates economists estimate that the organizations will reduce total healthcare spending for hospitals and nursing homes by up to $456.6 HOW COVID-19 IS IMPACTING THE HEALTHCARE REVENUE CYCLE March 10, 2020 - As entire nations encourage their populations to stay inside to avoid COVID-19, healthcare providers are more active than ever in response to the outbreak of the novel coronavirus. This activity is having a significant impact on the healthcare revenue cycle and provider finances. According to the latest situation report from the World Health Organization, there are over REPORT IDENTIFIES MARKETS RIPE FOR PAYVIDER ADOPTION, GROWTH June 10, 2021 - “Payvider” adoption is increasing but some areas are riper for growth than others, according to a recent analysis by healthcare consulting firm Guidehouse.. A payvider is a provider organization that operates its own health plans. But the payvider model also includes other risk-based collaborations between payers and providers, such as direct employment of physicians by VALUE-BASED CONTRACTING 101: PREPARING, NEGOTIATING, AND June 01, 2021 - The Triple Aim. The Quadruple Aim. Right care at the right place at the right time. Whether one works in a hospital or small independent practice, healthcare providers are leaning on these concepts to deliver valuable care to their patients, and that is in its simplest form: care that results in the best patient outcomes at the lowest possible cost to the patient and the system. HOW PROVIDERS CAN IMPROVE PATIENT FINANCIAL EXPERIENCE 1 day ago · June 09, 2021 - In the wake of COVID-19, calls for patient financing flexibility, a shift to digital payment methods, and a need for increased bill transparency have providers changing course when it comes to improving patient financial experience.. Two recent reports, one from Patientco and another by VisitPay, revealed new insights on the impact of the pandemic on patient financial behaviors BEFORE COVID-19, HEALTHCARE SPENDING INCREASED BY 4.6% June 07, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports.. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research CMS INCREASES MEDICARE PAYMENTS FOR AT-HOME COVID-19 1 day ago · June 09, 2021 - Medicare payments will increase by $35 per dose for providers who administer at-home COVID-19 vaccinations for Medicare beneficiaries, CMS announced today. In alignment with President Biden’s goal of ensuring vaccine accessibility, this increase will incentivize providers and allow beneficiaries who cannot leave their homes the opportunity to receive the vaccine. OVER THIRD OF HOSPITAL EXECS REPORT CLAIM DENIAL RATES June 07, 2021 - Hospital claim denial rates are at an all-time high, signaling a need for better claims denial management, a recent survey from Harmony Healthcare reveals. The healthcare industry has seen a 20 percent increase in claim denial rates in the past five years, and the COVID-19 pandemic has only worsened the trend. REVENUE CYCLE OUTSOURCING SOLVES STAFFING CHALLENGES FOR 4 hours ago · June 10, 2021 - The billing team at Tucson Gastroenterology was meeting a bar of excellence, according to Julie Wester, contract administrator at the Arizona-based specialty practice. But that bar was threatened when long-time staff members were starting to retire. “Some people had been there for a long time, like 19 years, and they were retiring and moving on,” Westerrecently told
ONE MEDICAL WILL EXPAND CARE WITH ACQUISITION OF IORA HEALTH 1 day ago · June 08, 2021 - One Medical has announced its plans to acquire human-centric, value-based primary care group Iora Health.. The agreement will allow One Medical, a human-centered and technology-powered primary care organization, and Iora Health to work together to accelerate and expand their missions to improve healthcare for consumers, employers, payers, providers, and health REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS March 24, 2021 - Washington-based Astria Health recently filed a complaint in bankruptcy court against Cerner, blaming the EHR and revenue cycle management vendor for the health system’s financial demise and the closure of its medical center last year. Astria Health contended in the complaint filed Monday that Cerner and its subsidiary, Cerner RevWorks LLC, made “intentional This website uses a variety of cookies, which you consent to if you continue to use this site. You can read our privacy policy for details about how these cookies are used, and to grant or withdraw your consent for certain types of cookies. Consent and dismiss this banner by clickingagree.
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KEY CONSIDERATIONS FOR PROVIDERS THINKING OF CAPITATION PAYMENTS November 12, 2020 - More providers are thinking of switching to capitation payments in light of the COVID-19 pandemic. However, the decision should not be taken lightly; provider organizations need to consider the major risks and challenges of the lump sum payments, industry experts are saying. A recent Health Affairs blog post authored by Brigham and Women’s Hospital’s Vishal S. Arora,...Read More...
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3 WAYS HEALTH SYSTEMS ARE PREPARING FOR A COVID-19 VACCINE November 25, 2020 - With an emergency use authorization just around the corner for a COVID-19 vaccine, health systems are preparing to receive and manage the drug to stop the spread of the novel coronavirus. But most system leaders do not feel ready to take on the drug when it becomes available. More than 90 percent of attendees of a Premier webcast earlier this month said state and federalgovernments...
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BREAKING FROM TRADITIONAL HEALTHCARE BUDGETING DURING MODERN TIMES November 24, 2020 - No one could have predicted the impact COVID-19 would have on 2020, least of all healthcare executives who approved budgets and spending targets months or even a year prior to the outbreak of the novel coronavirus. Reduced volumes, new supply needs, and other virus-related expenses put an obvious strain on traditional healthcare budgeting and forecasting, which relies on a static...Read More...
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FINANCIAL INCENTIVES BIGGEST BARRIER TO SOCIAL DETERMINANTS OF HEALTH November 16, 2020 - The success of social determinants of health strategies is contingent on funding and supportive financial incentives, providers revealed in Insights by Xtelligent Healthcare Media’s latest report. Recent work has shown sizable investments from healthcare organizations to address these non-clinical factors influencing patient health, including over $1.6 billion inhousing-focused...
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KEY CONSIDERATIONS FOR PROVIDERS THINKING OF CAPITATION PAYMENTS November 12, 2020 - More providers are thinking of switching to capitation payments in light of the COVID-19 pandemic. However, the decision should not be taken lightly; provider organizations need to consider the major risks and challenges of the lump sum payments, industry experts are saying. A recent Health Affairs blog post authored by Brigham and Women’s Hospital’s Vishal S. Arora,...Read More...
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3 WAYS HEALTH SYSTEMS ARE PREPARING FOR A COVID-19 VACCINE November 25, 2020 - With an emergency use authorization just around the corner for a COVID-19 vaccine, health systems are preparing to receive and manage the drug to stop the spread of the novel coronavirus. But most system leaders do not feel ready to take on the drug when it becomes available. More than 90 percent of attendees of a Premier webcast earlier this month said state and federalgovernments...
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WHAT HEALTHCARE CFOS CAN EXPECT UNDER A BIDEN PRESIDENCY For many voters, the 2020 presidential election was less about red and blue and more about white, as in the white coat. Healthcare was a dominant issue in the race between the incumbent President Donald J. Trump and Democratic runner Vice President Joe Biden. Not only did the election take place...Read More...
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HHS CLARIFIES DEBATED PROVIDER RELIEF FUND REPORTING REQUIREMENTS HHS is addressing Provider Relief Fund reporting requirements that have left recipients questioning how they can spend the financial aid from the federal government. The federal department clarified in several Frequently Asked Questions... 3 WAYS HEALTH SYSTEMS ARE PREPARING FOR A COVID-19 VACCINE With an emergency use authorization just around the corner for a COVID-19 vaccine, health systems are preparing to receive and manage the drug to stop the spread of the novel coronavirus. But most system leaders do not feel ready to take... SLOW HOSPITAL VISIT RECOVERY SUGGESTS TELEHEALTH HERE TO STAY Hospital visit recovery may be hitting another bump in the road as new consumer research indicates that patients prefer telehealth services and other alternative care options. The new data from TransUnion Healthcare recently showed that,... HHS OVERHAULS KEY HEALTHCARE FRAUD LAWS TO ADVANCE VALUE-BASED CARE After years of debate, HHS agencies have made changes to two major healthcare fraud, waste, and abuse laws that providers have said get in the way of value-based care progress. Late last week, CMS and OIG released final rules that will... BREAKING FROM TRADITIONAL HEALTHCARE BUDGETING DURING MODERN TIMES No one could have predicted the impact COVID-19 would have on 2020, least of all healthcare executives who approved budgets and spending targets months or even a year prior to the outbreak of the novel coronavirus. Reduced volumes, new... FTC LOOKS TO BLOCK ACQUISITION OF 2 TENET HOSPITALS IN MEMPHIS The Federal Trade Commission (FTC) recently filed a lawsuit in federal court to prevent a $350 million healthcare acquisition deal involving two Memphis, Tennessee-based hospitals owned by Tenet Healthcare Corporation. Nearly a year ago,... PROVIDERS SAY THEY NEED MORE FINANCIAL AID AS COVID-19 CASES RISE Providers belonging to the American Medical Group Association (AMGA) are citing rising COVID-19 cases as a reason why Congress should pass additional financial assistance. In a letter sent to Congressional leaders earlier this week, AMGA...View all stories
Interviews
* Breaking from Traditional Healthcare Budgeting During Modern TimesNov 24, 2020
* A Specialty Group’s Revenue Cycle Automation JourneyNov 02, 2020
* Court Denies Requests to Revisit 340B, Site-Neutral Payment CasesOct 21, 2020
* Baptist Memorial Health Care Enhances Patient Collections with IVROct 19, 2020
* Designing Alternative Payment Models for Health System ResiliencyOct 14, 2020
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