91ÊÓƵ

Eighty hospitals want a reversal of a final rule that includes Medicare Advantage in payment calculations.

Mike Vigo, chief revenue officer at UCSD, addresses the "Revenue Cycle Management Technology Adoption Model" at HFMA.  

In a recent SEC filing, Walgreens acknowledged the existence of defaults under the VillageMD Secured Loan.Ìý

The Kaiser-created nonprofit is also giving up to $400M for value-based platform integration and $300M for growth opportunities.

The current hurricane season will require providers, manufacturers and distributors to make adequate supply chain preparations.

CEO Jim Rechtin said a "challenging external environment" is preventing the company from reaching its full potential.

The effects of the pandemic are still being felt, since this year's rebates are affected by 2020 and 2021.

"Do people really realize that digital maturity matters? It really does. It's quality and safety," says HIMSS researcher Anne Snowdon.

CMS has directed that over $4 million in monetary relief be paid to consumers or providers.

Through the real-time platform, providers can submit and track electronic claims, claims status, remittance and claims payment information.Ìý

Stanford says Dr. Nazleen Bharmal will bring a "collaborative leadership approach" to the academic health system.

Medical Oncology Chair Dr. Benjamin Ebert will take over as president and CEO on October 1.Ìý

Every language model demonstrates instances of racist tropes, or a repetition of unsubstantiated claims about race, study says.

The American Hospital Association called the FTC ruling, "bad law, bad policy and a clear sign of an agency run amok."

The gift designates $100 million to establish two research entities within a new institute, each funded by $50 million.

The rules are intended to achieve the promise of the Mental Health Parity and Addiction Equity Act of 2008, federal agencies say.

CMS finalized the update to the IRF PPS payment rates by 3%, based on the final IRF market basket update of 3.5%.

The American Hospital Association took issue with the report, saying the methodology is flawed.

The CMMI model includes downsize risk and accounts for holistic care, such as mental and behavioral health, and health equity.

Between 2022 and 2023, care denials increased 20.2% for commercial claims and 55.7% for Medicare Advantage, says another AHA report.

Business model is unsustainable due to a challenging reimbursement environment and escalating operating costs, company says.

The affiliation is aimed at bridging the information gap between health plans and providers.

The company cut about $2B worth of total debt and added $2.5 billion in exit financing.

Doctors need to carefully and properly use the HCC codes, which indicate the expected costs for a patient.

Final rule disincentives include hospitals not being able to earn three quarters of the annual market basket increase.

The growth poses challenges to providers' credit quality, given growing risks to reimbursement from MA plans.

Twenty-three percent of marketplace enrollees were in a plan with a network that included a quarter or fewer of the doctors in their area.

The analysis also finds a high prevalence of vertical integration of PBMs with health insurance companies.

Hospitals could enhance accessibility by investing in alternative sites of care and virtual visits, report says.

Individuals can be assisted, "perhaps even literally while waiting for their clothes to dry," says UPMC for You president.

Expiration of the pre-deductible telehealth coverage exception in January 2025 may reduce mental health service use if not extended, authors say.

After the acquisition closes, IU Health Plans will operate as part of Anthem Blue Cross and Blue Shield in Indiana.