Reimbursement
Congress should address statutory constraints that prevent CMS from helping providers impacted by the Change cyberattack, says AHA.
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Revenue Cycle Management
Prioritizing preventive care can help increase positive healthcare outcomes, while financial solutions can support accessibility.
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Supply Chain
Hospitals need a holistic dashboard of financial indicators that align with how revenues get recognized, says Premier CEO Mike Alkire.
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Budgeting
The effects of the pandemic are still being felt, since this year's rebates are affected by 2020 and 2021.
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Quality and Safety
AHA says it welcomes the letter urging UHG to step up payments to hospitals, physicians and other providers.
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Claims Processing
UHG's Temporary Funding Assistance Program, as well as contractual terms, are unacceptable, AHA says in letter.
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Workforce
The guide provides a step-by-step process for hospitals to start making organizational-level changes to curb burnout.
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Operations
HHS surveyed payers for data relating to actions they were taking to help providers resolve issues.
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Medical Devices
Every language model demonstrates instances of racist tropes, or a repetition of unsubstantiated claims about race, study says.
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Compliance & Legal
Amedisys would be folded into Optum, but the DOJ and state regulators are putting the deal under the microscope.
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Policy and Legislation
The rule limits short-term plans to no more than four months instead of the current three years as set under the Trump administration.
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Community Benefit
The American Hospital Association took issue with the report, saying the methodology is flawed.
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Accountable Care
The model is meant for low-revenue ACOs, preventing independent PCPs that have partnered with a hospital from joining, NAACOS says.
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Acute Care
For the program to continue into 2025, legislative action is needed.
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Ambulatory Care
Telehealth, wearables and artificial intelligence all hold promise to increase access to care for underserved populations.
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Analytics
Approach has firmed up data integrity, better decision-making and a more centralized team.
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Business Intelligence
Habitat Health is designed to help participants live independently in their homes, beginning first in California and then nationally.
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ICD-10 & Coding
Doctors need to carefully and properly use the HCC codes, which indicate the expected costs for a patient.
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Meaningful Use
Administrator Seema Verma said changes to the program eliminate 25 measures and saves hospitals over 2 million hours of work and $75 million.
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Patient Engagement
An average of 3.2% of all claims denied include those that are preapproved via the prior authorization process.
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Pharmacy
Upwards of 41 drugs available through Medicare Part B could have a lowered Part B coinsurance rate from April 1 to June 30.
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Population Health
Engaging leaders and holding managers accountable can improve workplace culture and employee mental health in positive ways.
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Risk Management
Individuals can be assisted, "perhaps even literally while waiting for their clothes to dry," says UPMC for You president.
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Telehealth
When developing a telehealth equity strategy, it's important first to identify potential disparities in access, one expert says.
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