Reimbursement
The AHA is also concerned about a proposed mandatory model for five clinical episodes.
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Revenue Cycle Management
A recent survey shows more than half of consumers struggle with out-of-pocket healthcare costs, but offering payment options can help patients manage cost.
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Strategic Planning
CVS has fared better because of its ability to scale and coordinate its other business model resources, Aetna and Signify, analyst says.
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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
Preventable adverse events are common in such settings, with 1.9% of patients experiencing at least one preventable event.
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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
A plant in Toledo, Ohio is being shuttered, with its 129 employees given notice.
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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
The cyberattack that brought down the Ascension IT Systems was "foreseeable and preventable," complaints say.
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Policy and Legislation
Whitehouse and Cassidy called primary care a "critical part" of the healthcare equation, saying it improves outcomes and lowers costs.
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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 biggest challenge ACOs face is the lack of good data on specialist performance, says study author Rob Mechanic.
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Acute Care
For the program to continue into 2025, legislative action is needed.
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Ambulatory Care
Business model is unsustainable due to a challenging reimbursement environment and escalating operating costs, company says.
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Analytics
Approach has firmed up data integrity, better decision-making and a more centralized team.
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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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Medicare & Medicaid
The state-level average price has remained above 200% of Medicare for years, though wide variation among states exists.
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Patient Engagement
Half the U.S. population - 157 million people - rely on employer-sponsored health insurance, according to the organization.
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Pharmacy
Its specialty pharmacy capability includes utilization management and a site-of-care program combined with in-house pharmacists.
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Population Health
Environment allergies are likely the costliest conditions in the U.S. due to the indirect costs of missed work and low productivity, a doctor says.
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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
Ovatient and partner MetroHealth said they plan to serve more than 12,000 patients in the first year of their partnership.
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