Clinical Care

Covenant Healthcare Paid $69M to Settle FCA Allegations
Two physicians allegedly involved in the scheme to defraud Medicare, Medicare, TRICARE and other government payers will also pay a...
5 Prior Authorization Updates for Rev Cycle Leaders
Not many regulations have had such a profound impact on patients and organizations like prior authorization requirements.

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MGMA COO: Staffing Shortage 'Issue One, Two, and Three for Practices'
For physician practices, potential decreases in telehealth reimbursement and other financial challenges loom on the horizon.
Manage Your Hospitalized Diabetic Patients to Improve Outcomes and Lower Cost of Care
Compared to other hospitalized patients, patients with diabetes have longer lengths of stay and higher readmission rates.
13.9% of Adults Who Test Positive for COVID-19 Experience Long COVID, Study Finds
Researchers found that completion of the primary series of COVID vaccination before acute COVID-19 illness was associated with a lower...
The Exec: Trinity Health's CEO on How to Improve Care Delivery, Payer Models
Michael Slubowski talks candidly about the future of healthcare and rising costs for nonprofit health systems.
Patients Want to Receive Medical Test Results Immediately Online, Study Finds
The immediate release of test results without counseling from a clinician is controversial.
CVS closes $8B Signify Health acquisition—are more coming?
The pharmacy retailer makes one acquisition official while another one is being questioned.
Telehealth has met the reality of medical billing
Many calls and messages now count as a ?visit? that you could be charged for.
TX judge strikes down ObamaCare's free preventive services requirement
A federal judge in Texas struck down a key provision of the Affordable Care Act that requires insurers and employers...
Oklahomans in rural communities struggle to maintain access to health care
Many rural communities are struggling to keep enough health providers to support the population.
Kentucky and West Virginia move to limit transgender therapies
At least 11 US states have placed restrictions or outright bans on gender-affirming treatments for children.
'We're going away': A state's choice to forgo Medicaid funds is killing hospitals
Mississippi is one of 10 states, all with Republican-led legislatures, that continue to reject federal funding to expand health insurance...
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