Revenue CycleDepartment of Justice Asked to Investigate False Claims Act Violations
The American Hospital Association (AHA) is asking for the creation of a task force to look into improper denials by...
Revenue CycleAHA Wants 'Swift Action' Against Restrictive Medicare Advantage Plans
CMS is urged to take steps to increase MA plan oversight and address issues raised in an OIG report.
Revenue CycleMGMA Recommends Priority Changes to Improve IDR Portal
CMS receives comments on the next update to the dispute resolution process as part of the No Surprises Act.
Revenue CycleMedicare Advantage Prior Authorizations Are Often Unnecessarily Denied
A report by the Office of Inspector General (OIG) raises concerns about organizations prioritizing profits over patient access to care.
PharmaPharma Faces Sweeping Legislative Changes
The bills aim to speed the discovery of new cures, improve patient representation in clinical trials, and enhance the FDA's...
Covid-19Despite Losing Federal Money, California Is Still Testing Uninsured Residents for COVID — For Now
Absent free options, people without health insurance could pay as much as several hundred dollars out-of-pocket depending on where they...
Revenue CycleBiden-Harris Administration Targets Harmful Billing Practices
New medical debt reforms have been announced, which include holding providers and debt collectors accountable.
TechnologyONC Chief Defends Health IT Investment Despite Cost of Ownership Concerns
In the second of a two-part interview, Micky Tripathi points to resources to optimize best practices, but says the ONC...
PayerIf Premium Tax Credits Expire, Millions Will Lose Health Insurance
Those lucky enough to continue to afford health insurance likely will see "significant" premium hikes.
TelehealthStates Consider Cutting Back on Telehealth Freedoms
The pandemic created a surge in virtual care as state and federal lawmakers relaxed the rules to expand telehealth access...
FinancePandemic Funding Is Running Out for Community Health Workers
Hundreds of millions of dollars were supposed to go to building a community health workforce after the American Rescue Plan...
PharmaPrescription Drug Spending Debate Turns to Payers
The past decade has been marked by major drug price hikes. But the spotlight has historically been on drug manufacturers...