FinanceCourt Rules Against Dignity Health in Out-of-Network Case, L.A. Care CEO Reacts
The Second District Court of Appeal unanimously ruled in favor of the Los Angeles-based insurer.
Finance8 Trends that Rocked the Revenue Cycle in 2019
As the sun sets on 2019, we look back and reflect on the major news and trends that shaped the...
Finance'Above the Law'? Judge Criticizes 2020 Rule on Site-Neutral Payments, Lets It Stand
Hospitals had asked the court that vacated the 2019 rule to enforce its decision against the 2020 rule as well....
FinanceSite-Neutral Back Pay: CMS to Give Hospitals More Money for 2019, Carry Fight Into 2020
The administration agreed to comply with a federal judge's order that vacated site-neutral payment provisions of OPPS 2019, but it...
FinanceSupreme Court Seems Sympathetic To Insurers In Obamacare Case
The administration argues it doesn't have to pay the money because a Republican-controlled Congress stripped away most of the funding.
StrategyObamacare Back At The High Court—With Billions For Insurers On The Line
Lower courts were split on whether the government should be forced to make the payments. Here are five reasons you...
FinanceMore Than 600 Hospitals Sue HHS Over Inpatient Rate Reduction
The reduction has cost each hospital that participates in the Medicare program an average of $200,000 per year, the suit...
Finance$4B in DSH Cuts Likely Delayed Until Dec. 20
If the Senate passes the stopgap, President Trump is expected to sign it.
FinanceSite-Neutral Groundhog? Hospitals Urge Judge to Whack 2020 Payment Policy, Too
The government is moving forward with 'the second year of a two-year phase-in,' even though a judge vacated the policy...
Clinical CareDoc Groups Laud CMS' E/M Reforms, Red Tape Reductions
The final rule updates the longstanding E/M documentation and coding framework used by clinicians to bill Medicare.
InnovationCMS Contest Gets Real About Artificial Intelligence
Six hospitals and health systems are among the 25 participants selected to participate in a $1.65 million challenge to use...
FinanceBlue Shield of California Launches Real-Time Claims Payment Pilot
The insurer is testing the pilot in Sacramento, as part of a collaboration with OODA Health and Dignity Health.