Revenue CycleHouse Members Ask HHS for Clarification on 96-Hour Payment Rule
Critical access hospitals (CAHs) have not had to abide by the rule in recent years due to financial strains and...
TelehealthPhysician Groups Call for Behavioral Health Integration in Primary Care Practices
Offering more behavioral health services in primary care practices would help address lack of access to care.
InnovationUsing a Bundled Payment Program to Improve Maternity Outcomes
Vanderbilt University Medical Center has designed an innovative care management program that has helped Metro Nashville Public Schools save thousands...
Revenue CycleProviders to Take Cuts in Physician Fee Schedule Proposed Rule
Physician groups are upset by the proposed change in the Medicare Physician Fee Schedule, which includes a $1.53 decrease in...
Revenue CycleAHA Asks for Prompt Repayment of 340B Funds to Hospitals
The hospital organization wants HHS to remedy the unlawful payment cuts without applying budget neutrality.
FinanceBipartisan Legislation To Offer Rural Hospitals Some Financial Relief
Senators Chuck Grassley (R-Iowa) and Bob Casey (D-Pennsylvania) want to extend financial programs to help rural hospitals.
StrategySCOTUS Strikes Down 340B Cuts; Hospitals Whoop
The unanimous ruling in American Hospital Association v. Becerra sets up the potential for hospitals to collect billions of dollars...
Revenue CycleUnitedHealth Sued Over Low Reimbursement Rate for Physicians
The payer giant is accused of forcing physician groups out of network to lure them to its subsidiary, Optum.
PayerCalifornia AG says U.S. HealthWorks Inc. Withheld Millions in Overpayments
The complaint alleges that USHW possessed unclaimed property as early as 2001 but did not file mandated reports with the...
Revenue CycleRapidly Depleting Medicare Assets Call for Better ACO Participation Incentives, Groups Say
The American Medical Association, the National Association of Accountable Care Organizations (NAACO), and others are urging Congress to better incentivize...
PayerA Look at 'High-Performance Solutions': Direct Contracting Options for Purchasers
"?[A]lthough the proverbial devil is in the details, a reasonable path exists toward greater direct contracting between purchasers and ACOs,"...
FinanceRising Costs, Dwindling Revenues, Inflation Among Top Healthcare Challenges for 2022
The pandemic and growing staffing crisis are impacting a number of key financial areas in healthcare, possibly forcing a reevaluation...