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Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • Shared Savings in Value-Based Payment Models Produce More Incentives

    April 28, 2022 - Value-based payment models that shared five-year expected savings offered stronger incentives for clinicians to implement preventive interventions for postpartum depression compared to models that offered shared savings over just one year, according to a study published in JAMA Network Open. The Affordable Care Act requires most commercial health insurance plans to cover preventive...

  • Medical Debt Challenges Common Among Consumer Complaints

    April 26, 2022 - Americans continued to face medical debt challenges, with consumers reporting instances of debt collectors attempting to collect medical debt that was already paid or does not belong to them, according to data from the Consumer Financial Protection Bureau (CFPB). The report analyzed consumer complaints submitted to CFPB. In 2021, CFPB sent more than 750,000 consumer complaints to...

  • Physician Practice Acquisitions By Hospitals, Corporations Grew

    April 22, 2022 - Physician practice acquisitions increased during the COVID-19 pandemic, resulting in nearly three-quarters of physicians being employed by hospitals, health systems, or other corporate entities, according to data from Avalere. Avalere gathered physician data from the IQVIA OneKey database between January 2019 and January 2022. The information was presented in a study sponsored by the...

  • Large Hospitals with Low Profits Saw More Ownership Changes

    April 21, 2022 - Medium and large hospitals with low profit margins were more likely to experience ownership changes between 2016 and 2021 compared to their smaller and more profitable counterparts, according to a new report from HHS. The report from the HHS Office of the Assistant Secretary for Planning and Evaluation (ASPE) analyzes new data CMS released on changes of ownership for hospitals and...


Today's Top Stories

Colorado Bill Aims to Limit Debt Collections, Boost Price Transparency

The Colorado House has passed a bill that seeks to prohibit hospitals from pursuing debt collections against patients if the health system does not comply with the CMS hospital price transparency rule. The bipartisan bill is sponsored by...

Shared Savings in Value-Based Payment Models Produce More Incentives

Value-based payment models that shared five-year expected savings offered stronger incentives for clinicians to implement preventive interventions for postpartum depression compared to models that offered shared savings over just one year,...

AMA Announces CPT Codes for Potential COVID-19 Boosters

The American Medical Association (AMA) has updated the Current Procedural Terminology (CPT) code set to include CPT codes for two COVID-19 booster candidates from Pfizer and Sanofi-GlaxoSmithKline (Sanofi-GSK). The Pfizer booster is...

Financial Losses, Challenges Persist for Hospitals, Health Systems

Hospitals and health systems have faced massive financial losses throughout the COVID-19 pandemic and continue to experience staffing shortages, rising expenses, and supply chain issues, a new report from the American Hospital Association...

CMS Plans to Reweight 2021 MIPS Cost Performance Category

CMS will reweight the cost performance category under the Merit-Based Incentive Payment System (MIPS) for the 2021 performance period due to the COVID-19 pandemic’s impact on clinicians and cost measures, according to an announcement...

Medical Debt Challenges Common Among Consumer Complaints

Americans continued to face medical debt challenges, with consumers reporting instances of debt collectors attempting to collect medical debt that was already paid or does not belong to them, according to data from the Consumer Financial...

FAH Requests Hospital Merger Guideline Consistency from DOJ, FTC

The Federation of American Hospitals (FAH) has asked the Federal Trade Commission (FTC) and the Antitrust Division of the Department of Justice (DOJ) to maintain certain aspects of the hospital merger guidelines but modernize the...

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