smorse

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Using zip codes to find at-risk patients to determine the social determinants of health

Why don’t patients do what they know is good to stay healthy? The answer often comes down to the social determinants, expert says.

Hospital star ratings released as CMS seeks to update methodology

The number of vulnerable patients, social risk factors, and other issues beyond a provider’s control, lead to misleading ratings, Essential Hospitals says.

Medicare for all: Don’t rip health system apart and start from scratch, insurers and providers say

Government has a history of slashing provider payments for government health programs; Medicare and Medicaid reimburse providers less than the cost of delivering care, AHA says.

St. Luke’s revenue cycle benefits by offering patients a discounted price for paying upfront

The health system is keeping up with CMS mandates for price transparency, requirements that will only grow over time, senior Finance VP says.

Senate Finance Committee wants pharma commitment for lower list prices on drugs

End rebates for both Medicare and commercial plans, and they will lower list prices, pharmaceutical executives say.

Seven big pharma executives are being asked to explain drug prices before Senate Finance Committee

On Tuesday morning, executives from seven pharmaceutical companies will face …

Planned Parenthood barred from Title X funds under final rule

Planned Parenthood vows to fight rule it and American Medical Association call a gag order between provider and patient.

Keep silver loading for health plans, insurer and hospital groups tell CMS

Implementing rules on price transparency and interoperability would be helped by insurers sharing information publicly, asserts the American Hospital Association.

Keep silver loading for health plans, insurer and hospital groups tell CMS

Implementing rules on price transparency and interoperability would be helped by insurers sharing information publicly, asserts the American Hospital Association.

CMS launches podcast to discuss policies and agency updates

First "CMS: Beyond the Policy" podcast explains physician fee schedule for 2019, in a conversational format.