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Anthem and Humana enter into multimillion agreement with SS&C for API cloud platform
Anthem, Humana and SS&C Technologies have entered into a joint venture named DomaniRx to develop a claims adjudication and pharmacy benefits manager cloud platform, according to documents filed by SS&C Technologies with the Securities and Exchange Comm…
How algorithms developed during COVID-19 are expanding the digital strategy at UMass Memorial
Dr. David McManus (left), chair of the Department of Medicine and Dr. Michael Gustafson, president, UMass Memorial Health. Photo: Courtesy of UMass Memorial Health
CMS and IRS will keep tax subsidies for ACA consumers who failed to file tax returns
States should encourage their immigrant populations to access public health benefits, since the public charge rule is no longer in effect.
Fourteen healthcare groups support the Value in Health Care Act
AHIP, the American Hospital Association and the American Medical Association are among 14 national health stakeholder groups that are praising the introduction of legislation to accelerate the move to value-based payments and alternative payment models.
AHA calls for mandatory vaccinations for hospital and health system employees
The American Hospital Association supports mandatory vaccinations for hospital and health system employees, according to a policy statement adopted by the AHA Board of Trustees on Tuesday.
CMS proposes penalty increase for hospitals that fail to comply with price transparency rule
The Centers for Medicare and Medicaid Services is proposing to increase the penalty for hospitals that do not comply with the Hospital Price Transparency final rule.
CMS wants to set a minimum civil monetary penalty of $300 per day for smaller hospit…
Atul Gawande is Biden’s pick to lead Bureau for Global Health
President Joe Biden will nominate Dr. Atul Gawande as assistant administrator of the Bureau for Global Health, United States Agency for International Development, the White House announced this week.
ROI in risk-based contracts requires data and analytics
Summit Health has seven commercial and Medicare risk-based contracts covering more than 165,000 lives.
CMS seeks to expand telehealth mental health access
The Centers for Medicare and Medicaid Services is proposing to lift restrictions on telehealth access in the home for the treatment of mental health disorders and to expand rural access to mental health services through interactive telecommunications.
CMS proposes higher performance threshold for MIPS
In a proposed physician fee schedule rule released on Tuesday, the Center for Medicare and Medicaid Services is proposing to require clinicians to meet a higher performance threshold to be eligible for incentives under the merit-based incentive payment…
