Susan Morse

Author's posts

Supreme Court to decide legality of drug payment cuts to 340B hospitals

Provider groups have expressed support for a Supreme Court decision to hear a challenge to the Department of Health and Human Services’ move to cut hospital reimbursement in the 340B drug payment program.

Nemours manages care at home through a single digital platform 

Nemours Children’s Health System, which provides care for children up to age 18, has more than 1.8 million patient encounters each year across five states. 
With a majority of patients receiving care for complex medical conditions, Nemours needed a way…

The benefits of using genomic data for health systems and patients 

Genomic data is giving insights into just what will work for a particular patient. This precision medicine is being used in pharmacogenomics, oncology, and immunotherapy.
But widespread use requires reimbursement and getting to a scale in which genomic…

Supreme Court declines to hear cost sharing reduction case

The Supreme Court will not hear a case regarding unpaid cost-sharing reduction payments to insurers.

How Oscar Health integrated case management and utilization management

Aligned incentives, integration and shared risk are what’s needed in healthcare, say CEOs.

Automating the care plan helps avoid burnout

Automating the preoperative process can save time for clinicians, who typically handle matters manually. 
This saves time, which helps prevent burnout. 
“It’s the core of what we’re doing,” said Robbie Hughes, CEO and founder of Lumeon, which offers su…

Double and triple booked provider schedules are overwhelming office staff

1. With patients now flooding into provider offices after some patients delayed care, front and back office provider staff are reportedly overwhelmed. The mix of manual and electronic processes was already a struggle prior to COVID-19. Could you please…

Workflow can determine whether technology is a burden or benefit to physicians

Technology is a known benefit and burden for physicians.
So when Ludi, Inc. CEO and founder Gail Peace introduced a new software designed to help physicians log their time, she went to their offices to observe how they used the new technology and how i…

Hospitals are not complying with price transparency rule, two studies find

Recent studies published in the Journal of the American Medical Association and the American Journal of Managed Care show that most of the hospitals sampled are not complying with the January 1 mandate to post their negotiated rates with payers.

New School of Nursing facility is aimed at alleviating rural nursing shortage 

Institutions of higher education play a key role in addressing disparities caused by nursing shortages, according to Anne Heyen, an assistant teaching professor in the MU Sinclair School of Nursing and lead author of a new study looking at shortages in…