Author's posts
Surescripts is being considered as a hub for data exchange under QHIN
Surescripts subsidiary Surescripts Health Information Network is seeking designation as a Qualified Health Information Network under the Trusted Exchange Framework and Common Agreement (TEFCA), according to the company’s director of product marketing T…
CMS ending accelerated and advance payments issued after Change cyberattack
The Centers for Medicare and Medicaid Services is ending accelerated payments to providers and suppliers that were affected by the Change Healthcare cyberattack.
CMS has announced that payments under the Accelerated and Advance Payment Program for the …
Surescripts is being designated a hub for data exchange under QUIN
Surescripts is in the process of being designated a Qualified Health Information Network under the Trusted Exchange Framework and Common Agreement (TEFCA), according to the company’s director of product marketing Terry Douglas.
Surescripts will be desi…
HIMSSCast: A single source of truth for provider data nationwide
Anshul Rathi, founder and CEO of CertifyOS is an engineer by background who became one of Oscar Health’s earliest employees, working to build their provider network management function.
This is for payers, who are responsible for supplying members with…
Ascension restores its EHR system hospital-wide after ransomware attack
The Ascension ransomware attacker was able to gain access to its systems by a worker who accidentally downloaded a malicious file believed to be legitimate, according to the health system.
CMS is recalculating 2024 Medicare Advantage Star Ratings
Based on two lawsuits in favor of insurers, the Centers for Medicare and Medicaid Services is recalculating the 2024 Medicare Advantage Star Ratings for quality bonus payment purposes.
CMS made the announcement on Thursday.
Hospital spending is projected to grow 5.7% a year
Over the next eight years, hospital spending is expected to grow at an average rate of 5.7% a year, according to 2023-2032 National Health Expenditure Projections released by the Centers for Medicare and Medicaid Services.
In 2023, hospital spending gr…
Elevance second insurer to win star ratings lawsuit
Elevance is the second health insurer to win a case against the federal government over Medicare Advantage payments.
On June 7, United States District Court Judge Randolph Moss for the District of Columbia, granted in part and denied in part Elevance’s…
Supreme Court to hear challenge of DSH payment calculations
The Supreme Court has agreed to review a case challenging how the Department of Health and Human Services calculates Disproportionate Share Hospital payments.
In February, the American Hospital Association and five other hospital organizations had urg…
DOJ denied a dismissal of Humana’s lawsuit over MA audits
A federal judge for the Northern District of Texas in Fort Worth has ruled against the Department of Justice’s motion to dismiss a case brought by Humana.
Judge Reed O’Connor also denied the DOJ’s motion to transfer the court venue to Dallas.
This mean…
