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Hospitals wants CMS to correct MA plan policies on coverage
The American Hospital Association is asking the Centers for Medicare and Medicaid Services to crack down on Medicare Advantage insurers it says are blatantly flaunting CMS coverage rules.
Memorial Hermann implements Laudio’s AI platform for workflow automation
Memorial Hermann Health System has begun the rollout of an AI automation platform at Memorial Hermann Northeast Hospital, with plans for a systemwide expansion.
The not-for-profit health system headquartered in Houston has implemented Laudio’s AI workf…
Acute hospital care at home gets good grades from CMS research
Patients who received care under the pandemic’s Acute Hospital Care at Home program had a low mortality rate and minimal complications related to escalations back to the brick-and-mortar hospital, according to a CMS research letter published in the Jou…
Tenet looks to sell 3 South Carolina hospitals as FTC blocks deal in California
Tenet Healthcare Corporation wants to sell three South Carolina hospitals to Novant Health for approximately $2.4 billion in cash, or after-tax proceeds of $1.75 billion.
HIMSSCast: Cedar collaborates with Google Cloud on AI to ease the patient billing experience
Cedar announced earlier this year a collaboration using Google Cloud’s generative AI tools to assist patients in understanding and resolving their healthcare bills. Cedar is preparing to deploy AI tools in the market by early next year.
Express Scripts announces new ‘cost-plus’ drug pricing model
Express Scripts has announced a new pharmacy network option that offers “cost plus” drug pricing for employers and health plans.
Clients pay the estimated acquisition cost that the pharmacy pays for the medication, plus a small markup for pharmacy dis…
Health systems are investing in ambulatory pharmacy IT to improve patient access
A new survey shows that more than half of health system pharmacy leaders believe retailers and technology companies are having either a moderate or strong influence on their hospital’s pharmacy strategy, according to research released today by the Cent…
CMS releases standards and payment parameters for plans on the ACA marketplace
The Centers for Medicare and Medicaid Services is proposing standards for issuers and marketplaces, as well as requirements for agents, brokers, web-brokers, direct enrollment entities and assisters operating on the Affordable Care Act marketplace in a…
Nursing homes are required to disclose more ownership information in final rule
In a final rule released today, the Centers for Medicare and Medicaid Services is requiring greater transparency and disclosure of nursing home ownership.
GenAI: Risk vs. reward causing adoption to stall
Risk is one reason hospitals in the United States do not yet have large-scale adoption of generative AI, according to Patrick Bangert, senior vice president of Data and Analytics at Searce, a cloud solutions and technology services provider.
Bangert be…
