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AI’s automation can transform the revenue cycle
NASHVILLE – Automation, particularly through AI, holds the promise of greater efficiency and fewer denials in the revenue cycle.
There’s $9.8 billion in potential savings through automation in the revenue cycle, according to statistics provided by TruB…
Home Health payments proposed to decrease by 2.2%
Home Health Agencies get a 2.2% payment decrease compared to 2023, due in part to a permanent behavior assumption adjustment.
Bright Health announces sale of its remaining Medicare Advantage plans
Bright Health Group has announced it is selling its California Medicare Advantage business to Molina Healthcare for an estimated $600 million in the purchase price for shares.
The MA business includes the plans Brand New Day and Central Health Plan.
HIMSSCast: How AI is reducing physician burden at one New Jersey health system
Getting physicians’ heads out of the EHR leads to better patient outcomes, lower costs and a reduction in the administrative tasks that are ailing doctors, says Dr. Anthony Mazzarelli, co-president and CEO of Cooper University Health Care in New Jersey.
CMS releases revised guidance for Medicare Drug Price Negotiation Program
The Centers for Medicare and Medicaid Services has released revised guidance on how it intends to use its authority with pharmaceutical manufacturers in the Medicare Drug Negotiation Program.
HHS information blocking final rule amends monetary penalties, increases maximums
The Department of Health and Human Services has issued a final rule that amends civil money penalties for information blocking related to HHS grants, contracts and other agreements.
UnitedHealthcare invests $5 billion in data and technology for virtual healthcare
UnitedHealthcare has adopted a $0 out-of-pocket expense benefit for virtual visits for eligible members enrolled in applicable fully insured employer-sponsored plans.
The new coverage enhancement is designed to make remote urgent care more affordable a…
CMS releases new oncology model that has payment incentives and downside risk
The Center for Medicare and Medicaid Innovation has released a new, voluntary Enhancing Oncology Model (EOM) intended to reduce spending and improve quality of care for cancer patients.
The EOM is a 5-year voluntary model, beginning on July 1, that ha…
How to account for the physician compensation gap
NASHVILLE – An estimated three-quarters of physicians are employed by hospitals, according to information released at the HFMA session “Closing the Financial Data Gap in a Physician Alignment Strategy.”
Dialysis facilities get a proposed 1.6% payment bump for 2024
CMS is proposing to increase the end stage renal disease prospective payment base rate to $269.99 for 2024, increasing total payments to freestanding ESRD facilities by $4.42, or approximately 1.6%, compared to 2023.
For hospital-based ESRD facilities,…
