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AHA sues OCR over rule regulating the use of online tracking technologies
The American Hospital Association, the Texas Hospital Association and nonprofit health systems Texas Health Resource and the United Regional Health Care System are suing the federal government over a rule prohibiting the use of online tracking technolo…
Home health agencies get less than a 1% payment increase
Home health agencies get a 0.8% pay increase for 2024 rather than a proposed 2.2% decrease, under the Home Health Prospective Payment System Final Rule released by the Centers for Medicare and Medicaid Services on Wednesday.
CMS estimates that Medicare…
Medicare physician pay is unsustainable, AMA says
The American Medical Association and others are calling on Congress to stop the advanced Alternative Payment Model bonus payment cut that is scheduled to expire at the end of the year for most physicians.
CVS, Kaiser Permanente and Mayo Clinic invest in Abridge
CVS Health Ventures, Kaiser Permanente Ventures and Mayo Clinic are among the healthcare organizations investing $30 million in Abridge’s latest funding round.
The Series B funding was led by Spark Capital and also included existing investor Bessemer V…
Information blocking could affect provider payment, MIPS and MSSP participation
Providers face monetary disincentives for violating information blocking, under a proposed rule released today by the Department of Health and Human Services.
Clarity and more timely results proposed for Independent Dispute Resolution process
A proposed rule pertaining to the controversial No Surprises Act Dispute Resolution process, would, if finalized, require payers to provide additional information at the time of initial payment or notice of denial of payment.
The proposals aim to incr…
HIMSSCast: Getting to value through the right data
Clinical decision support, such as what is offered by Wolters Kluwer, handles the avalanche of information providers and physicians need to stay informed.
The information services company has a team of over 7,000 physician editors – specialists in the…
Bipartisan lawmakers tell HHS to reconsider nursing home staffing mandate
Ninety-one bipartisan members of Congress have joined in objecting to a Centers for Medicare and Medicaid Services proposed rule for minimum staffing levels at nursing homes.
Medicaid redeterminations have cost Centene 1 million members so far
Centene, the largest Medicaid managed care organization in the country, is down over 1 million members since March, according to CFO Drew Asher during the company’s third quarter earnings call on Tuesday.
AI can improve the revenue cycle but increases risk, Moody’s says
Artificial intelligence has the potential to improve revenue cycle operations, optimize labor through administrative efficiency and lower operating costs, but it comes with the risk of cybersecurity attacks and patient data breaches, according to Moody…
