Susan Morse

Author's posts

Medicare broadens coverage of FDA-approved Alzheimer’s treatment

Broader Medicare coverage is now available for Biogen and Eisai’s Leqembi, the brand name for lecanemab, following the Food and Drug Administration’s  move to grant traditional approval to the drug that treats individuals with Alzheimer’s disease. 

HIMSSCast: Embrace technology to replace the mundane tasks

Mike Alkire, president and CEO of Premier often advises health system executives. In fact, Alkire and the group purchasing organization advise an estimated 4,400 health systems and 250,000 providers in the United States.
“If I were running a healthcare…

The transactional revenue cycle no longer works: Here’s what does

NASHVILLE – Transactional revenue cycle no longer works with patients, especially millennials, said finance experts speaking during the HFMA conference in Nashville.
It used to be, do the service and then bill, said Bob Stearns, director of Patient Acc…

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…