Susan Morse

Author's posts

Shift to virtual care not dependent upon payment parity, says TytoCare CEO

No matter what happens with reimbursement and other waivers put in place under the Public Health Emergency, telehealth is here to stay according to Dedi Gilad, CEO and cofounder of TytoCare.
“The shift to virtual care will not stop,” Gilad said 

Drug companies to pay rebates for prices that go higher than inflation

Drug companies that raise prescription drug prices faster than the rate of inflation will pay rebates to the federal government or face fines.
The Centers for Medicare and Medicaid Services on Thursday released the initial guidance on the Medicare Pres…

Nursing diploma scheme likely not contained to Florida

The nursing diploma scheme may go beyond Florida as state boards check their staff records, according to Dr. Dani Bowie, vice president of Clinical Strategy and Transformation for staffing firm Trusted Health.
“The expectation is that this is not conta…

Drug prices, affordability, VA mental health in Biden’s fiery State of the Union address

In a fiery State of the Union speech punctuated by heckling from some Republicans, President Joe Biden last night outlined what he plans to do to “finish the job” his administration started.
Biden, 80, has yet to announce whether he’ll seek reelection …

Court rules as unlawful the arbitration process of No Surprises Act final rule

A federal court has vacated provisions of a final rule regarding the arbitration process under the No Surprises Act and remanded it back for further consideration.
On Monday, U.S. District Court Judge Jeremy Kernodle sided with the Texas Medical Associ…

Natural language processing creates an audit trail for risk adjustment

The best way for insurers to make sure they’re in compliance with the mandates of risk adjustment is to use natural language processing for accurate documentation and auditing, according to Dr. Calum Yacoubian, director, Healthcare Strategy, Linguamati…

HIMSSCast: The entangled legal battle over the No Surprises Act

The No Surprises Act, which was signed into law in 2020 and went into effect on January 1, 2022, aimed to take patients out of billing conflicts between providers and payers. By all accounts, this part of the law has been successful in preventing patie…

Siloed technology and data create a big health system pain point

Healthcare executives need to address technology and data silos in their organizations, and none have confidence in facing the issue, according to findings by KLAS from its sixth annual Digital Health Investment Symposium. Providers told KLAS that a la…

Digital health advances end with the PHE

Congress added protections to keep telehealth and acute hospital care at home for two years after the public health emergency ends, but many questions remain as to how the expiration of PHE waivers will affect these two programs and others, according t…

Medicare Advantage plans get a proposed 1.03% payment increase in 2024

Medicare Advantage plans are expected to receive a 1.03% increase in revenue under the 2024 Advance Notice for the Medicare Advantage and Part D Prescription Drug Programs released by the Centers for Medicare and Medicaid Services on Wednesday.