Susan Morse

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CMS releases Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule

In a newly proposed rule, the Centers for Medicare and Medicaid Services is changing prior authorization standards to speed up the time it takes for payers to approve the requests and is implementing HL7 FHIR standards to support an electronic process….

Medical devices are inherently vulnerable to security breaches

BOSTON – Medical devices are inherently vulnerable to security breaches, according to Anand Oswal, senior vice president and general manager of Palo Alto Networks, speaking at the HIMSS Healthcare Cybersecurity Forum here on Monday.

Advocate Aurora and Atrium Health complete merger

Advocate Aurora Health and Atrium Health have completed their merger after a delay in approval from The Illinois Health Facilities & Services Review Board.

HIMSSCast: Geisinger’s automation strategy frees clinicians to spend more time with patients

Freeing up clinician time is no easy task, but Geisinger’s move towards automation has cut down on the operational and administrative workload burden. Bots now do much of the mundane documentation and reporting work. It’s part of a strategic plan the P…

Revenue cycles challenged by mandates of No Surprises Act

The No Surprises Act has reportedly done its job in preventing an estimated 9 million surprise medical bills since going into effect at the start of this year, but for providers, the law has created a revenue cycle and regulatory quagmire.
Payment rate…

Half of hospitals will operate in the red this years, report says

Hospitals are nearing the end of the year with negative margins, with expenses, staff shortages, and fewer patient discharges driving poor performance, according to the latest National Hospital Flash Report from Kaufman Hall.
 
Median operating margins…

Texas Medical Association files another lawsuit against No Surprises Act

The Texas Medical Association has filed its third lawsuit against the No Surprises Act. 

Humana closing most SeniorBridge locations to focus on Medicare Advantage plans

Humana has made a decision to close most of its home health SeniorBridge services and concentrate on its Medicare Advantage plans.
A company spokesman said the facilities are being closed, and not sold.

HHS proposes rule for substance use treatment information sharing and protection 

A proposed rule would align HIPAA privacy regulations for the treatment of substance use disorder to other requirements under the Health Insurance Portability and Accountability Act. 

Top reason for delaying care is now cost, not COVID-19, patients say

The end of the pandemic doesn’t mean the end of deferred care, according to Cleveland Clinic physician and Qualtrics Chief Medical Officer Dr. Adrienne Boissy.
After two years of forgoing healthcare due to pandemic-related concerns, inflation is at an …