Susan Morse

Author's posts

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 …

No public health emergency declaration for RSV or flu

The Department of Health and Human Services has not declared a public health emergency for hospitals overcrowded with patients suffering from the respiratory syncytial virus, or RSV, and influenza, despite a request for a PHE from children’s hospital g…

MetroHealth CEO and President Dr. Akram Boutros fired for cause

The MetroHealth Board of Trustees has terminated the employment of President and CEO Dr. Akram Boutros, effective immediately, according to Vanessa Whiting, chair of the MetroHealth System in Cleveland, Ohio.

Wisconsin-based health systems Bellin and Gundersen to merge

Bellin Health and Gundersen Health System, both headquartered in Wisconsin, have announced plans to combine operations starting on December 1. 
This is a merger of equals, the health systems said, which is being done to strengthen local medical care an…

Centene to sell Magellan Specialty Health to Evolent

Centene Corporation has announced it has signed a definitive agreement to sell Magellan Specialty Health to Evolent Health.