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CMS releases home- and community-based quality measure set
The Centers for Medicare and Medicaid Services has released the first-ever home- and community-based services quality measure set to promote consistent quality measurement within and across state Medicaid home and community-based programs.
The measure…
Providence announces leaner executive team in new operating model
Due to what it called unprecedented net operating losses, Providence, the not-for-profit Catholic health system serving seven states in the western United States, is grouping its existing seven regional senior leadership teams into three divisional tea…
PhRMA funds clinical trial initiative to achieve greater diversity
The Pharmaceutical Research and Manufacturers of America is funding a clinical trial initiative to enhance diversity, which has been an ongoing problem in the development of new drugs.
The initial $10 million grant will fund an 18-month pilot at ten co…
2.7% payment increase not enough to offset labor and supplies, AHA says
The American Hospital Association is disappointed with the federal government’s 2.7% payment increase for outpatient care, given continued financial challenges.
Texas sues HHS over emergency abortion access
The State of Texas has sued the Department of Health and Human Services over its mandate is
Hospitals see challenges around price transparency, technology and resources
Jason Considine, Experian Health chief commercial officer, said regulations around price transparency and the No Surprises Act were among the topics discussed at the Healthcare Financial Management Association annual conference in Denver last week.
Bot…
Integrated Highmark and Allegheny team with Cedar Health to align the billing experience
Highmark Health, the integrated health network and Allegheny Health Network, which is part of Highmark, have collaborated with Cedar Health to improve the patient’s financial journey in a program slated to go-live in September.
Comparative analytics give CFOs insight into the cost of care
Financial planning, performance and analysis is what CFOs want to do, but much of their time is spent moving data around, according to Frank Stevens, vice president of Financial Planning at Strata Decision Technology.
Aetna rolls back policy requiring pre-approval for cataract surgery
Aetna is no longer requiring precertification for cataract surgery.
Aetna is rolling back on policy it announced last year and is no longer requiring pre-approval for cataract surgeries, except for people enrolled in Medicare Advantage plans in Florida…
CMS is creating a new provider type, Rural Emergency Hospitals
The Centers for Medicare and Medicaid Services has proposed a new rule that creates a pathway for rural hospitals and critical access hospitals to increase access to emergency and outpatient care.
It is the first step in the implementation of a new pro…
