Category: Healthcare Finance News

How hospitals can financially measure the risk of cybersecurity attacks

BOSTON – The question that arises when the topic of risk quantification comes up in healthcare is, “How much is it going to cost me?” said Jack Lewin, speaking during the HIMSS Healthcare Security Forum in Boston. 
“How do we value the healthcare data …

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….

Centene divests Magellan Rx to Prime Therapeutics for $1.3 billion

Centene has sold off Magellan Rx to Prime Therapeutics for $1.5 billion, a move that will add Magellan’s specialty drug management to Prime’s pharmacy benefit management tools.
The end result, the companies said, will be a “diversified pharmacy solutio…

AHA prods feds to allow addiction treatment prescriptions through telehealth

The American Hospital Association has penned a letter to the Drug Enforcement Administration, asking the agency to extend and provide clarity to pandemic-era rules that allowed providers to prescribe addiction treatment drugs via telehealth.

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.

Medicare Advantage coverage rising for those with retiree health benefits

As Medicare Advantage continues to grow, it’s expected to surpass Original Medicare in enrollment numbers for 2023 as more insurers enter the market, with an increasing number of employer- and union-sponsored retiree health plans offering Medicare-elig…

UnitedHealthcare loses another lawsuit to TeamHealth in billing fight

UnitedHealthcare, the nation’s largest insurer, has lost its latest legal battle against provider group TeamHealth, with a three-judge arbitration panel in Florida ruling late last week that TeamHealth was owed $10.8 million due to underpayments from U…

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…

Top Stories: Audits show overcharges to Medicare Advantage plans; Attorneys general urge Apple to add reproductive data protections

New audits have raised the question: Are the feds being overbilled in their Medicare Advantage payments? I’m Jeff Lagasse with Healthcare Finance News, and we’ll take a closer look at that and other big news in this week’s Top Stories, including state …