Category: Healthcare Finance News

New Jersey receives $80M to strengthen healthcare workforce, modernize data

The New Jersey Department of Health has been awarded a grant from the Centers for Disease Control and Prevention for $80.5 million over the next five years to support public health workforce development and training, build foundational capabilities and…

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…

Top Stories: Lawmakers introduce bills seeking to halt VA HER modernization; Cigna files suit against CVS

A House bill would put a stop to VA EHR modernization. What’s the objection? We’ll delve deeper into that and other issues in this week’s Top Stories, including Cigna’s lawsuit against CVS Health, and Mark Cuban Cost Plus Drug Company’s latest partners…

Humana announces leadership appointments

Health insurer Humana has hired industry veteran Dr. Sanjay Shetty to lead its healthcare services business CenterWell, the largest provider of senior-focused primary care, provider of home health services, and fourth largest pharmacy benefit manager i…

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…

U.S. spends most on healthcare, has worst outcomes, finds Commonwealth Fund

The U.S. spends far more on healthcare than do other countries, yet it doesn’t have the results to show for it.
Despite the higher spending, life expectancy and other health metrics fare far worse in the U.S. than in other locations across the world.

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. 

Texas doctors file lawsuit over No Surprises Act 600% fee hike

The Texas Medical Association is challenging a 600% hike in administrative fees for seeking federal dispute resolution in No Surprises Act situations. TMA filed a lawsuit in the U.S. District Court for the Eastern District of Texas this week, the group…

Margins hammered as hospitals faced rough financial year in 2022

Last year was the worst financial year for hospitals and health systems since the start of the COVID-19 pandemic, with operating margins taking a particular hit, according to Kaufman Hall’s latest Flash Report.