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 …
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…
Nearly one out of every 10 Texas hospitals is at serious risk of closure, and nearly half of all Texas hospitals are facing negative operating margins this year, according to a new report released this week from Kaufman Hall.
The culprit: COVID-19.
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…
The Texas Medical Association has filed its third lawsuit against the No Surprises Act.
Optum Labs, the research and development arm of UnitedHealth Group, and Cornell Tech have created a collaborative research hub at Cornell University in New York, which will focus on precision behavioral health and advancing equity in healthcare.
The mo…
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.
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.
Hospital readmission rates began to improve upon implementation of the Affordable Care Act’s Hospital Readmissions Reduction Program, but a new JAMA Network Open analysis has found that the readmission gains due to the HRRP were smaller than originally…
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 …
