Category: Healthcare Finance News

OIG: CMS overpaid Anthem $3.4 million in Medicare Advantage payments

The errors occurred, OIG said, because the policies that Anthem had to detect and correct noncompliance were not always effective.

Eli Lilly files motion to prevent giving 340B drug discounts to contract pharmacies

Lilly continues to offer 100% of 340B discounts to covered entities but will not provide discounts to contract pharmacies, it says.

Moderna’s COVID-19 vaccine found to be 100% effective in children ages 12 to 17

Four who received the placebo tested positive for the virus, a result consistent with a vaccine efficacy of 100%.

KLAS: Teladoc, Epic report widest breadth of telehealth capabilities

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Hospitals saw gains in volume, revenue and margin in April, finds Kaufman Hall

The signs of progress are encouraging, but the metrics are still down slightly when compared to last month.

Laws and regulations paint an evolving picture of patient access to health information

Patients will likely continue to increasingly expect easy and painless access, but this doesn’t have to be a detriment to providers.

Inpatient unit consolidation saves hospitals money

Health systems traditionally manage financial challenges through volume and cost control. When that isn’t enough, executives may want to consider consolidation of inpatient units, according to the Berkeley Research Group.
The group’s healthcare consult…

Efforts to stop the spread of COVID-19 undermined by concerns over vaccine side effects

Physicians say they hear: “You don’t need a vaccine if you’ve had COVID-19,” “The vaccine modifies your DNA,” and “The vaccine contains a microchip.”

UnitedHealthcare introduces community-based collaborative to improve health outcomes, equity

The initiative works by blending clinical data with firsthand information from community members to identify health challenges.

Anthem collaborates with Epic to give providers more data-driven insights 

Providers will be able to send prior authorizations through Epic instead of using phone or fax.