Category: Healthcare Finance News

U.S. reports record breaking number of daily COVID-19 cases, but experts say the worst is yet to come

Last Friday, the CDC reported 99,750 new cases, a record high from the day before.

Centers for Medicare and Medicaid Services announces 51 direct contracting entities

Direct contracting is the next CMMI model and is based on Next Generation, Medicare Shared Savings and Medicare Advantage plans.

Medicare Advantage payment changes for 2022 are expected to increase revenue by 2.82%

CMS is seeking feedback on a potential COVID-19 vaccination measure in the Medicare Advantage and Part D star ratings. 

Telehealth claim lines remained significantly higher in August than previous years

FAIR Health attributes the increase in telehealth utilization to the pandemic, which forced non-emergency procedures to come to a halt in March.

Tennessee hospital rates are up most in counties where mask-wearing is optional

As the percentage of patients residing in mask-requirement counties increases, the growth curve flattens.

CMS issues final rule requiring payers to disclose negotiated rates with providers

Starting in 2023, the rule will require health plans to offer an online shopping tool to give out-of-pocket estimates for 500 of the most shoppable services.

FBI, HHS warn of ‘increased and imminent’ cyber threat to hospitals

With the Cybersecurity and Infrastructure Security Agency, they describe some of the techniques that may be used by foreign groups that could be targeting hundreds of health systems with ransomware.

Dartmouth-Hitchcock’s clinical trials helped get remdesivir approved by FDA

Susan Reeves, executive vice president of Dartmouth-Hitchcock and who oversees research operations.
The academic medical center’s all-female research operations team got its studies activated in 10 days, a process that usually takes three months.

COVID-19 vaccines must be covered at no cost, CMS says

Insurers are banned from charging administration costs and "balance billing is strictly prohibited," Seema Verma says.

Hackensack, RWJBarnabas and Horizon strategically partner to own Medicare Advantage insurer

Braven Health teams two of the largest provider systems in New Jersey with one of the largest insurers in the state.