Category: Healthcare Finance News

Inaccuracies found in physician residents’ EHR documentation

There were noteworthy differences between what physicians recorded in their EHRs vs. what observers witnessed in clinical encounters.

Cigna expands Affordable Care Act plans in 19 markets across 10 states

The expansion into the ACA for Cigna and other insurers comes at a time when CMS reports declining unsubsidized enrollment.

Pelosi drug bill would give HHS Secretary Alex Azar authority to negotiate prices on 25 drugs

The maximum price that could be set is 1.2 times the average international market price.

Majority of hospitals, physician practices screen patients for at least one SDOH, Dartmouth study finds

The pressure on physicians and hospitals to address social determinants will likely increase, as they’ve been a focus of payers and providers.

Focus on operational efficiency and RTLS technology has given Wake Forest Baptist Health a financial leg up

Real-time tracking technologies allow the organization to monitor everything from patients to medical equipment.

Providers and billing departments face possible communications gap

Technology can improve internal communications to maximize reimbursement and avoid billing errors.

Court rules in favor of hospitals on site neutral payments

The decision saves hospitals from a $760 million rate cut in 2020.

Hospitals keep 91 percent of profit from physician-administered drugs

Not only do commercial payers reimburse clinics at a higher rate than physician offices, but clinics also are eligible for certain discounts.

Hospitals face rising risk of sophisticated cyberattacks

To date, attacks that have led to patient data being exposed; Going forward, attackers will seek to disrupt hospitals’ operations, Moody’s says.

Data from homeless emergency department patients finds multiple contributors to homelessness

Homelessness is a social determinant of health that can influence the quality and quantity of healthcare services received.