HEDIS data underreported hospital admissions for at least three medical conditions, and the excluded admissions had higher readmission rates.
Category: Healthcare Finance News
Repeat emergency department users changed how they used EDs after gaining Medicaid coverage
Patients in Medicaid expansion states shifted their ED usage toward more critical injuries and illnesses.
Partners HealthCare names Dr. Anne Klibanski as president and CEO
The former interim president and CEO becomes the first female chief executive of Partners in Boston.
Drug shortages cost hospitals close to $360 million annually in labor expenses
Controlled substances, local anesthetics and antibiotics are among the most common drug categories where shortages had an impact.
AMA files lawsuit to block law forcing physicians to give scripted information regarding abortion
North Dakota and eight other states have passed laws requiring providers to tell patients about so-called medication-abortion reversal.
Out-of-pocket costs rising even as patients transition to lower-cost care settings
Patients saw increases of up to 12% in their out-of-pocket responsibilities for inpatient, outpatient and ED care in 2018.
Innovaccer research shows how AI could improve cost of care models
A new study from the company explores the ways its algorithms can be put to work improving risk scoring and stratification and enhance value-based care initiatives.
Change Healthcare rolls out new AI tech to help reduce denials
The tool can help health systems optimize submissions and better predict potential issues with claims, the company says, giving recommendations to help mitigate denials before they’re submitted.
Proposed solutions to surprise medical bills a growing social risk for the healthcare industry, says Moody’s
The impact of legislation to curb surprise medical bills would be pronounced for those with lots of interaction with out-of-network patients.
EHRA to CMS on IPPS rules: focus ‘high-value’ measures, keep 90-day reporting
The HIMSS EHR Association tells the Centers for Medicare & Medicaid Services that the Promoting Interoperability Program needs consistency and specificity in its clinical requirements.
