Category: Healthcare Finance News

Family support services top most requested social determinants of health need

Family support services, good access and transportation are some of the most-needed social services to address SDOH.

Blue Cross and Blue Shield of Illinois invests $1 million in housing

An estimated 80% of the homeless population has at least one chronic health condition.

Social determinants of health undermining progress of modern medicine, says PwC

By investing earlier in social determinants strategies, health systems stand to save money in the long term and improve outcomes.

Open Medicare data helps uncover potential hidden costs of healthcare

Medical providers receiving higher amounts of industry payments tend to bill higher drug and medical costs.

Few Medicare Advantage insurers use new benefit flexibility to address the social determinants of health

Plans are hampered by current CMS policy and provider coding that often does not reflect social needs, Urban Institute report says.

Cerner partners with Simplee on price transparency

It will add Simplee’s financial engagement platform to its revenue cycle portfolio and incorporate its billing tools into its consumer-facing technology.

Medications underused in treating opioid addiction, says Mayo Clinic

Along with addiction counseling, the drugs naltrexone, buprenorphine and methadone all have a place in treatment for opioid use disorder.

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.