Category: Healthcare Finance News

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

Change Healthcare HIMSS18 booth
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.

64% of senior finance executives are planning for risk in commercial contracts

New survey shows health executives are ready for increased risk assumption through commercial payers and Medicare.

Supreme Court will hear insurers’ argument for billions in risk corridors funds

At question is whether a temporary cap on funds makes retroactive payments moot, even as insurers upheld their part of the bargain under the Affordable Care Act.

Supreme Court will hear insurers’ argument for billions in risk corridors funds

At question is whether a temporary cap on funds makes retroactive payments moot, even as insurers upheld their part of the bargain under the Affordable Care Act.