Category: Healthcare Finance News

Digital transformation demands a whole new level oversight to avoid healthcare fraud

AMA Washington Counsel Paul Westfall says systems need controls, policies and procedures and digital health requires strict technical oversight.

Nurses struggle with burnout, harassment and mental health issues, study finds

The nursing shortage has negatively affected workloads for 88 percent of nurses in 2018, up significantly from 62 percent in 2016.

UnitedHealthcare, Envision, settle contract dispute

Contract extension avoids out-of-network surprise bills for UnitedHealthcare beneficiaries using emergency room services staffed by Envision physicians.

Social determinants of health pose challenges for most Americans, survey shows

Improving social determinants for patients can have strong positive effects on the patient’s health and decreased costs for the healthcare system.

Pathology professor: Clinicians and patients experiencing ‘cognitive overload’

Edward Klatt, a pathology expert at Mercer University School of Medicine says system leaders must be all in on pinpointing and promoting better coping skills.

CMS extends enrollment deadline for consumers who are asked to leave a message

The agency is allowing those who get a message from the marketplace call center to enroll in a plan after the December 15 deadline.

What does expanded Medicaid mean for enrollees’ health? A lot

Nearly half of people covered by Michigan’s expanded Medicaid program felt that their physical health improved in the first year or two after enrollment.

AHIP, healthcare organizations, advocate for federal standard to prevent surprise medical bills

Millions of consumers receiving surprise medical bills blame their insurer or provider.

Why healthcare revenue cycle careers are heating up for millennials

About two-thirds of millennials in revenue cycle jobs are satisfied with their roles, though many said they would consider other career opportunities.

Steward Health Care Network workflow automation yields 161% increase in care coordination

The problem was the web of multiple EMRs that complicated the process and created dramatic variances in the way referrals were processed in the primary care and specialist office.