Category: Healthcare Finance News

CVS Caremark, Walmart clash over reimbursement rates

The retailer is terminating its deal with its PBM, putting commercial and managed Medicaid beneficiaries out-of-network.

Seniors more likely to switch Medicare Advantage plans in 2019, survey shows

Low out-of-pocket costs, prescription drug coverage and in-network access to providers were some of the factors.

Supreme Court hears case over disproportionate share hospital payments

Hundreds of millions of dollars in reimbursement are at stake; $3-4 billion from 2005 to 2013.

Healthcare added more jobs than other sectors in 2018, and the growth outlook is strong

By the end of the year, there were about 16 million people working in healthcare — about 11 percent of all jobs in the overall economy.

Hahnemann University Hospital, St. Christopher’s to share newly-appointed CEO

Hahnemann and St. Christopher’s were recently sold by Tenet Healthcare to American Academic Health System, a newly-formed affiliate of Paladin Healthcare.

Americans express growing concern over Texas ruling on Affordable Care Act

A vast majority said they don’t trust the government to protect their health insurance, and reserved most of their criticism for one political party in particular.

Do your CEO and CFO underinvest in cybersecurity? Here’s why and what to do about it

Executives and board members aren’t cybersecurity experts so putting it in terms they can digest is crucial — and that takes “real-life resonance” and constant vigilance.

Change Healthcare and Health Fidelity partner for greater risk adjustment accuracy

NLP application embedded during coding phase allows for better compliance and more precise reimbursement.

HIMSS and Cleveland Clinic Patient Experience Summit call for proposals now open

Speakers at the event will share patient experience success and failures, with a priority on peer-to-peer experiential learning

More than three-quarters of Americans believe health system is experiencing a ‘major crisis’

The numbers have been consistent for years, but major differences are starting to show between the two major political parties.