Category: Healthcare Finance News

What to know about the telehealth upsides of Medicare Advantage plans

Forthcoming policies from the Centers for Medicare and Medicaid Services will open up the home as a covered site of care in which hospitals can earn payment for delivered services.

ACA insurer ready for 2020, even as enrollment drops by half a million

Individual mandate is not the reason most consumers buy insurance, says insurer in New Jersey, which has its own individual mandate.

With regulatory barriers falling, AI will see more clinical adoption in 2019

AI is on the verge of being de-risked, so the market is poised to flourish as caregivers look to ramp up their patient care efforts.

NextCare, FastMed urgent care giants announce merger plans

The proposed transaction would yield one of the largest urgent care provider systems in the country, with a combined 251 clinics in 10 states.

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.