Category: Healthcare Finance News

Insurers could deny 1 in 6 ER visits if they were to adopt Anthem policy, JAMA says

Anthem set a policy to deny coverage if it is determined through the discharge diagnosis that the visit was unnecessary.

CFOs guide to building a cybersecurity dashboard

Password strength, multiple tabs and SOC audits are some of the means by which healthcare providers can protect sensitive patient data.

Electronic health records show promise in reducing unnecessary testing

Deploying multiple interventions simultaneously within the EHR is shown to improve care while avoiding unnecessary costs.

CMS announces new waiver flexibility in ACA market

States will have the ability to allow individuals to use ACA subsidies when buying short-term limited duration plans.

Healthcare jobs, hiring in New York are surging, now up to 1.2 million jobs

Both upstate and downstate, employment growth in the industry was stronger than in all other industries combined over the past 10 years.

CMS responds to data breach affecting 75,000 in federal ACA portal

Open enrollment, which begins November 1, will not be negatively impacted, CMS says.

Can’t afford a security chief? Here are the alternatives

Hospitals and medical groups with limited security resources still have leadership options in managed care providers and virtual CISOs.

Health insurers say automation is needed for operational efficiency

But only 16 percent of insurance executives would invest the savings into innovation.

Health and Human Services Department to dole out $293 million to boost primary care in high-need areas

Funds to be dispersed among National Health Service Corps and Nurse Corps programs for budding physicians and nurses, loan repayment.

2019 Affordable Care Act rates make short-term health insurance plans more attractive

Even with the 1.5 percent decline in silver plan rates for 2019, consumers have been dealt a net rate increase of 69.2 percent from 2016 to 2019.