Category: Healthcare Finance News

CMS cuts Affordable Care Act Navigator funding from $36 to $10 million

This year Navigator organizations will be judged on offering options to the ACA such as Association and short-term plans.

Sustainable cost control tops list of priorities for healthcare executives, Advisory Board study says

The top two priorities boil down to cost and consumerism has surged into the top 5 for 2018, mirroring industry trends.

Inovalon combines with AdvanceRx Walgreens Prime in specialty drug business

The new collaboration will decrease the error rate for providers and lower costs for health plans, CEO says.

Verity Health System poised to sell hospitals to improve its financial picture; some or all may be sold

The health system has gone through its share of ownership changes, and at one point was attached to the controversial Patrick Soon-Shiong, MD.

Patient experience is a big opportunity for hospitals to drive revenue, Black Book says

A full 92 percent of healthcare consumers surveyed said that improving customer experience should be a top strategy this year and a crop of vendors are emerging to meet that demand.

Northwell Health deploys armed guards to beef up security

Pilot test kicks off plan to establish armed guards at all Northwell hospitals within the next year as the system responds to staff demand, increase in workforce violence.

Medicare Advantage rankings hit plans serving disadvantaged populations hard

After adjustments for race, poverty level and other factors, plans serving the highest proportions of disadvantaged populations improved considerably in the rankings.

CMS proposes rule to prevent Medicaid payments from being diverted away from primary provider

The Centers for Medicare and Medicaid Services said the change is intended to ensure that providers receive their complete payment and that any diversion of funds is legal.

President Trump’s Supreme Court pick Brett Kavanaugh could have lasting impact on healthcare

Affordable Care Act, abortion rights issues could be at center of nomination fight.

Commercial health plans show widespread variation in coverage and reimbursement for speciality drugs

Less than half, 48 percent, of all drug coverage decisions are consistent across the majority of health plans, findings showed.