Category: Healthcare Finance News

Claims denials on the rise, complicating revenue collection, survey finds

Healthcare claims processing is rife with inefficiencies and financial strains marked by operational bottlenecks, rising denial rates and increasing administrative burdens faced by providers, according to the new State of Claims 2024 report from Experi…

Average premiums for Medicare Advantage, Medicare Part D to decrease, CMS says

The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 – about 51% of all Medicare beneficiaries.

Free COVID-19 tests are now available

The Department of Health and Human Services’ Administration for Strategic Preparedness and Response (ASPR) and the U.S. Postal Service are once again offering free COVID-19 tests.
Four tests at no cost are now available through COVIDtests.gov.

New legislation seeks to make ACA premium tax credits permanent

The initiative arrives as the temporary expansion of tax credits is set to expire after 2025.

Generative AI being used to develop antimicrobial resistant antibiotics

The Department of Health and Human Services has announced funding for antibiotic research and development using Generative AI.
The stop Emerging Threats (TARGET), through the Advanced Research Projects Agency for Health (ARPA-H), will use genAI to spee…

OIG: Remote patient monitoring in Medicare increasing

OIG identified systemic issues that impair Medicaid’s ability to root out fraudulent activities and offered several recommendations.

HHS investing $75 million in rural healthcare infrastructure

In a move designed to strengthen healthcare access and infrastructure in underserved areas, the Department of Health and Human Services has announced a $75 million investment in rural healthcare.
This initiative aims to expand healthcare services and i…

Hospitals are leveraging AI to improve revenue cycle

Hospitals and health systems are increasingly turning to AI to enhance their revenue cycle management (RCM) processes as healthcare execs shift their perspective on the role of the technology.

CMS final rule holds ACOs harmless for suspect catheter billings

The Centers for Medicare and Medicaid Services has issued a final rule on Significant, Anomalous and Highly Suspect (SAHS) billing activity in the Medicare Shared Savings Program.
The final rule concerns financial calculations for 2023 urinary catheter…

Demand for age-friendly care soars as older population grows

As the U.S. population ages at an unprecedented rate, the demand for age-friendly care is skyrocketing, revealing significant gaps in the nation’s healthcare infrastructure. 
A recent report from the John A. Hartford Foundation emphasizes the urgent ne…