EHN knew it has to get a better handle on disparate EHR systems, bringing data together in ways that were actionable.
Category: Health Insurance
House passes bills prohibiting pharmacy gag clauses on drug prices
The Patient Right to Know Drug Prices Act and the Know the Lowest Price Act are expected to get President Trump’s signature.
Community Health Systems’ subsidiary to pay more than $260 million over alleged kickback, billing, inpatient admissions scheme
Government alleged HMA unlawfully boosted inpatient admissions, submitted inflated claims to government payers and paid physician kickbacks for referrals.
Hospitals in one rural system have negative operating margins of $100 million a year, CEO says
Two areas for financial hope are being paid for telehealth and better data sharing in a rule on health information blocking.
Healthcare employee misuse and theft of pills totaled $164 million this year
Hospitals and health systems should adopt better strategies to ensure physicians and nurses don’t shift pills to the black market.
CMS admits errors in MIPS payment calculations after ‘target review’ of payment factors
In addition to those whose scores were directly impacted, some clinicians will see small changes in their payment adjustment after reapplication of budget neutrality, CMS said.
Operating margins stunted for nonprofit hospitals, says Fitch
Labor and wage pressures for experienced staff will likely continue, while the shift to at-risk contracting will be an exacerbating factor.
Homeland Security proposed rule would lead to legal immigrants foregoing healthcare
Rule threatens the stability of hospitals which will face more uncompensated care costs, says America’s Essential Hospitals.
Taken For A Ride: After ATV Crash, Doctor Gets $56,603 Bill For Air Ambulance Trip
After an accident in an all-terrain vehicle crushed a doctor’s left arm, he was whisked by air ambulance to the closest trauma center for specialized care. Soon he was fighting over the $56,603 bill.
Medicare Eases Readmission Penalties Against Safety-Net Hospitals
Penalties will total $566 million for all hospitals. But many that serve a large share of low-income patients will lose less money than they did in previous years.
