Healthcare Reimbursement News

Texas-based study raises questions about impact of using additional criteria in No Surprises Act arbitration cases

Study results indicate that ongoing litigation over the independent dispute resolution process established by the No Surprises Act may not have a major impact on outcomes.

By Nick Hut June 22, 2022

Healthcare News of Note: InstaMed report says 87% of consumers were surprised by a medical bill in 2021

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Surprise medical bills were prevalent in 2021, long-haul COVID in the United States is in the news, and a report identifies America's most segregated hospital markets.

By Deborah Filipek June 21, 2022

Healthcare News of Note: New CMS data set makes hospital and skilled nursing facility ownership changes more transparent

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: CMS releases a new report on healthcare provider ownership, a new report examines the consequences of the pandemic for Black Americans, and 34% of nurses plan to leave their current job in 2022.

By Deborah Filipek June 21, 2022

Healthcare News of Note: U.S. Surgeon General says the nation must stop health worker burnout

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: U.S. Surgeon General says healthcare worker burnout is a national issue that must be addressed, the Digital Health for Equitable Health Alliance was just launched, and a survey shows funding is needed for ACOs to provide more home-based services.

By Deborah Filipek June 21, 2022

Healthcare News of Note: Which states offer their residents the best hospital-based healthcare?

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Pennsylvania is the top state for healthcare, most jurisdictions are unprepared for the launch of a new national mental health hotline, and a proposed rule change could fix the ACA’s "family glitch.’"

By Deborah Filipek June 21, 2022

Healthcare News of Note: Nationwide shortages of nurses, physicians and pharmacy techs drag on as surveys show clinician burnout levels continue to spike

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Healthcare professional shortages drag on as burnout levels continue to spike, Civica plans to enter the insulin market, and Medicare Advantage is now 45% of all Medicare enrollment.

By Deborah Filipek June 21, 2022

Healthcare News of Note: Oracle again extends its $28.3B tender offer to acquire Cerner

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: The Oracle/Cerner deal is back in the news, medical debt is causing Americans across generations to skip rent or mortgage payments, and empathetic leaders have a positive effect on employee innovation and engagement.

By Deborah Filipek June 21, 2022

Supreme Court unanimously finds that CMS veered out of bounds when it lowered drug payments for 340B hospitals

In a 9-0 ruling, the Supreme Court said CMS didn’t have the authority to lower drug reimbursement amounts for 340B hospitals as it did in 2018 and 2019.

By Nick Hut June 16, 2022

State of Medicare: Trustees push back projected date of Part A insolvency, but issues must be addressed

Even though the Hospital Insurance Trust Fund now is expected to be depleted in 2028 instead of 2026, Medicare still faces daunting challenges.

By Nick Hut June 15, 2022

Utilization review staff may be hurting results when fixing incorrect inpatient admissions

There's a clear financial winner when choosing a method for correcting an incorrect inpatient admission.

By Ronald Hirsch, MD June 9, 2022
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