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HIMSS Media is the fastest growing B2B media group focused exclusively on healthcare and technology markets. Through its suite of market-leading brands, such as Healthcare IT News, Healthcare Finance and MobiHealthNews, HIMSS Media delivers news, analysis and must-have information to an audience of senior healthcare and technology influencers. HIMSS Media is also the leading producer of important

live events, such as the Privacy & Security Forum, Patient Engagement Summit, Revenue Cycle Solutions Summit, and Big Data and Healthcare Analytics Forum. HIMSS Media is a part of HIMSS, the global voice, advisor and thought leader of health transformation through health IT with a unique breadth and depth of expertise and capabilities to improve the quality, safety, and efficiency of health, healthcare and care outcomes. HIMSS designs and leverages key data assets, predictive models and tools to advise global leaders, stakeholders and influencers of best practices in health IT, so they have the right information at the point of decision.

HIMSSCast: Getting to value through the right data
10/28/2023

HIMSSCast: Getting to value through the right data

Clinical decision support improves outcomes, ROI and the move to value-based care, says Yaw Fellin of Wolters Kluwer Health.

UnitedHealthcare is expanding individual, family plans on the marketplace
10/27/2023

UnitedHealthcare is expanding individual, family plans on the marketplace

The larger ACA plan footprint will bring access to affordable benefits to more than 60% of the eligible population, UHC says.

Providers must use AI and machine learning to understand barriers to care
10/27/2023

Providers must use AI and machine learning to understand barriers to care

Data sets can be integrated into population health stratification to discover health equity issues that are preventing access to care, says Lynn Carroll, COO of HSBlox.

Bipartisan lawmakers tell HHS to reconsider nursing home staffing mandate
10/27/2023

Bipartisan lawmakers tell HHS to reconsider nursing home staffing mandate

CMS is expected to issue a final rule after the comment period ends on November 6.

Court upholds $2.7 billion Blue Cross antitrust settlement
10/27/2023

Court upholds $2.7 billion Blue Cross antitrust settlement

Benefits will now be distributed to the subscribers who sued Blue Cross more than a decade ago.

Data and analytics can help payers understand population health drivers
10/27/2023

Data and analytics can help payers understand population health drivers

Payers have seen success in improving health outcomes by taking a holistic approach to member interventions, says Leah Dewey, vice president of Cotiviti.

Plans will be judged on HEI starting in the 2027 Medicare Advantage star ratings
10/27/2023

Plans will be judged on HEI starting in the 2027 Medicare Advantage star ratings

Health equity index measures will be used in determining a plan's bonus payments, says Christie Teigland, Ph.D., vice president of Research Science and Advanced Analytics at Inovalon.

Medicaid redeterminations have cost Centene 1 million members so far
10/26/2023

Medicaid redeterminations have cost Centene 1 million members so far

Centene expects the majority of redeterminations to be completed by May 2024.

Informed consent is at the core of the ability to share information
10/26/2023

Informed consent is at the core of the ability to share information

Having a central repository for consent would promote both interoperability and health equity, says Daniel Stein, president of Stewards of Change Institute.

More than 2 million people could be covered under Medicaid expansion
10/26/2023

More than 2 million people could be covered under Medicaid expansion

Groups with the highest gains in coverage because of Medicaid expansion include non-Hispanic Blacks, young adults and women.

Independent pharmacies accuse Express Scripts of price fixing in lawsuit
10/25/2023

Independent pharmacies accuse Express Scripts of price fixing in lawsuit

A deal between Express Scripts and Prime Therapeutics served solely as a price-fixing mechanism, suit alleges.

AI can improve the revenue cycle but increases risk, Moody's says
10/25/2023

AI can improve the revenue cycle but increases risk, Moody's says

AI has the potential to change the competitive landscape, but models that are not plug and play will take years to integrate into business models.

HHS-OIG finds limitations in how Medicare collects health equity data
10/25/2023

HHS-OIG finds limitations in how Medicare collects health equity data

The U.S. Department of Health and Human Services Office of the Inspector General recommends Medicare develop its own source for race and ethnicity data collection in the Medicare population, says Ann Maxwell, HHS-OIG deputy inspector general for evaluations.

Blue Cross NC to acquire FastMed's North Carolina locations
10/25/2023

Blue Cross NC to acquire FastMed's North Carolina locations

Blue Cross NC will acquire 55 FestMed locations, with the intent to improve access and the patient experience.

Three quarters of ACOs in direct contracting model earned savings
10/24/2023

Three quarters of ACOs in direct contracting model earned savings

The Global and Professional Direct Contracting Model is now ACO REACH.

Physician cash compensation increasing and projected to rise
10/24/2023

Physician cash compensation increasing and projected to rise

Healthcare leaders will confront sustained upward pressure on compensation for these roles moving forward, report finds.

Meditech embraces AI to help health systems achieve safe and efficient care
10/24/2023

Meditech embraces AI to help health systems achieve safe and efficient care

The ability to have AI in the EHR must have the goal of incorporation into daily workflows, says Meditech COO Helen Waters.

Healthcare chatbots may promote racist misinformation
10/23/2023

Healthcare chatbots may promote racist misinformation

Every language model demonstrates instances of racist tropes, or a repetition of unsubstantiated claims about race, study says.

Healthcare associations push back on CMS' sepsis rule, advocate tweaks
10/23/2023

Healthcare associations push back on CMS' sepsis rule, advocate tweaks

The associations' primary recommendation is to retire CMS' Severe Sepsis/Septic Shock Management Bundle.

Ascension Michigan to integrate with Henry Ford Health
10/23/2023

Ascension Michigan to integrate with Henry Ford Health

Expanded network announced after Ascension reports $2.6B net loss for the year.

How AI can match older Americans and caregivers with better resources
10/23/2023

How AI can match older Americans and caregivers with better resources

Large language models help leverage the social determinants of health for better care navigation, says Karl Ulfers, cofounder and CEO of DUOS.

Payers criticize mental health parity proposed rules
10/20/2023

Payers criticize mental health parity proposed rules

Organizations say the proposals are legally and operationally flawed and could hinder access rather than facilitate it.

Cardiologists top list of highest-paid physician specialties
10/20/2023

Cardiologists top list of highest-paid physician specialties

Cardiologists have the highest average annual wage, followed by non-pediatric orthopedic surgeons and pediatric surgeons.

HIMSSCast: Physician groups unite on accountable care
10/20/2023

HIMSSCast: Physician groups unite on accountable care

Pushing the needle on value-based care will require buy-in from employers, says Susan Dentzer, president and CEO of APG.

Family premiums in employer plans will likely rise 7% after a year of no growth
10/20/2023

Family premiums in employer plans will likely rise 7% after a year of no growth

On average, covered workers contributed 17% of the cost of single coverage and 29% of the cost of family coverage.

The Nordic systems' biggest strength is the applied digital unique identifier
10/20/2023

The Nordic systems' biggest strength is the applied digital unique identifier

Having individuals connected by one identifier is good for information sharing and for attracting the private-public partnerships that are essential to moving forward, says Bogi Eliasen, director of health at the Copenhagen Institute for Futures Studies.

Walgreens, Alignment rolling out co-branded Medicare Advantage plans
10/19/2023

Walgreens, Alignment rolling out co-branded Medicare Advantage plans

This will reach about 1.6 million Medicare-eligible adults, pending regulatory approvals, companies say.

Ten health systems invest in Capital Rx's backend claims processing platform
10/19/2023

Ten health systems invest in Capital Rx's backend claims processing platform

Cloud platform JUDI drives savings for plan sponsors by providing patients with the lowest available drug prices, company says. 

How extended reality, or XR, enhances healthcare training
10/19/2023

How extended reality, or XR, enhances healthcare training

High efficacy, less time, higher cost-savings and better care outcomes for patients when using XR training were the results of a recent report, according to Pearly Chen, VP of business development and partnerships at HTC VIVE.

Elevance Health logs $1.3 billion in profit in Q3
10/18/2023

Elevance Health logs $1.3 billion in profit in Q3

While profit decreased year-over-year, overall revenue climbed, due to higher premium revenue and growth at CarelonRx.

Medicare Advantage star ratings this year represent 'final fallout' from COVID-19
10/18/2023

Medicare Advantage star ratings this year represent 'final fallout' from COVID-19

A Kaiser health plan did not make the 5-star list for 2024, but two plans by lesser known Devoted Health did.

New heath innovations necessitate an emphasis on education
10/18/2023

New heath innovations necessitate an emphasis on education

Quy Vo-Reinhard, dHealth Foundation director and cofounder, said a focus on education is critical to address key challenges such as interoperability, secure health records and blockchain-enabled EHRs.

CVS Health sees leadership changes as CFO takes leave
10/17/2023

CVS Health sees leadership changes as CFO takes leave

Senior VP of Corporate Finance Tom Cowhey has been appointed interim CFO in Shawn Guertin's absence.

Aspirus, St. Luke's inch closer to 19-hospital affiliation
10/17/2023

Aspirus, St. Luke's inch closer to 19-hospital affiliation

he combined organization would operate 19 hospitals and 130 outpatient locations with nearly 14,000 team members, organizations say.

Rite Aid files Chapter 11 bankruptcy
10/17/2023

Rite Aid files Chapter 11 bankruptcy

The retail store and pharmacy will continue operations but will close underperforming stories, company says.

Visual language technology helps deaf individuals communicate
10/17/2023

Visual language technology helps deaf individuals communicate

Sign language interpreters can prep providers prior to appointments on cultural differences that impact health equity, says Kathryn Jackson, VP of language operations at AMN Healthcare.

Financial challenges spurring healthcare merger and acquisition activity
10/17/2023

Financial challenges spurring healthcare merger and acquisition activity

Thirty-nine percent of the announced transactions in Q3 were spurred at least in part to financial distress, Kaufman Hall finds.

Kaiser Foundation Health Plan reaches $200 million behavioral health settlement
10/16/2023

Kaiser Foundation Health Plan reaches $200 million behavioral health settlement

The State of California identified several violations in the plan's provision of behavioral healthcare services to enrollees.

HIMSSCast: Whole person care and data interoperability drivers
10/16/2023

HIMSSCast: Whole person care and data interoperability drivers

Dr. Ben Zaniello, chief medical officer of PointClickCare, explains three pathways to consider to achieve whole person care and shares his personal experiences engaging SDOH on post-acute care coordination.

Kaiser Permanente reaches deal with workers after strike
10/16/2023

Kaiser Permanente reaches deal with workers after strike

Both sides credit Acting Secretary of Labor Julie A. Su in reaching an agreement.

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Administrative waste comprises 15 to 20% of healthcare spending, Health Affairs shows https://hubs.ly/Q01pqQmq0 by Healthcare Finance
AHA and withdraw lawsuit over enactment of No Surprises Act https://hubs.li/Q01mTpPw0 by Healthcare Finance
Patient acuity is driving up hospital costs, says https://hubs.li/Q01kRKqT0 by Healthcare Finance
The Inflation Reduction Act, if passed, would allow Medicare to negotiate lower drug prices. The bill was passed in the Senate and is now on its way to the House. Read more here: Healthcare Finance
"Price increases driven by economic inflation typically are slow to appear in medical trends due to the multi-year nature of the typical provider contract. But it will become apparent over the coming year, according to Aon."
Healthcare Finance

Ambulatory surgery centers compete with for outpatient dollars https://hubs.li/Q01kg2Vj0 by Healthcare Finance
Centers For Medicare & Medicaid Services is increasing payments to facilities in FY2023. "Today's action is an important step in fulfilling our goal to protect people living in nursing homes and staff," said CMS Administrator Chiquita Brooks-LaSure. Read more in Healthcare Finance https://bit.ly/3C7embv
One in five adults in the U.S. has received an unexpected medical bill this year, even after a federal ban on surprise medical billing, according to a new survey from Morning Consult.

Implemented under the No Surprises Act, the new federal protections against surprise medical bills went into effect at the dawn of the new year and ban surprise billing in private insurance for most emergency care and many instances of non-emergency care. They also require that uninsured and self-pay patients receive key information, including overviews of anticipated costs and details about their rights.

https://www.healthcarefinancenews.com/news/one-fifth-adults-have-received-surprise-medical-bill-survey-shows I Healthcare Finance
The Centers for Medicare and Medicaid Services (CMS) has proposed a new rule that creates a pathway for rural and critical access hospitals to increase access to emergency and outpatient care, a move expected to provide more on Medicare enrollment, payment, and quality reporting.

“The availability of the new Rural Emergency Hospital provider type will maintain access to essential healthcare services and help to reduce disparities in rural communities,” said CMS Administrator Chiquita Brooks-LaSure.

Read more from Susan Morse via Healthcare Finance: https://bit.ly/3Ik30Ch |
Germans told to conserve energy as Russia cuts gas flows to Europe! Deputy chancellor warns of ‘serious’ situation as Italy, Austria and Slovakia report more supply reductions...

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Recently, SVP and GM, Vikram Savkar was recently featured on a webinar moderated by Healthcare Finance and presented by HIMSS. Watch on demand to learn about the importance of telehealth, its future, and what healthcare organizations and regulators need to know to ensure it remains accessible and functional post-pandemic. http://ow.ly/OurO50Jya86
Registration required.
"Most likely this means the PHE would be continued until the end of the year, extending current telehealth flexibilities for five months into 2023."
Healthcare Finance

'"The nursing shortage isn't going to go away, and we need to address it head-on," said Anne Dabrow Woods, chief nurse at Wolters Kluwer'. Read more on how hospitals can change their models of care to meet the worsening nursing shortage for Healthcare Finance. http://ow.ly/OFGI50J9pF0
"CMS will soon publish a rule on enhanced data exchange, says CMS Administrator Chiquita Brooks-LaSure." - Healthcare Finance

In a federal price transparency rule that took effect January 1, 2021, hospitals were tasked with posting all of their prices online in clear, easily accessible formats. But a new survey from Patient Rights Advocate has found that, to date, just 14.3% of 1,000 hospitals are compliant with the rule.

Learn more in this Healthcare Finance article:
A global pandemic, constant disruptions, and staffing shortages – none of them were enough to stop the nursing profession from being named “America’s Most Trusted” for a 20th consecutive year.

We couldn’t agree more. Air Methods is proud of the hard work and dedication of our nurses across the country.

https://bit.ly/3txNGfU I Healthcare Finance
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