A 10:1 return on taxpayer money is a rare feat. Nonetheless, an advanced state-of-the-art analytics system – the Fraud Prevention System – courtesy of The Centers of Medicare & Medicaid...
Value-based payment readiness is apparently an area of weakness for senior financial executives, reports an executive survey from the Healthcare Financial Management Association (HFMA) and Humana.
An...
As the Affordable Care Act (ACA) continues to evolve, the healthcare industry thrives on crystal ball-esque predictions about what future challenges may arise. How will the Supreme Court’s King v....
Aetna has agreed to acquire its undersized competitor, Humana Inc, for $37 billion in cash and stock. The possible unifying together of two of the nation’s largest health insurers may generate an...
As healthcare mergers and acquisitions reach a record high, will financial consequences follow? The roles of critical access hospitals (CAHs) continue to change as more are closing their doors due to...
The Department of Health and Human Services (HHS) released a Request for Information (RFI) earlier this month on the Health Plan Identifier (HPID). HPID – a standard identifier for health plans...
The ability to collect payment from patients has changed dramatically with the recent proliferation of high deductible health plans (HDHPs). Increased deductibles mean more revenue cycle...
The King v. Burwell ruling will likely be the last major hurdle the Affordable Care Act (ACA) faces from court challenges.
Says Bill Melville, Market Analyst for Decision Resources Group, to...
King v. Burwell's aftermath has been both praised as a “positive” and “disastrous” ruling as the dust continues to clear following last Thursday’s decision from the...
The Affordable Care Act (ACA) is simply part of the fabric of America, says Sylvia M. Burwell, Secretary of the Department of Health and Human Services (HHS), during a White House press call mere hours...
The aftermath of King v. Burwell is spreading like wildfire across the healthcare industry. Opinions and reactions circulate rather heavily this week – including thoughts from Sylvia M. Burwell,...
Today’s King v. Burwell decision from the Supreme Court to uphold subsidies is a groundbreaking moment for the healthcare industry. King v. Burwell examines whether or not those...
Big healthcare news is finally here. Reactions to today’s landmark King v. Burwell decision from the Supreme Court are plentiful. Here is a summary of recently acquired statements from...
The Supreme Court has ruled on King v. Burwell, a stunningly significant healthcare lawsuit intended to formally unravel various foundational components of the Affordable Care Act (ACA). The...
How are those healthcare payers participating in Affordable Care Act (ACA) implementation performing? Perhaps pretty well, according to a tenth annual PayerView report card and ninth annual Payer Trust...
The Supreme Court will soon rule on King v. Burwell, a momentous lawsuit intended to essentially reverse various pieces of the Affordable Care Act (ACA) with the possibility of subsidies for 6.4 million...
King v. Burwell – a critical landmark lawsuit aimed to actively unravel core components of the Affordable Care Act (ACA) – is a heavily trending topic this week as the...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported...
The internal controls that calculate and authorize financial assistance payments on behalf of the Centers for Medicare & Medicaid Services (CMS) are failing, says a report from...
Is the Affordable Care Act (ACA) hurling the healthcare industry further into the red? The answer is a definite yes, according to a recent RevCycleIntelligence.com article about key...