Latest RCM News News

Emory Healthcare, Walmart Team Up for an ACO, Bundled Payments

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Atlanta-based Emory Healthcare recently announced the creation of an accountable care organization (ACO) with retail giant Walmart, known as the Accountable Care Plan. Walmart employees at 55 Walmart,...

Banner Health Pays $18M to Resolve Medicare Fraud Accusations

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Banner Health, one of the largest non-profit hospital systems in the country, recently agreed to pay $18 million to the federal government to resolve Medicare fraud allegations involving 12 of its...

CA Sues Sutter Health Over Healthcare Cost, Competition Concerns

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California’s Attorney General Xavier Becerra recently announced that the state filed a lawsuit against Sutter Health that accuses the largest health system in Northern California of engaging in...

Advocate, Aurora Hospital Merger Deal Earns Regulatory Approval

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Federal and state authorities recently gave the proposed hospital merger between Illinois-based Advocate Health Care and Wisconsin-area Aurora Health Care the greenlight, the health systems announced...

UNC Health Care, Atrium Health Scrap Hospital Merger Deal

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North Carolina-based UNC Health Care and Atrium Health recently announced that they will no longer pursue a hospital merger deal that would create one of the largest health systems in the...

Bon Secours, Mercy Health Engaging in Hospital Merger Talks

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Maryland-based Bon Secours Health System recently announced its intent to engage in a hospital merger deal with Mercy Health in Ohio and Kentucky. The Catholic health systems are currently engaged in...

State Green Lights Partners, Mass. Eye and Ear Hospital Merger

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Massachusetts public health officials recently approved a proposed hospital merger between the state’s largest hospital system, Partners HealthCare, and specialty hospital Massachusetts Eye and...

Addressing Regulatory Burden, Patient Payments Top HIMSS18 Trends

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Healthcare finance professionals can bet on discussing compliance, innovative health IT systems, and patient financial responsibility at the 2018 HIMSS Annual Conference and Exhibition (HIMSS18) in Las...

Partners, Care New England Move Ahead with Hospital Merger Deal

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Partners HealthCare of Massachusetts recently announced that it has signed a definitive hospital merger agreement to add Rhode Island-based Care New England Health System to its hospital system. The...

CMS Opens Low Volume Appeals Settlement to Reduce Appeals Backlog

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In the face of a growing Medicare appeals backlog, CMS opened the first round of a low volume appeals settlement on Feb. 5 for providers with less than 500 claim denial appeals stuck in the appeals...

Healthcare Supply Chain Management Market to Reach $2.3B by 2022

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Growing at a compound annual growth rate (CAGR) of 8.4 percent, researchers projected the global healthcare supply chain management market to reach $2.31 billion by 2022, a recent Markets and Markets...

CMS Extends Home Health Enrollment Suspension to Combat Fraud

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In an effort to reduce Medicare fraud, CMS announced in a new rule that it will extend a moratorium on enrollment of new Medicare home health agencies in Florida, Illinois, Michigan, and Texas. The...

VA Leverages CMS Data Analytics to Reduce Healthcare Fraud, Waste

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The country’s two largest public-private healthcare payment systems, the VA and CMS, recently announced that they will partner to reduce healthcare fraud, waste, and abuse for veterans using data...

Senate Confirms Former Pharma Exec Alex Azar as Next HHS Secretary

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Former Eli Lilly executive Alex Azar will now head the Department of Health and Human Services (HHS) after Senators confirmed his nomination this afternoon in a 55 to 43 vote. The Trump Administration...

CMS Welcomes 58 Next Generation ACO Model Participants in 2018

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In 2018, the Next Generation ACO model will have a total of 58 participating accountable care organizations (ACOs), up from 45 organizations the previous year, CMS recently announced on the...

Health Systems Form Drug Company to Combat Rising Costs, Shortages

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Intermountain Healthcare, Ascension, SSM Health, and Trinity Health recently announced that they will create a non-profit generic drug company to reduce prescription costs and alleviate critical drug...

Global Healthcare RCM Software Market to Reach $43.3B by 2022

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The global market for healthcare revenue cycle management software will grow at a compound annual growth (CAGR) rate of 6.9 percent from 2017 to 2022, researchers from Future Market Insights recently...

Voluntary Bundled Payments Launch, HHS Nominee Backs Mandatory APMs

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CMS announced a new voluntary bundled payments opportunity starting in late 2018 on the same day that HHS Secretary nominee Alex Azar seemingly backed mandatory alternative payment models during a...

MSSP Accountable Care Organizations Moving to Risk in 2018

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According to a new fact sheet from CMS, the Medicare Shared Savings Program (MSSP) will see some fresh faces in 2018, as well as more accountable care organizations (ACOs) entering downside financial...

CMS Releases Quality Payment Program Data Submission System

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Eligible clinicians participating in MACRA’s Quality Payment Program can now start submitting their 2017 performance data on a new system on the program’s website, CMS recently announced in...