- A new final rule from CMS establishes minimum staffing standards for nursing homes at a national level for the first time in history. The rule states that nursing homes participating in Medicare and Medicaid must provide residents with a minimum of 3.48 hours of nursing care per day. The new staffing standard includes at least 0.55 hours of care...
- A new online portal allows the public to report any anti-competitive behaviors they see in the healthcare sector that may be impacting quality of care and affordability. The Federal Trade Commission (FTC), Justice Department, and the U.S. Department of Health and Human Services (HHS) launched the portal HealthyCompetition.gov on April 18th to...
- Widespread consolidation in healthcare is affecting physicians, according to a new report from the Physicians Advocacy Institute (PAI) and Avalere Health. The report analyzed updated data from IQVIA OneKey database which contains physician and practice location information on hospital/health system ownership. The data showed that more than...
- It may take some time to get paid for medical services, suggests a new survey of hospitals, health systems and post-acute care providers. Nearly 15 percent of medical claims submitted to private payers for reimbursement are initially denied, respondents representing over 500 organizations told Premier Inc. in the survey. An average of 3.2 percent...
Sponsored by Zelis
High-cost, in-network claims are an ongoing challenge for providers and payers. These claims are often complex, demanding significant documentation and scrutiny. As the volume of high-cost claims...
A major offer from a private equity firm is making waves in the revenue cycle management (RCM) vendor space, showcasing private equity’s interest in RCM vendors and software. New Mountain Capital, a private equity and capital firm headquartered in New York, recently offered to buy all of R1...
Sponsored by Zelis
[HealthPayerIntelligence]
Medicaid final rules improve care access for managed care, FFS beneficiaries
[HealthITSecurity]
Change Healthcare cyberattack fallout continues
[HealthITAnalytics]
Top 12 ways artificial intelligence will impact healthcare
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