The so-called clawbacks are adding to providers’ operational and financial challenges in an already-tough economic environment.
Regulators are unjustly withholding tens of millions of dollars in adjusted Medicare disproportionate share hospital payments, more than 40 hospitals allege in a lawsuit.
Sutter will look to partner with Northern California academic institutions to shore up its workforce over the long term.
Hospital CIOs are reimagining patient care and operations with 5G networks designed to support countless connected healthcare devices. From telehealth trends to cybersecurity, hospital IT teams are making the decision to create a fully connected hospital campus with 5G.
The Kaiser Family Foundation study also noted that systems provide just $16 billion in charity care.
In 2019, a federal court ordered UnitedHealth Group's United Behavioral Health to reprocess 67,000 behavioral health claims and revise its coverage guidelines.
Providers and payers are fighting over how to set appropriate reimbursement rates in roughly a dozen lawsuits -- including four filed by the Texas Medical Association -- that could take years to resolve.
Humana gains market share from rivals when Medicare Advantage rates fall, President and CEO Bruce Broussard said during a TD Cowen healthcare conference in Boston.
The combined organization would have more than 40 hospitals, 40,000 employees and roughly $11 billion in annual revenue.
MercyOne and Genesis Health System announced plans to combine in September.
Digital wallet technology can be applied in the healthcare space to improve the billing experience for patients and increase on-time payments.
Last year, the HHS’s Office for Civil Rights filed 22 HIPAA resolution agreements totaling over $1.12 million in settlement fines. Providers can leverage a checklist to ensure they comply with HIPAA’s security rules.
A new e-book provides tips and insights to streamline the construction and design process for healthcare organizations amid evolving challenges.
In 2015, CMS recommended that states follow a modular approach for their Medicaid Management Information Systems to increase member engagement and provide better care. Rajesh Sharma of Gainwell Technologies shares five modularity myths and charts a simpler path forward in modernizing your state’s MMIS.