Your guide to addressing claims pre-payment to maximize savings
Read more in this guide to discover strategies for high-cost claim optimization.
Ascension rebounds from last summer’s pandemic losses
After posting a $1 billion loss during the prior-year period, the nonprofit Catholic giant posted about $5.7 billion in net income for its fiscal year ended June 30.
Intermountain inks merger deal with SCL Health to create $11B system
The deal expands Intermountain’s regional footprint to Colorado, Montana and Kansas. CEO Marc Harrison would be the president and chief executive of the newly formed company.
Hillrom’s VP of connected care talks Baxter’s $10.5B buy, medtech’s largest 2021 deal
The deal is driven by Hillrom’s digital health presence. Trey Lauderdale, Hillrom vice president and general manager of care communications, says the Baxter acquisition is validation of their strategy.
FTC warns app makers fall under breach notification rule
The agency noted that a breach must be reported regardless of whether it was the result of malicious action. Any unauthorized access, including sharing information without consent, would trigger the rule.
Pandemic special enrollment period led to record number of ACA enrollees
Legislation passed earlier this year also expanded premium tax credits and helped drive down premiums — over 90% of those who enrolled during the SEP saw their premiums reduced.
FDA staff tight-lipped on booster shot views ahead of consequential meeting
In a briefing document released Wednesday, agency reviewers did not make a strong case either for or against the broad authorization of boosters for the general public.
New data from Israel, Pfizer show potent effect from third coronavirus shot
The much-anticipated data arrived two days before an important FDA advisory meeting to discuss authorization of a booster dose for Pfizer’s coronavirus vaccine.
In rare move, DOJ intervenes in MA fraud case against data mining company
Defendants Independent Health, an MA payer, and its now-defunct medical analytics subsidiary DxID denied all allegations of wrongdoing and said they planned to defend themselves “vigorously” in court.
Providers balk at MIPS value program, Medicare rate in physician pay rule comments
While providers strongly support the telehealth coverage increases in the proposed rule, they asked the agency to go further by putting the services that are now going to be covered until the end of 2023 on the permanent list.