Sicker patients, fewer outpatient visits, and higher expenses for labor, drugs, and supplies will continue to damage the financial health of hospitals and health systems throughout 2021, says...Read More »
Twenty Medicare Advantage (MA) organizations (12%) shown to have disproportionally high payments, were reportedly responsible for more than half of the $9.2 billion total risk-adjusted payments in the year 2017, according to analysis...Read More »
Hospital price transparency rules and penalties don't go far enough to actually control costs, according to an expert panel assembled by the Center on Health Insurance Reforms (...Read More »
UnitedHealthcare hopes newly added data analytics will bolster its efforts related to social determinants of health (SDOH), its Chief Consumer Officer, Rebecca Madsen, MBA, told ...Read More »
John Peter Smith Hospital in Tarrant County, Texas, has agreed to pay $3.3 million in order to settle allegations that it was in violation of the False Claims Act by upcoding certain claims....Read More »