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Healthcare Industry News

Read up on the news and trends that are affecting your work as a healthcare professional.

  • Medicare and Medicaid could face dramatic change

    Medicare and Medicaid could face dramatic change

    Changes are around the corner now that a new administration is in place. Medicare and Medicaid will be under scrutiny as legislators consider their future.

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  • Value-based care: burden or benefit?

    Value-based care: burden or benefit?

    With the uncertain future of the Affordable Care Act (ACA), it’s hard to know which features of the program, if any, will be preserved.

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  • Looking into the unknown: a 2017 healthcare preview

    Looking into the unknown: a 2017 healthcare preview

    With a major change in political leadership, healthcare policy is up in the air. Congress will tackle its plans for reshaping the industry in January.

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  • President signs landmark mental health reform

    President signs landmark mental health reform

    As part of the 21st Century Cures Act, mental health reform has become law with the president’s signature in December 2016. It’s the most significant mental health reform in more than 50 years.

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  • What’s to become of the Affordable Care Act (ACA)?

    What’s to become of the Affordable Care Act (ACA)?

    With "repeal and replace" of the Affordable Care Act a campaign mantra, speculation abounds about whether and how this can be accomplished. Time will tell.

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  • President's mental health parity task force weighs in

    President's mental health parity task force weighs in

    Multiple government agencies weighed in at the end of October on the best way to achieve and enforce mental health parity in insurance coverage.

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  • Questions about ACA’s future don’t change current open enrollment needs

    Questions about ACA’s future don’t change current open enrollment needs

    The election has thrown the future of the ACA into question, but open enrollment for 2017 is underway now and providers must be ready.

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  • NAHC notes: what’s happening in home health?

    NAHC notes: what’s happening in home health?

    ABILITY Network leaders returned from the annual NAHC conference on home health and hospice in October with some insights into key industry issues.

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  • Industry relief and reactions to MACRA final rules

    Industry relief and reactions to MACRA final rules

    Physicians may be breathing a sigh of relief that CMS has issued final rules for MACRA. Reports and commentaries are flowing in from industry observers.

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  • New health insurance eligibility game plans needed for 2017

    New health insurance eligibility game plans needed for 2017

    Medical providers would be wise to start thinking about insurance eligibility as the start to 2017 promises to be especially challenging.

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  • How admissions staff are improving the patient experience

    How admissions staff are improving the patient experience

    Today, admissions reps often perform tasks that billers used to perform. The industry must adapt to ensure a strong patient experience.

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  • Medicare Advantage enrollees face challenges getting accurate network information

    Medicare Advantage enrollees face challenges getting accurate network information

    Data shows that Medicare Advantage provider directories are often inaccurate, leading to patient errors in determining Medicare Advantage eligibility.

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  • Report may thrust mental health parity into spotlight

    Report may thrust mental health parity into spotlight

    Mental health parity has been law "on paper" for years, but its definition has been vague. Litigation and a presidential task force may clarify the picture.

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  • Survey finds CIOs increasingly relying on SaaS

    Survey finds CIOs increasingly relying on SaaS

    157 healthcare IT leaders said in a survey that healthcare SaaS options are helping them meet their challenges.

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  • Are physicians ready for MACRA’s value-based payments?

    Are physicians ready for MACRA’s value-based payments?

    CMS has announced a new proposed rule under MACRA detailing how it will handle value-based payments for clinicians. How will it impact your practice?

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  • How can healthcare save $8 billion?

    How can healthcare save $8 billion?

    The 2015 CAQH Index reveals an opportunity to save billions via wider adoption of electronic healthcare transactions, including eligibility verification.

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  • Will new star ratings for hospitals be an improvement?

    Will new star ratings for hospitals be an improvement?

    A new system of star ratings for hospitals was delayed by CMS to give the industry more time to prepare. But some data shows the current system works well.

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  • Medicare to roll out coverage for diabetes prevention

    Medicare to roll out coverage for diabetes prevention

    Medicare will soon cover diabetes prevention programs for seniors with prediabetes. A pilot program showed savings of $2,650 for each participant.

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  • Providers large and small feel challenges of interoperability

    Providers large and small feel challenges of interoperability

    Stan Opstad, SVP of product management at ABILITY Network, shares the key topics discussed at HIMSS 2016.

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  • Simpler physician quality measures on the way

    Simpler physician quality measures on the way

    A group representing payers and providers has recommended new, standardized measures of physician quality.

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