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Healthcare Industry News

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

  • 4 Barriers to Addressing the Expanding Opioid Crisis

    4 Barriers to Addressing the Expanding Opioid Crisis

    Opioids have been in the news as funds are pledged to address the crisis and revelations about the death of Prince unfold. Progress is underway, but slowly.

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  • Uncharted Waters for Healthcare After GOP Plan Pulled

    Uncharted Waters for Healthcare After GOP Plan Pulled

    Events are unfolding quickly in Washington DC following the dramatic withdrawal of a healthcare bill intended to repeal and replace the Affordable Care Act.

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  • Will physicians be burned by MACRA surprises?

    Will physicians be burned by MACRA surprises?

    MACRA is here and physicians and other providers eligible to bill Medicare should be collecting their data now, as it will impact their payments in 2019.

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  • Diving into the Skilled Nursing Facility (SNF) ‘Final Rule’ on arbitration agreements

    Diving into the Skilled Nursing Facility (SNF) ‘Final Rule’ on arbitration agreements

    CMS issued its Final Rule for skilled nursing facilities in fall 2016. What you need to know about how to implement new rules on binding arbitration.

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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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  • 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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  • 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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  • 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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  • 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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  • Claims management in a new era of CMS scrutiny

    Claims management in a new era of CMS scrutiny

    ABILITY Network senior product manager Manisha Sharma shares some Medicare KPIs that can help healthcare organizations keep their revenue on track.

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  • Insurers urge government to tighten rules for special enrollment

    Insurers urge government to tighten rules for special enrollment

    Insurers say abuse of special enrollment periods is driving up costs, and CMS has indicated that it will tighten rules for HealthCare.Gov policies.

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  • SNFs must focus on star ratings to prep for 2017

    SNFs must focus on star ratings to prep for 2017

    The bundled payment model coming to test markets in 2017 means a star rating of 3 or more is crucial for skilled nursing facilities.

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  • Will “value to the patient” one day be a part of billing? 

    Will “value to the patient” one day be a part of billing? 

    Payers are developing new models for value-based payments, but are these models taking patients' wishes into account?

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  • Healthcare training adapts for a new era

    Healthcare training adapts for a new era

    Educators and policymakers are re-thinking healthcare training in light of trends like value-based reimbursement and a projected worker shortage.

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  • For buyers on insurance exchanges, coverage lapses are common

    For buyers on insurance exchanges, coverage lapses are common

    Many people who buy health insurance on an exchange end up losing coverage later in the year. How can providers stay on top of these changes?

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  • Exciting Growth at ABILITY

    Exciting Growth at ABILITY

    Thank you to Minneapolis Mayor Betsy Hodges; Cecile Bedor from the Greater Minneapolis-Saint Paul Regional Economic Development Partnership; Kevin McKinnon, from the Minnesota Department of...

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  • For SNFs, changing payment models drive a focus on quality

    For SNFs, changing payment models drive a focus on quality

    As the industry shifts away from fee-for-service, SNFs are now focusing closely on providing quality care at the lowest possible cost.

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