Partnerships can help resolve the complexity and variability of health systems, says Andrew Albano, Jr., who is speaking at HIMSS26. Andrew W. Albano, Jr., vice president of Atlantic Health System in New Jersey and…
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The $600M in no-cost and discounted technology products and services will also aid in the broader modernization of Medicaid systems, CMS says.Ten health technology companies have pledged to help states prepare for and implement…
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What You Should Know
The Crisis: Despite soaring demand from an aging population, home health referral conversion rates have dropped 13% since 2018, leaving 4.2 million patients without recommended care in 2024 due to capacity…
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What You Should Know
The Deal: Kodiak Solutions has acquired BESLER & Company, integrating a 40-year veteran of revenue recovery into its modern analytics platform.The Tech Synergy: The acquisition adds BESLER’s specialized Transfer DRG software—used…
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Engineering Prior Authorization for WISeR: Six Ways Providers Can Prepare for AI-Assisted Prior Authorization Under the WISeR ModelBy Ryan Redman, JD
Ryan Redman, JD is product manager at Onspring.
The Wasteful and Inappropriate…
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The following is a guest article by Carol Howard, BSN, MBA, Vice President of Innovation and Adoption at Janus Health
Hospitals are entering another period of uncertainty as the Centers for Medicare & Medicaid Services…
What You Should Know:
– Kaiser Permanente affiliates have agreed to a $556M settlement to resolve allegations of violating the False Claims Act by submitting invalid diagnosis codes to inflate Medicare Advantage (MA) payments.
– The…
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Overview of Contractor Transition
The Centers for Medicare and Medicaid Services (CMS) has announced a significant change in its provider enrollment verification process. Starting January 3, 2026, CMS will transition to two new National Site…
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Kaiser Permanente affiliates will pay $556 million to settle False Claims Act allegations that they inflated Medicare Advantage risk scores.
Federal investigators say that Kaiser electronically searched patient histories for diagnoses…
Can CMS reduce Medicare spending with its new WISeR model? | Healthcare IT News
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