CMS Guidance for Rural Hospital Growth: Introduction
The Centers for Medicare & Medicaid Services (CMS) recently released updated guidance for hospitals aiming to convert into rural emergency hospitals (REHs). This new provider type was established…
Katie Sender, MSN, RN, PHN, CRC VP, Clinical and Coding Services at Cotiviti, Inc.
Risk adjustment requires constant attention to ensure accurate coding, timely regulatory compliance, and streamlined communications across the payer-provider continuum. Increasingly rigorous…
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The following is a guest article by Jordan Armstrong, Chief Revenue Officer at ResultsCX
Today’s consumers expect their health plans to be active partners in their healthcare journey, offering affordable options, easy access to care,…
What You Should Know:
– Zing Health, a trailblazing Medicare Advantage insurer, has announced a successful $140M funding round. The round includes participation from Health 2047 Capital Partners, CRG, and First Trust Capital Partners, alongside…
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What You Should Know:
– Humana Inc., a health and well-being company, and kidney care management company Interwell Health are expanding their value-based care agreement to include Florida.
– The expansion will provide eligible Humana Medicare…
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Priority Health has tapped Carrot Fertility to provide reproductive health support to members, the companies announced Monday.
Grand Rapids, Michigan-based Priority Health is the second largest health plan in Michigan and offers plans for employer…
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Wider Circle, a company that works with health plans and providers to deliver community care programs, announced a partnership with CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD).The aim of the partnership is…
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What You Should Know:
– Wider Circle, which builds peer-driven communities nationwide to help people improve their health and quality of life through trusted connections, announced a partnership with CareFirst BlueCross BlueShield Community Health Plan Maryland…
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This past summer, the U.S. Supreme Court, with its Loper Bright Enterprises v. Raimondo decision, put an end to the principle that federal courts should defer to federal regulatory agencies’ expertise when deciding on ambiguous statutes.The…
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Michael Drescher, Vice President of Payer Strategy, Xsolis
The critical need to improve prior authorization processes might have reached its tipping point on Jan. 17. That’s when the Biden administration announced its new mandate — the CMS…
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