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In the News
- JPMorgan, Amazon, and Berkshire Hathaway’s Health-Care Venture Dies. Costs Remain a Problem (Barron’s)
- CMS Home Based Hospital Care Wavier Called “Enormous Step Forward” (HealthLeaders)
- UnitedHealth Group subsidiary indicted on antitrust charges (Fierce Health)
- FTC Loses Bid to Block Philadelphia Hospital Merger in Extraordinarily Busy Year of Hospital Merger Enforcement (National Law Review)
- In fight over drug discounts, HHS lawyer sides with hospitals (Med City News)
- New guidance from the American College of Cardiology provides a checklist for same-day discharge for elective percutaneous coronary interventions (Medscape)
- What Final Medicaid Value-Based Purchasing Rule Means for Payers (Health Payer)
- Seattle-based Virginia Mason merges with CHI Franciscan health system to operate 11 hospitals and nearly 300 care locations (Seattle Times)
- AHA reported that 89% of hospitals and health systems have experienced an increase in claim denials over the past 3 years, with 51% saying the increase has been “significant.” (RevCycle)
- Study: Non-Profit Health Plans Need a New Medicare Advantage Strategy as Share Losses Widen (Chartis Group)
- Study finds evidence of lasting immunity after mild or asymptomatic COVID-19 infection (Medicalxpress)
- Study: Genetic data can help predict IBD risk (UPI)
- National Health Care Spending In 2019: Steady Growth For The Fourth Consecutive Year (Health Affairs)
- Provider groups are concerned about the details of a new surprise billing solution that would hold patients harmless for emergency care and have payers and providers negotiate the rest (RevCycle)
- Gross margins and medical loss ratios indicated that payers continued to make a profit through the third quarter of 2020 (Health Payer)
- Study Findings: Despite greater social risk factors, Medicare Advantage beneficiaries receive more outpatient visits and more preventive screenings while seeing more appropriate use of prescription drugs and less unnecessary hospitalizations (BetterMedicareAlliance)
- Report: Building Better Care - The Role of Medicaid Managed Care in Long Term Services and Supports (AHIP)
- Who Didn’t Get a Second Shingrix Shot? Implications for Multidose COVID-19 Vaccines (KFF)
- Healthcare leaders are working to discover accurate, targeted cancer treatments using big data analytics tools (Health IT)
- Report:Benefits and Challenges of Technologies to Augment Patient Care (GAO)
- Policy Brief: Closing the Health Insurance Gap: Two Options for Connecticut and the Challenge of Affordable Coverage for the Near Poor (Connecticut Health Foundation)
- One in Four Kids Seen at Urgent Care, Retail Clinics in 2019 — Pre-pandemic snapshot may change after telehealth ramp-up (Medpage Today)
- CMS will implement 21 new ICD-10 procedure codes for COVID-19 vaccines and therapeutics; the agency also assigned MS-DRGs for 6 new ICD-10 diagnosis codes for conditions related to COVID-19 as of January 1, 2021 (RevCycle)
- Related: CMS Announces Comprehensive Strategy to Enhance Hospital Capacity Amid COVID-19 Surge (CMS)
- Characteristics of Hospitalized COVID-19 Patients Discharged and Experiencing Same-Hospital Readmission — United States, March–August 2020 (MMRW November 13, 2020 in PDF)
- Insurer Participation on the ACA Marketplaces, 2014-2021 (KFF)
- Study finds over 64% of people reported new health issues during 'work from home' (Eureka Alert)
- CMS Reports Improper Payment Rate Continues Decline (Home Care)
- Justice Department: Medicare Advantage Provider to Pay $6.3 Million to Settle False Claims Act Allegations (Insurance News)
- What the New Rebate Rule Means for Medicare Part D Plans (Health Payer)
- Study: Association Between State Medicaid Expansion and Emergency Access to Acute Care Hospitals in the United States (JAMA Network)
- FTC sues to block Tenet's Memphis hospital deal with Methodist Le Bonheur (Health Care Dive)
- Massachusetts' Survey: Consumers Want Healthcare Price Information, But Few Realize It’s Available (Pioneer Institute)
- HHS Releases Final 2020-2025 Federal Health IT Strategic Plan (RevCycle)
- CMS Finalizes Price Transparency Rule with Self-Service Tool (Health Payer)
- Providers seek extension of 2% Medicare sequester cut relief through 2021 (McKnights)
- Medicare Advantage Enrollees Less Satisfied with End-of-Life Care (Hospice News)
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