• Medicare Advantage plans denying more inpatient claims (Healthcare Finance)

• Medicare Advantage, insuring 1 million patients in North Carolina, faces new challenges to costs, practices (NC Healthcare News)
• 2023 Medicare Advantage Enrollment Growth Has Shifted and Slowed (Health Payer)

• 60% of Americans Would Be Uncomfortable With Provider Relying on AI in Their Own Health Care (Pew)

• Office for Civil Rights brings 2 reports to Congress regarding state of HIPAA compliance and cybersecurity (Fierce Health)

• Georgia bill to replace certificate of need advances (Beckers)

• A new American Hospital Association report takes a closer look at the biggest challengers to healthcare's status quo (Health Leaders)

• AHA Report: Health Care Disruption (PDF)

• Under a new program, rural hospitals could get more money — but they have to end inpatient care (Mississippi Today)

• Medicaid enrollees largely unaware of upcoming redeterminations, survey finds (HealthCareDive)

• Pandemic-era legislation allowed Medicaid programs to keep people continuously enrolled, but new data spells trouble for people and provider revenue when that expires (RevCycle)

• Doctors Are Disappearing From Emergency Rooms as Hospitals Look to Cut Costs (Medscape)

• North Carolina House overwhelmingly approves its latest plan to expand Medicaid (WGHP)

• Certificate of Need exemption for birthing centers causes debate in W.Va. House (Parkersburg News & Sentinel)

• FTC’s enforcement action against GoodRx unveiled a new regulatory threat. Should digital health apps be concerned? (HealthCareDive)

• White House announces plans to enhance transparency over nursing home ownership (The Hill)

• More than 75% of Tennessee's rural hospitals at high risk of closure (MSN)

• Podcast:Surprise Ambulance Bills and Beyond (Health Affairs)

• Evaluation of Prices for Surgical Procedures Within and Outside Hospital Networks in the US (JAMA Network)

• Nonprofit hospitals may evade noncompete ban enforcement, experts say (HealthCareDive)

• Also:Doctors no longer bound by noncompetes under FTC’s proposed ban
• Hospitals have more questions than answers on noncompetes amid FTC proposal (Beckers)
  
  

• Follow-up colonoscopy rates low after positive stool-based test (MedicalXpress)

• Colorectal Cancer: New Blood Test May Help Determine if Chemotherapy is Needed After Surgery (Healthline)

• A bill for Virginia nursing home staffing standards is moving (Richmond Time Dispatch)

• Bill Targeting Minimum Staffing Standards, Value-Based Purchasing Gains Traction in Virginia (Skilled Nursing)

• How this law (No Surprise Act) reshaped medical billing, and what challenges remain for patients (PBS)

• The portal to resolve surprise bills has been inundated with disputes — SCP Health tops the list (HealthCareDive)
• The No Surprises Act and ‘Good Faith Estimate’: What Is It and When Is It Required (MedCityNews)

• Healthcare workers union petitions FDA to recall Fresenius dialysis machines (UPI)

• Ransomware Attacks at Record Levels; Healthcare Organizations Must Be Ready Via Data Security and Disaster Response Policies and Procedures (National Law Review)

• State Health Plan (NC) rejects appeals from Blue Cross NC and United Healthcare (Charlotte Observer)

• State, hospital association paint different pictures of Colorado nonprofit hospitals' finances (KUSA)

• More than 8 in 10 nursing homes face staffing shortages (The Hill); AHCH State of the Nursing Home Industry Study 2023 (ACHA)

• Also: It’s time to crack down on NY’s predatory nursing home operators (Syracuse -Guest Opinion by Richard J. Mollot)
• Inspector general will review program for poorest performing nursing homes (McKnights)
• Nurses Push for Staffing Requirements at Nursing Homes (Globest)
• Nursing-home reform may finally become a reality: Three breakthroughs that are turning talk into action (Market Watch)

• South Carolina lawmakers to consider ending part of approval process for new health care facilities (WBTW)

• South Carolina lawmakers could end state's certificate of need program (CenterSquare)

• Closing at UPMC hospital in central Pa. surprises, worries mayor of rural town (PennLive)

• Record High in U.S. Put Off Medical Care Due to Cost in 2022 (Gallup)

• Certificate of need changes in the Carolinas: What ASCs need to know in 2023 (Beckers)

• Study: Up to a third of rural hospitals are at risk of closure (Richmond Times Dispatch)

• Study says U.S. hospital giant HCA  puts profits above patient care (NBC)

• Patient care crisis' in HCA Healthcare Hospitals causing 'grueling burnout' among workers, report says (KTNV)

• Providers, Payers In Ongoing “Tug-of-War” Over ED Coding, Study Says (RevCycle)

• Labs With Questionably High Billing for Additional Tests Alongside COVID-19 Tests Warrant Further Scrutiny (DHHS-OIG); Full Report (PDF)

• CMS Proposes Bid to Speed Up Insurers' Prior Authorization Decisions (Medscape)

• Payer, Provider Orgs React to Prior Authorization Proposed Rule (HealthPayer)

• Employers Can Do More to Advance Health Equity (Harvard Business Review)

• Related: How much employees actually pay for health care plans (Eastern Oregonian)

• Considerations for the U.S. Centers for Disease Control and Prevention and Its State, Local, Territorial, and Tribal Public Health Partners (RWJF)

• Patient discharge delays pose threat to health outcomes  (Healthcaredive)

• Issue Brief: Patients and Providers Faced with Increasing Delays in Timely Discharges (AHA)

• High Deductibles Keep Some Women From Follow-Up After Troubling Mammogram (USNews)

• For-profit health systems HCA Healthcare, Tenet Healthcare Corporation, and Community Health Systems have all had positive operating margins for most quarters during the pandemic (RevCycle)

• 7 Challenges, Opportunities for All-Payer Claims Databases (Health Payer)

• Critical changes in COVID-19 standards of care associated with improved mortality outcomes (MedicalXpress)

• Should older seniors risk major surgery? New research offers guidance (SFGate)

• Brief: How does medical inflation compare to inflation in the rest of the economy? (Health System Tracker)

• Potential Effects of the Proposed Medicaid Eligibility Rule for Newly Enrolled Medicare-Medicaid Enrollees (KFF)

• AMA found that around a third of Medicare Advantage markets in 2021 had one insurer with a market share of 50 percent or more, indicating low competition levels (HealthPayer)

• 3 trends to watch as ACA open enrollment begins

• Senate Dems urge action on false Medicare marketing (AXIOS)

• CMS releases final payment rules for 2023: 15 takeaways (Becker’s)

• Hospital Giant HCA Fends Off Accusations of Questionable Inpatient Admissions (KHN)

• Half of hospitals spend just 1.4% of expenses on charity care, KFF finds (HealthcareDive)

• Rural Emergency Hospitals – CY 2023 OPPS Final Rule Includes Additional Information on New Medicare Provider Type (National Law Review)

• Lobbying Expenditures in the US Health Care Sector, 2000-2020 (JAMA Network)

• 'Calm before the storm': Health insurance costs set to spike after they stayed mostly flat in 2022, survey finds (MSN)

• Payment Policy And The Challenges Of Medicare And Medicaid Integration For Dual-Eligible Beneficiaries (Health Affairs)

• LCMC Health and Tulane University announce partnership with LCMC to acquire three HCA hospitals through the agreement (Tulane)

• Joint Press Release

• U.S. Hospitals Under Strain as ER Wait Times Lengthen (US News)

• Home health services patients sue HHS secretary over Medicare policy (The Hill)

• Beleaguered Bright slashes footprint, fully exiting all ACA markets, nixing MA for 9 states with ony Caifonia and Florida left (Health Care Dive)

• Research Brief: The Role Of Administrative Waste In Excess US Health Spending (Health Affairs)

• CMS Seeks Input on National Directory of Healthcare Providers (RevCycle)

• Federal Register: Request for Information; National Directory of Healthcare Providers & Services

• Major worldwide study clusters long COVID symptoms into 3 groups (Fierce Health)

• If passed, the American Data Privacy and Protection Act (ADPPA) could have significant implications for health data privacy outside of HIPAA (HealthIT)

• An ‘unprecedented’ hospital system hack disrupts health-care services (MSN)

• Patients for Profit - How Private Equity is Hijacking Health Care: Death Is Anything but a Dying Business as Private Equity Cashes In (KHN)

• NC Hospitals Propose to Fund Medicaid Expansion, Reform CON Laws (Health Payer)

• Emergency Out-of-Network Payments Were Twice the Benchmark Level (Medscape)

• Comparison of Estimated No Surprises Act Qualifying Payment Amounts and Payments to In-Network and Out-of-Network Emergency Medicine Professionals (JAMA Forum)

• ‘The Hell That They Put Me Through’: Nursing Homes Are Suing Caregivers for Debts They Don’t Owe, Regulator Says (Barrons)

• Hospitals Divert Primary Care Patients to Health Center ‘Look-Alikes’ to Boost Finances (California Healthline)

• Private equity bought a nursing home, leading to staff cuts and a decline in care (Marketplace)

• Atlanta Medical Center closure: What you need to know (Beckers)

• Major Atlanta hospital announces closure, drawing mayor’s ire (MPT/PBS)

In the News

Blogs We Follow

Popular Site Destinations

Job Bank

No current postings at AHPA

Federal Agency Blogs

COVID-19 Information

Starting Points:

• U. S. Centers for Disease Control (CDC)
• Cases, Data & Surveillance
• Covide Science Updates (Weekly)
• State Health Departments
• NACCHO Directory Local Health Departments
• CMS Nursing Home Covid Data
• GAO Coronavirus Oversight

Guides & Resources for Workspaces:

• Kaiser Permanente Articles & Business Resources
• CDC Workplaces and Businesses
• Summary of CDC guidelines on reopening businesses after the pandemic (Tech Republic)

Additional Resources:

• Center for Healthcare Quality and Payment Reform (CHQPR) Report Summary on Pandemic and Rural Hospital Closure Risk
• Novel Coronavirus (COVID-19) (Medscape)
• CDC’s COVID-19 Vaccination Program Interim Playbook for Jurisdiction Operations
• The Costs of Coronavirus (JAMA Network)
• Largest COVID-19 contact tracing study to date finds children key to spread, evidence of superspreaders (Princeton)
• Evidence-Based Practice for Public Health Emergency Preparedness and Response (National Acadamies 2020)
• National Insitutes of Health
• John Hopkins ABX Guide: Coronavirus COVID-19
• The Covid Tracking Project (Tracking ended 3/7/2021):
• University Of Minnesotta CIDRAP Covid Resources
• JAMA Sponsored Live Stream Q & A with CDC
• Kaiser Family Foundation COVID-19 News and Reports
• NEJM : A collection of articles and other resources on the Coronavirus (Covid-19)
• Institute for Health Metrics and Evaluation (IHME): COVID-19 Resources
• Penn Center for Research on Coronavirus and Other Emerging Pathogens Webinars (You Tube Channel)

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