Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability
  • Single Payer, Public Options Become Focus of Healthcare Debate

    February 5, 2019 - As the nation starts to turn its politics-weary eyes towards the 2020 election cycle, a new series of healthcare talking points are emerging, particularly from the left-hand side of the ideological spectrum. Terms like “single payer,” “Medicare-for-All,” “public option,” and “Medicaid buy-in” are dominating headlines as prospective...

  • Gallup Reports 4-Year High in Number of Uninsured Americans

    January 25, 2019 - Earlier this week, the Gallup National Health and Well-Being Index reported that the percentage of adults without health insurance reached 13.7 percent by the close of 2018. The polling group sampled more than 115,000 adults across the country. The latest increase continues an upward trend since the third-quarter of 2016 when the rate of uninsured Americans dipped to 10.9 percent, down...

  • Aetna, Anthem, HCSC Back Healthcare Blockchain Initiative

    January 24, 2019 - Aetna, Anthem, and Health Care Service Corporation announced a new partnership with IBM and PNC Bank focused on bringing blockchain technology to healthcare. “The aim is to create an inclusive blockchain network that can benefit multiple members of the healthcare ecosystem in a secure, shared environment,” the companies stated. The goal is to allow the blockchain network to...

  • CMS Mulls End of Auto-Reenrollment, Silver Loading in ACA Market

    January 18, 2019 - CMS has issued its proposed Payment Notice for the 2020 plan year, which contains provisions that would significantly alter the operations and structure of the ACA individual marketplace. Continuing a pattern of using CMS regulatory authority to chip away at the integrity of the Affordable Care Act, CMS is seeking comment on a proposal to eliminate auto-reenrollment in plans for...


Today's Top Stories

Insurers Notch Legal Wins in Cost Sharing Reduction Fights

Multiple court cases have been decided in the favor of insurers looking to recoup millions of dollars in cost sharing reduction (CSR) payments withheld by the Trump Administration in 2017. Health payers have fought vigorously against the...

Payer-Provider Providence St. Joseph Buys Blockchain RCM Company

Providence St. Joseph Health (PSJH), an integrated payer-provider system, has announced the acquisition of Lumedic, a blockchain company serving the revenue cycle management market. The purchase will turn PSJH into the first...

PA Attorney General Intervenes in UPMC, Highmark Health Dispute

Pennsylvania Attorney General Josh Shapiro has filed a petition in Commonwealth Court to modify the consent decrees that govern the relationship between UPMC and Highmark Health, two of western Pennsylvania’s largest provider and...

Blue Cross, HCSC to Reduce Food Insecurity Among Plan Members

Blue Cross Blue Shield (BCBS) Institute and Health Care Services Corporation (HCSC) have launched a health food delivery service that will help reduce food insecurity and health disparities for plan members. Called foodQ, the service will...

Medicaid Can Increase Hospital Revenue Recovery by $500,000

Hospitals could increase their revenue recovery from Medicare bad debt by as much as ten percent per year by identifying insured patients who are also eligible for Medicaid, according to a recent TransUnion Healthcare analysis....

NCQA Seeks Comment on Proposed Updates to HEDIS Quality Measures

The National Committee for Quality Assurance (NCQA) is seeking comments from health plans, purchasers, consumers, and other stakeholders on proposed updates to the Healthcare Effectiveness Data and Information Set (HEDIS)...

Senators Request Payer, Provider Data on Surprise Medical Billing

Senators from both sides of the aisle have requested information from providers and payers regarding surprise medical billing. In a recently released letter, Senators Bill Cassidy (R-LA), Michael Bennet (D-CO), Todd Young (R-IN), Tom...

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