I’m a big fan of virtual care. It has the potential to revolutionize healthcare if we can get patients, providers, payers, and state regulators all on the same page.
Unfortunately, there’s still a lot…
CMS’s new national payment rate and unique reimbursement codes signal a transformative shift in radiotherapy reimbursement, removing barriers to the clinical adoption of RefleXion’s SCINTIX biology-guided radiotherapy. The breakthrough approach, utilizing emissions from cancer…
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An antitrust lawsuit has been filed against Cigna-owned online pharmacy and pharmacy benefit manager (PBM) Express Scripts by several community, independent pharmacies, alleging the company teamed with rival PBMs to fix pharmaceutical reimbursement rates…
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Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, Sr. Director of Revenue Integrity at XSOLIS
Of the many complexities within the healthcare industry, medical necessity determinations can be the most challenging – and pose one of…
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The American Hospital Association had four areas of comments for the Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health Information Technology on the proposed federal rule to…
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Dr. Brad Younggren, Chief Medical Officer and President of Care Innovation at 98point6 Technologies
In the face of unprecedented clinical workforce shortages that are only expected to grow larger in 2024, according to a new PWC…
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What You Should Know:
–XiFin, Inc., announced the launch of its new Payor Rate Transparency Monitor, the first-of-its-kind interactive visualization tool that compares contracted rates published by UnitedHealthcare, Aetna, and Cigna.
The new AI monitor tool…
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What You Should Know:
– TREND Health Partners, a rapidly growing provider of AI-driven solutions, has acquired Advent Health Partners, an AI-driven platform identifies and standardizes clinical attributes from itemized bills and medical records, expediting…
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Kyle Faget, Partner at Foley & Lardner, highlights the need for expanded coverage and reimbursement for telehealth services, stressing the importance of continued progress in this area. She also sheds light on a significant…
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A while back, Evara Health had briefly considered remote patient monitoring as a service, but the federally qualified health center never had the necessary funding.THE PROBLEM
With so many patients being elderly or having transportation…
