Hospitals need federal support to handle the ongoing staffing and financial crunch, industry leaders say
The hospital industry issued its latest plea for additional federal help to mitigate the financial and operational strain of COVID-19, including surging staffing costs.
Healthcare stakeholders are invited to contribute suggestions for improving prior authorization
A two-month comment period is available for healthcare stakeholders to suggest electronic standards that would make the prior authorization process more efficient.
Healthcare M&A update: A quiet 2021 could give way to strategic shifts in 2022
The year 2021 was one of the least busy on record for healthcare mergers and acquisitions, but volume should pick up in 2022.
The COVID-19 vaccine mandate for healthcare workers can take effect nationwide, Supreme Court says
The court lifted injunctions that had halted implementation of the COVID-19 vaccine mandate in half the country, leaving hospitals and other affected providers with likely only a few weeks to begin complying.
Research seeks to pinpoint health system characteristics associated with the tendency to ‘overuse’ healthcare
Higher bed counts, fewer primary care physicians and investor ownership are among the characteristics of health systems that tend to overuse healthcare, according to a new study.
Coverage denials based on medical necessity are far more likely to arise from Medicare FFS rules than from MA plan policies
Coverage rules stemming from Medicare national and local determinations were the most likely cause of claim denials in one Medicare Advantage plan.
CMS proposes to restrict Medicare coverage of a high-profile new Alzheimer’s drug
Medicare will pay for use of a new drug to treat Alzheimer’s disease only for patients in approved clinical trials, CMS said in a proposed coverage determination.
Healthcare labor update: Employment data and research findings underscore ongoing challenges
As highlighted in new employment data and new studies, the healthcare labor market continues to constrain hospitals.
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New surprise billing regulations: Assessing a patient’s network status will be a key challenge
With new surprise billing regulations in place, providers should seek to implement efficient processes for gauging whether a patient is in-network.