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Senate Passes COVID-19 Stimulus Deal

On Wednesday, the Senate passes a stimulus deal that would aid healthcare systems across the United States. The $2 trillion stimulus deal will include $100 billion to compensate for lost revenue and other expenses related to the COVID-19 pandemic. The stimulus deal is a response to many providers who have reached out for assistance, specifically [...]

By | 2020-03-27T10:44:56+00:00 March 27th, 2020|Articles, Government Mandates and Compliance|0 Comments

Interoperability Rules Finalized by HHS

Two agencies from the U.S. Department of Health and Human Services (HHS) released the final rules for interoperability and information-blocking proposals. Interoperability, which means the ability of health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare, has been a main topic in the healthcare [...]

By | 2020-03-11T10:17:08+00:00 March 11th, 2020|Articles, Government Mandates and Compliance|0 Comments

Trump’s Proposed Policy Aims to Give Patients Control of Health Records

The Trump Administration is proposing a policy that will also patient medical records to be accessible to patients. The policy will give patients access to their personal medical records easily on smartphone devices and apps. Although this may sound transparent and beneficial for patients, the flow of information will no longer be protected by the [...]

By | 2020-02-21T11:06:11+00:00 February 21st, 2020|Articles, Government Mandates and Compliance|0 Comments

Profits from CSR Payments Examined by Judges

On Thursday, judges from the U.S. Court of Appeals for the Federal Circuit raised their concerns that insurers were overly compensated from the subsidies received from the government is giving them, which were given due to the losses from cost-sharing reduction payments. In October 2017, the cost-sharing reduction payments were cut from insurers, and was originally [...]

By | 2020-01-10T10:01:02+00:00 January 10th, 2020|Articles, Government Mandates and Compliance|0 Comments

Stark Law Changes Supported by Physicians, Hospitals

The Centers for Medicare and Medicaid Services (CMS) are pushing to change Stark law statutes to facilitate providers to be in value-based contracts without the concern of being blamed for kickbacks. The Stark law, which is the anti-kickback and self-referral laws,  aid more value-based payments and coordinated care, while preventing physicians from benefiting and profiting [...]

By | 2020-01-03T10:08:54+00:00 January 3rd, 2020|Articles, Government Mandates and Compliance|0 Comments

Surprise Billing Legislation Omitted from Year-End Spending Deal

After months of debate over surprise billing and how to protect patients from out-of-network charges, lawmakers were not able to come to a compromise on the surprise billing proposal, failing to get the bill included in the 2019 year-end spending deal. The spending deal was an opportunity for the surprise billing legislation to be passed. [...]

By | 2019-12-27T10:10:21+00:00 December 27th, 2019|Articles, Government Mandates and Compliance|0 Comments

Risk Corridor Payments Brought to Supreme Court

On Tuesday, the United States Supreme Court heard a lawsuit pertaining to unpaid risk corridor payments ranging from 2014 to 2016. Risk corridor payments are a component of the Affordable Care Act that limits the risk from qualified health plans on the insurance marketplaces that work to minimize year-end losses of insurers who cover older, [...]

By | 2019-12-12T10:15:12+00:00 December 12th, 2019|Articles, Government Mandates and Compliance|0 Comments

ACA Enrollment Growing, Stays Lower than Last Year’s Signups

According to the statistics from the Centers for Medicare and Medicaid Services, open enrollment signups is still growing, but is not as substantial as previous years' enrollment. Currently, it is Week 3 of open enrollment, which officially began on November 1, 2019, and the enrollment count is down by 13% compared to last year's numbers. [...]

By | 2019-11-26T12:18:53+00:00 November 26th, 2019|Articles, Industry Updates|0 Comments

Hospital-Physician Consolidation Hurting Medicare Beneficiaries

According to a recent federal research study, Medicare beneficiaries are feeling the cost burden that is resulting from the consolidation of hospital systems and independent physician practices. These enrollees are paying more for their healthcare, as the hospital-physician systems are raising prices for insurers. Health systems are actively pursuing purchasing physician practices to integrate into [...]

By | 2019-11-08T10:42:20+00:00 November 8th, 2019|Articles, Industry Updates|0 Comments