HaloMD Under Fire: A Powerful Defense
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Patrick Velliky is confident the No Surprises Act is lowering out-of-network spending, despite research to the contrary. HaloMD’s chief external affairs officer responds to criticisms of his […]
Intermountain Health Completes Essential Idaho Hospital Deal
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. The nonprofit paid $797 million and $413 million for the ownership interest and real estate in 88-bed Idaho Falls Community Hospital and 38-bed Mountain View Hospital. […]
Arkansas Pharmacies Win New Essential Lawsuit Against Express Scripts
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Arkansas passed a law last year giving pharmacies the authority to sue PBMs for underpayments. Twelve independent pharmacies are now the first to take advantage of […]
SCAN and Walmart Create Essential Medicare Advantage Plans
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. The collaboration could offer customers pharmacy and vision services, food and over-the-counter benefits, pending regulatory review and approvals Read Full Article on Source → 💡 What […]
How Essential CMS AI Pilot Improvements Protect Patient Care
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. A trove of CMS documents obtained and shared by a privacy nonprofit outlines sweeping issues such as delayed approvals, miscommunication and provider frustration. Read Full Article […]
CMS Expands ACCESS Model: A Powerful Step for Better Care
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. The Trump administration is rapidly expanding its 10-year ACCESS Model, a value-based payment program that reimburses digital health companies based on patient outcomes rather than services […]
Essential New PHTI Report Sparks Virtual Kidney Care Debate
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Kidney care companies challenged PHTI’s analysis, arguing that it overlooks broader clinical outcomes and value-based care results. Read Full Article on Source → 💡 What This […]
Essential new HHS guide helps resolve surprise billing disputes
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Physio Solutions, which does business as medlitix, is the 17th company certified to settle out-of-network payment disputes under the No Surprises Act as arbiters face increasing […]
Proven Ways to Eliminate Hidden Ambulatory Care Costs
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Manual work quietly drains time, capacity and revenue. Here’s how ambulatory practices can respond. Read Full Article on Source → 💡 What This Means For You […]
How to Protect Medicare Advantage From Risky Suppliers
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. The agency says the CMS and MA organizations aren’t doing enough to screen durable medical equipment providers, especially out-of-network companies that aren’t enrolled in Medicare. Read […]