In possible violation of the No Surprises Act, health insurance company calculations of Qualified Payment Amounts for anesthesiology, emergency medicine and radiology services – and possibly other specialty services – likely include rates from primary care provider contracts.

The U.S. Departments of Labor, Health and Human Services, and the Treasury have issued final rules concerning standards related to the arbitration process in implementing the No Surprises Act.

Donato Tramuto, founder of Health eVillages, discusses “The Double Bottom Line,” his new book, the centrality of compassion in leadership and translating empathy into action.  

The Centers for Medicare and Medicaid Services has released a roadmap to ending the COVID-19 public health emergency as health officials are expecting the Biden administration to extend the PHE for another 90 days after mid-October, according to Politico.

Overall customer satisfaction with Medicare Advantage plans has increased this year, thanks largely to improvements in billing and payments, cost and provider choice. But according to the new J.D. Power 2022 U.S. Medicare Advantage Study, some concerning trends are brewing beneath the surface of those positive numbers.  Most notably, a majority of Medicare Advantage plan […]

The federal government will have monkeypox vaccines available at LGBT,  Pride and other events, the White House Monkeypox Response Team and federal officials said today. At special events, 50,000 doses will be available. But because these are two-dose vaccines, individuals will be responsible for getting their second dose after the event. The vaccine is most effective […]

Due to labor and other macro inflationary pressures, Fitch Ratings has revised its outlook for nonprofit hospitals and health systems to “deteriorating.”

UCHealth manages patient flow by predicting bed capacity and clinical teams required, according to Jamie Nordhagen, the director of capacity management and patient representatives.  

In art and photography, the “vanishing point” is the point at which two lines converge, meeting at the horizon line and suggesting three-dimensional space. In hospital revenue cycles, the vanishing point is $7,500.

General Catalyst’s Daryl Tol believes that health systems are crucial partners for transformation in digital health transformation.