How Morgan Health is making its accountable care pitch to providers
Fierce Healthcare
DECEMBER 10, 2021
How Morgan Health is making its accountable care pitch to providers. Fri, 12/10/2021 - 15:06.
Accountability Related Topics 
Medicare Advantage patients account for fewer avoidable hospitalizations. Here's why
Fierce Healthcare
FEBRUARY 27, 2023
Medicare Advantage patients account for fewer avoidable hospitalizations. Here's why rking Mon, 02/27/2023 - 17:41
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Signify Health, Ardent Health Services expand partnership into accountable care
Fierce Healthcare
DECEMBER 14, 2022
Signify Health, Ardent Health Services expand partnership into accountable care. Wed, 12/14/2022 - 13:03.
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Cerner unveils RevElate Patient Accounting platform to unify its RCM offerings
Fierce Healthcare
OCTOBER 6, 2021
Cerner unveils RevElate Patient Accounting platform to unify its RCM offerings. Wed, 10/06/2021 - 11:29.
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Optum study: Accountable Medicare Advantage models produce better outcomes, greater efficiency
Fierce Healthcare
FEBRUARY 17, 2023
Optum study: Accountable Medicare Advantage models produce better outcomes, greater efficiency pminemyer Fri, 02/17/2023 - 13:40
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Optum expects to treat 4M in fully accountable, value-based models this year
Fierce Healthcare
JANUARY 13, 2023
Optum expects to treat 4M in fully accountable, value-based models this year. Fri, 01/13/2023 - 07:31.
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Hospitals make major gains on handwashing compliance, accountability, Leapfrog finds
Fierce Healthcare
SEPTEMBER 17, 2024
Handwashing adherence is on the up-and-up as more hospitals are holding their leadership accountable for hand hygiene, patient safety watchdog The Leapfrog Group reports. |
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Post-ACA hospital readmission gains evaporate when accounting for observation stays, study finds
Fierce Healthcare
NOVEMBER 28, 2022
Post-ACA hospital readmission gains evaporate when accounting for observation stays, study finds. Mon, 11/28/2022 - 14:46.
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Hospitals have low level of accountability for connected device breaches
Health Care Dive
AUGUST 4, 2022
Of the 43% of organizations that reported a data breach in the past two years, 88% said at least one connected device was a contributing factor to the breach, according to a new report.
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Out-of-pocket spending on prescriptions grew even after accounting for rebates: study
Fierce Healthcare
SEPTEMBER 3, 2024
There's no shortage of attention on rising pharmaceutical costs, but policymakers need to have the full picture of trends in this space to work off of, according to a new study.
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Charity care accounts for less than 1.4% of operating expenses at half of US hospitals, KFF finds
Fierce Healthcare
NOVEMBER 7, 2022
Charity care accounts for less than 1.4% of operating expenses at half of US hospitals, KFF finds. Mon, 11/07/2022 - 17:05.
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CMS holds accountable care organizations harmless for ‘highly suspect’ Medicare billing
Health Care Dive
SEPTEMBER 25, 2024
Aberrant billing for urinary catheters last year could have made it harder for ACOs in Medicare to bring in shared savings. That’s no longer the case under a new final rule.
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Why You Shouldn't Blindly Trust Google to Automate Your Google Ads Account
Healthcare Success
AUGUST 13, 2024
Our team rescues these underperforming Google Ads accounts by removing the ineffective automations. It makes changes to your account without your direct knowledge and may even increase your ad budget to do so. We have found that this personalized approach is essential for optimal results.
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CMMI wants every Medicare beneficiary in an accountable care plan by 2030
Health Care Dive
OCTOBER 21, 2021
Officials acknowledged provider concerns that current models are too burdensome and benchmarks too complex, which the innovation center aims to rectify.
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These 10 drugs account for 22% of Medicare Part D spending: KFF
Fierce Healthcare
JULY 13, 2023
Approximately 22% of gross Medicare Part D spending can be attributed to 10 top-selling prescription drugs, according to analysis from KFF. | A new analysis shows a small number of prescription drugs disproportionately make up Medicare Part D spending.
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Wyden urges feds to hold UnitedHealth execs accountable for cyberattack
Fierce Healthcare
MAY 30, 2024
Ron Wyden is calling on the FTC and the SEC to hold UnitedHealth Group accountable for "negligent cybersecurity practices" that allowed hackers to breach its Change Healthcare subsidiary. Oregon Sen. Oregon Sen.
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Industry Voices—9 strategies for integrating specialists into accountable care
Fierce Healthcare
OCTOBER 11, 2024
Specialty care makes up a significant portion of healthcare spending, yet accountable care organizations (ACOs) often lack a specialty care strategy to lower costs and optimize specialty care. 
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Medicare saves record $2.1 billion from largest accountable care program
Health Care Dive
OCTOBER 31, 2024
Citrus ACO in Central West Florida had the highest savings rate, while Health Connect Partners — an ACO operated by hospital giant Providence — had the highest total savings in the Medicare Shared Savings Program last year.
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PBMs defend business practices — but lawmakers aren’t convinced
Fierce Healthcare
JULY 23, 2024
Lawmakers bashed the business practices of pharmacy benefit managers during a House Committee on Oversight and Accountability hearing Tuesday. | A contentious hearing between PBM CEOs and the House Commitee on Oversight and Accountability reinforced recent federal angst toward pharmacy benefit managers, but little new ground was made.
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MSSP ACOs saves Medicare $2.1 billion in 2023, the largest savings in program history
Fierce Healthcare
OCTOBER 29, 2024
Accountable care organizations saved Medicare $2.1 Accountable care organizations (ACOs) saved Medicare $2.1 billion, the largest yearly savings in program history, in 2023, the Centers for Medicare & Medicaid Services revealed on Tuesday.
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Kaufman Hall: Performance stable, but high labor costs challenge hospitals
Fierce Healthcare
NOVEMBER 15, 2024
Labor expenses from providers accounted for 84% of medical groups’ total expenses. Though hospital performance has remained relatively stable, high labor costs continue to challenge hospitals’ bottom line, according to September figures from Kaufman Hall.
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ACOs led by independent physicians save Medicare ‘substantially’ more money, CBO says
Health Care Dive
APRIL 17, 2024
Independent practices have clearer financial incentives to lower medical spending than hospitals participating in accountable care organizations, according to the Congressional Budget Office.
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Primary care market will see major shifts by 2030 as payers, nontraditional providers gain ground
Fierce Healthcare
DECEMBER 5, 2024
Two years ago, Bain and Company forecasted ma | Nontraditional providers will account for about one-third of the primary care market in 2030, according to Bain and Company. Payer-owned primary care, population-focused models and advanced primary care providers are all poised for growth.
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Amazon’s PillPack reports data breach affecting more than 19,000
Health Care Dive
MAY 22, 2023
Around 3,600 affected accounts included prescription information. The online pharmacy said the attack exposed customers’ email addresses, prescription information and contact details for their prescribing provider.
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Cigna posts $739M in Q3 profit despite taking a $1B hit from VillageMD investment
Fierce Healthcare
OCTOBER 31, 2024
The Cigna Group reported $739 million in profit for the third quarter, a figure that accounts for a $1 billion after-tax investment loss tied to VillageMD. | The Cigna Group reported $739 million in profit for the third quarter, a figure that accounts for a $1 billion after-tax investment loss tied to VillageMD.
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Fierce Healthcare - Untitled Article
Fierce Healthcare
DECEMBER 20, 2024
While it has been suspected since June that hackers obtained the personal information of patients and employees, the system revealed Friday that bank account numbers and addresses were stolen. Ascension's May 8 cyberattack exposed personal information from 5.6 million patients and associates of the system.
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Federal agencies open online portal for reporting anticompetitive practices in healthcare
Fierce Healthcare
APRIL 18, 2024
FTC, DOJ and HHS said that information and accounts received from the public could plant the seeds for formal investigations into healthcare companies' monopolistic or anticompetitive practices. Federal agencies want to hear from the public about monopolistic and anticompetitive behavior within the healthcare industry. |
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Healthcare worker exodus continued through 2022, new data shows
Health Care Dive
OCTOBER 17, 2023
Physicians accounted for nearly half of departures from 2021 through 2022, with staffing shortages putting care quality at risk, according to a new report from Definitive Healthcare.
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HHS facing challenges as lead agency for healthcare cybersecurity: GAO
Health Care Dive
NOVEMBER 19, 2024
The department hasn’t implemented some policies recommended by the watchdog, which could pose a risk to cybersecurity in the sector as attacks increase, according to the Government Accountability Office.
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CMS officials say agency is monitoring concerns from ACOs about DME costs
Fierce Healthcare
APRIL 11, 2024
Accountable care organizations have sounded the alarm on billions in durable medical equipment fraud, and officials at the Centers for Medicare & Medicaid Services (CMS) said Thursday that the | Accountable care organizations have sounded the alarm on billions in durable medical equipment fraud, and officials at the Centers for Medicare & Medicaid (..)
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HealthEquity data breach could affect 4.3M
Health Care Dive
JULY 30, 2024
The health benefits administrator said a vendor’s user accounts were compromised, and information like contact details, Social Security numbers and medical information could be exposed.
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CMS proposed payment rule includes major updates for ACOs
Health Care Dive
JULY 8, 2022
Changes to the Medicare Shared Savings Program would give some accountable care organizations more time to ramp up to performance-based risk and updated quality reporting.
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Stanford uses AI to navigate health information sharing with teens and their families
Healthcare It News
JANUARY 30, 2024
" Second, a natural language algorithm was created to monitor messages within teen patient portal accounts. The system was designed to detect any inappropriate use of the account by the guardian, such as attempts to access sensitive information. The advent of large language models has opened up a world of possibilities.
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Cigna writes down VillageMD investment amid shrinking value
Health Care Dive
MAY 2, 2024
Walgreens’ decision to slash VillageMD’s clinical footprint has reverberated to the financial accounts of the primary care chain’s minority owner — Cigna.
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HSA administrator HealthEquity discloses data breach impacting 4.3M
Fierce Healthcare
JULY 29, 2024
HealthEquity, a prominent health savings account administrator, has disclosed a data breach it says impacted 4.3 million people. | The company filed a notice with Maine's attorney general and revealed that it received an alert on March 25 about a potential security incident, and then proceeded to conduct an investigation.
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Payers' increasing claims denials, delays 'wreaking havoc' on provider revenue cycles
Fierce Healthcare
DECEMBER 13, 2023
A jump in claim delays and denials is “wreaking havoc on providers’ revenue cycle performance” and contributing to health systems’ “volatile” accounts receivable and diminishing cash reserves, acco | More frequent pushback from commercial and Medicare Advantage payers is complicating patient self-pay collections and, ultimately, undermining the revenues (..)
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Majority of teen patient portals accessed by guardians, raising privacy concerns
Healthcare It News
SEPTEMBER 17, 2021
A study published this week in the Journal of the American Medical Association Network Open found that more than half of adolescent patient portal accounts with outbound messages were accessed by guardians. All three institutions allow adolescents to have their own MyChart accounts through the Epic EHR. WHY IT MATTERS.
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COVID-19 fell from top telehealth diagnoses in September
Health Care Dive
DECEMBER 8, 2022
Telehealth use has remained steady this year and did not change nationally from August to September, accounting for 5.4% of all medical claims, according to Fair Health.
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Fighting maternal and infant health inequities
Fierce Healthcare
JULY 16, 2024
In this week’s episode of “Podnosis,” Fierce Healthcare’s Anastassia Gliadkovskaya explores the topic of inequities in maternal and infant health and what one nonprofit is doing to increase transpa | In this week’s episode of “Podnosis,” Fierce Healthcare’s Anastassia Gliadkovskaya explores the topic of inequities in maternal and infant health and (..)
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ACO Reach program savings grew larger in 2023. NAACOS is angling for the model's extension
Fierce Healthcare
NOVEMBER 11, 2024
Accountable care organizations in the ACO Reach program can claim credit for saving the Centers for Medicare & Medicaid Services (CMS) hundreds of millions of dollars | CMS released favorable savings results for ACO REACH Model participants, as industry group NAACOS begins to push for the program's extension through 2030.
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Government watchdog warns of Medicaid oversight gaps
Health Care Dive
MARCH 18, 2024
The CMS doesn’t require states to report data on outcomes or care denials, and has made “delayed” progress on plans to analyze the information and make it public, according to the Government Accountability Office.
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ACO sign-ups for 2024 are underway. Policy changes have helped, but more work is needed, experts say
Fierce Healthcare
JUNE 8, 2023
Phase 1 enrollment in the Medicare Shared Savings Program (MSSP) for 2024 is currently underway, and recent reforms hold promise in attracting new providers into accountable care.
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Industry Voices—To fix America's healthcare system, start small
Fierce Healthcare
FEBRUARY 14, 2024
As clinicians, it's critical for us to be open and accountable for adopting technologies and processes that can help us better serve our patients while meeting the needs of the business. Would-be policy reformers on both the left and right always seem to want major overhauls of the American healthcare system. |
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80% of nonprofit hospitals' community investments lag their tax savings, Lown Institute finds
Fierce Healthcare
MARCH 25, 2024
Four in five nonprofit hospitals are spending less on community benefit areas like financial assistance than what they are estimated to receive in tax breaks, according to the latest annual report | Even after accounting for discounted care and community benefit investments, the money 2,425 nonprofit hospitals saved through tax breaks in 2021 would (..)
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