Tag: Health Care Reform

OR Business Management Conference, daily coverage begins

Editor's Note If you can’t join us in Tampa for this year’s OR Business Management Conference (ORBMC), we’ve got you covered. This week, newsletter subscribers will enjoy exclusive access to coverage of select sessions from the 13th annual event, hosted today through Wednesday at the Saddlebrook resort in Tampa, Florida.…

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By: Matt Danford
February 7, 2025
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Cigna ties executive pay to patient experience

Editor's Note As part of a larger initiative to ease access to care, insurance giant Cigna is tying compensation for senior leadership directly to customer satisfaction. Modern Healthcare reported the news February 3. The shift is part of a multi-pronged approach that also includes overhauling prior authorization requirements and limiting…

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By: Matt Danford
February 4, 2025
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Healing healthcare: How clinician incentives can help get from volume to value

Takeaways • Although the central tenets of value-based healthcare have not changed, in many cases implementation has been reduced to little more than reducing costs, to the detriment of clinicians and patients. • The right incentives, such as recognition and work support, can effectively inspire clinicians to deliver high value…

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By: Carina Stanton
January 31, 2025
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Medical school diversity declines after Supreme Court ruling

Editor's Note The Supreme Court’s 2023 decision limiting race in college admissions has triggered an overzealous response from many medical schools, leading to a sharp decline in enrollment for underrepresented groups, according to an article published January 23 in STAT.  As detailed in the article, Legal advisors have pushed schools…

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By: Matt Danford
January 29, 2025
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Providers push back on insurance cost-cutting hurdles

Editor's Note Escalating administrative hurdles from insurers are heightening tensions between healthcare payers and providers who criticize the measures for threatening patient care, Modern Healthcare reported January 22. According to the article, policies attracting criticism include stringent prior authorization rules, claims denials, and new fees for appeals. For their part,…

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By: Matt Danford
January 23, 2025
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HHS report highlights cost, access, quality concerns with private equity in healthcare

Editor's Note Growing consolidation and private equity investments in healthcare are driving up costs, reducing access, and raising quality concerns, according to a new report from the Department of Health and Human Services (HHS). According to HHS’ January 15 announcement, the report stems from a tri-agency effort by HHS, the…

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By: Matt Danford
January 17, 2025
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Union nurses rally for greater staff, patient protection amid AI rollout

Editor's Note Thousands of RNs nationwide plan to rally in support of safer staff and patients today, January 16, amid widespread introduction of technologies driven by artificial intelligence (AI), according to National Nurses United (NNU). NNU reported on the plans January 14, noting that more than 100,000 members of the…

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By: Matt Danford
January 15, 2025
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HHS finalizes rule to expand kidney transplant access

Editor's Note The US Department of Health and Human Services (HHS) finalized a new rule establishing the Increasing Organ Transplant Access Model, a 6-year, mandatory initiative to enhance access to kidney transplants, improve care quality, and reduce disparities. Managed by the Centers for Medicare & Medicaid Services (CMS), the program…

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By: Matt Danford
December 4, 2024
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GAO urges HHS to strengthen cybersecurity oversight

Editor's Note A November 13 report from The Government Accountability Office (GAO) identifies critical gaps in the Department of Health and Human Services' (HHS) ability to manage cybersecurity risks in the healthcare and public health sector. HHS, the lead federal agency for cybersecurity in this sector, faces challenges in monitoring…

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By: Matt Danford
November 19, 2024
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AHA's Congressional "wish list" calls for financial relief, patient access, workforce protections

Editor's Note   In a November 12 letter to Congress, the American Hospital Association (AHA) outlined its priorities for the lame-duck legislative session, focusing on measures to stabilize hospitals and health systems facing significant financial and operational pressures. If enacted, these recommendations would support the nation’s healthcare infrastructure amid rising…

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By: Matt Danford
November 14, 2024
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