Most health system continuity plans were built for a different disaster — severe weather, mass-casualty events, scheduled maintenance. Those are forecastable or finite. A cyber event is neither. It arrives without warning, often starts at a vendor you can’t see,…
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Value-based care has entered the mainstream. The latest national measurement from AHIP found that nearly 45% of U.S. healthcare payments flowed through models holding providers accountable for quality and cost in 2024—nearly twice the share reported a decade earlier. Yet…
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By the time MLR pressure shows up in your numbers, the margin may already be locked into the quarter. The question is whether you’ll spot the signals early enough to change the outcome. Most health plans don’t recognize margin pressure…
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Inpatient CDI has traditionally depended on disruptive retrospective queries, fragmented workflows, and clinicians revisiting the record days or weeks after discharge. What changes when context and documentation guidance arrive during the encounter, while the clinical context is still fresh? Health…
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A physician in Largo, Fla., has agreed to pay $350,000 to resolve False Claims Act allegations that he submitted fraudulent Medicare claims. The Justice Department alleged that between September 2015 and December 2020, John Michaelos, MD, owner of St. Michael’s…
Clinical reviewers open a utilization management or appeals case and spend most of it assembling evidence — hundreds of pages, several source systems and a fax queue that has outlasted every modernization plan built around it. The determination itself is…
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National Healthcare Properties completed the sale of 30 primarily multi-tenant outpatient medical facilities for $198 million. The transaction represents the first tranche of its previously announced sale of 86 outpatient medical facilities for approximately $528 million, according to a Sept.…
The highest-paid gastroenterologist in Dallas earns $997,400 per year, according to Medscape’s salary reporter tool. The average salary for gastroenterologists is $530,000, according to a report from Medscape. Here is what the five highest-paid gastroenterologists in Dallas earn each year,…
Health systems and ASC operators struck some of the largest deals in the industry’s history over the past year, but not every hospital-ASC pairing works out, and Marie Edler, chief growth officer of SCA Health, has a specific way of…
Physician assistants and advanced practice registered nurses can now order every noninvasive colorectal cancer screening test Medicare covers, ending a long-standing physician-only requirement under a CMS coverage change. CMS authorized the expanded coverage in June when it finalized a decision memo revising…
