Billing

HHS Drops 340B Rebate Pilot After Hospital Lawsuit
Management & Administration HHS Drops 340B Rebate Pilot After Hospital Lawsuit

A contentious federal pilot program designed to overhaul how safety-net hospitals are compensated for prescription drugs has been abruptly withdrawn by the Department of Health and Human Services (HHS) following a decisive legal challenge. The proposed 340B Rebate Model Pilot, which was set to

UnitedHealth Navigates a Major Regulatory Storm
Management & Administration UnitedHealth Navigates a Major Regulatory Storm

After years of aggressive expansion that reshaped the American healthcare landscape, UnitedHealth Group now finds itself at a critical inflection point, navigating an unprecedented storm of federal regulatory scrutiny that directly challenges its core business model. The healthcare titan, a mature

How Is Aledade Driving the Value-Based Care Revolution?
Management & Administration How Is Aledade Driving the Value-Based Care Revolution?

A dramatic transformation is underway within the American healthcare landscape, as the long-dominant fee-for-service model gives way to a system that rewards quality of care over quantity of procedures. At the forefront of this movement is Aledade, a company that has rapidly become a central force

Is Anxiety Now America's Top Chronic Illness?
Management & Administration Is Anxiety Now America's Top Chronic Illness?

A groundbreaking analysis of commercial insurance claims has unveiled a dramatic shift in the American health landscape, revealing that chronic behavioral health conditions have now become the most prevalent health issues among a significant portion of the population. Surpassing well-known physical

What Are Medicare's Biggest Billing Traps?
Management & Administration What Are Medicare's Biggest Billing Traps?

For millions of American seniors, the promise of affordable healthcare through Medicare is often overshadowed by the jarring reality of receiving unexpected and substantial bills for services they were certain would be covered. The program's coverage, while extensive, is governed by an increasingly

Can AI End the Billion-Dollar Healthcare Detour?
Management & Administration Can AI End the Billion-Dollar Healthcare Detour?

The American healthcare system is confronting a profound and costly paradox where over a trillion dollars are spent annually on unnecessary services, even as millions of patients find themselves unable to access the appropriate care when they need it most. This phenomenon, often termed the

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