CMS redesigns Direct Contracting into an ACO modelCMS redesigns Direct Contracting into an ACO modelCMS redesigns Direct Contracting into an ACO model

CMS redesigns Direct Contracting into an ACO model

The new ACO model will incorporate health equity requirements, make changes to risk adjustment policies and more.

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ACHE to honor five executives for their leadership, service in advancing healthcareACHE to honor five executives for their leadership, service in advancing healthcareACHE to honor five executives for their leadership, service in advancing healthcare

ACHE to honor five executives for their leadership, service in advancing healthcare

In addition to its annual awards, the association will present a President's Award for the first time since 2015 as well as two lifetime achievement awards.

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Beaumont promotes internally for leadership roles as others depart following mergerBeaumont promotes internally for leadership roles as others depart following mergerBeaumont promotes internally for leadership roles as others depart following merger

Beaumont promotes internally for leadership roles as others depart following merger

A shakeup of top leadership at Beaumont has begun following the completion of the merger between Beaumont Health and Spectrum Health earlier this month.

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Omada Health achieves 'unicorn' status with Fidelity investmentOmada Health achieves 'unicorn' status with Fidelity investmentOmada Health achieves 'unicorn' status with Fidelity investment

Omada Health achieves 'unicorn' status with Fidelity investment

The virtual care company is worth more than $1 billion after a nearly $200 million Series E funding round.

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Other states keep watchful eye on snags in Washington’s pioneering public-option planOther states keep watchful eye on snags in Washington’s pioneering public-option planOther states keep watchful eye on snags in Washington’s pioneering public-option plan

Other states keep watchful eye on snags in Washington’s pioneering public-option plan

Washington was the first state to introduce a public option for health insurance, but the rollout hasn’t been smooth. Other states with public options in the works are taking notice.

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An $80,000 tab for newborns lays out a loophole in the new law to curb surprise billsAn $80,000 tab for newborns lays out a loophole in the new law to curb surprise billsAn $80,000 tab for newborns lays out a loophole in the new law to curb surprise bills

An $80,000 tab for newborns lays out a loophole in the new law to curb surprise bills

In the past, health plans sometimes have said they would pay for emergency care even if it’s out of network. The No Surprises Act now makes this a legal requirement in every state. The provider and insurer are supposed to negotiate a reasonable payment, leaving the patient out of the equation.

But what if the insurance company denies that the care is for an emergency? Or the hospital doesn’t supply the paperwork to prove it?

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Cerner records $5.8B in revenue, 21.7% adjusted operating margin for 2021Cerner records $5.8B in revenue, 21.7% adjusted operating margin for 2021Cerner records $5.8B in revenue, 21.7% adjusted operating margin for 2021

Cerner records $5.8B in revenue, 21.7% adjusted operating margin for 2021

The electronic health records giant posted a 4.7% revenue increase last year as it prepares for its pending acquisition by Oracle.

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Michigan Gov. Whitmer signs bill regulating pharmacy benefit managersMichigan Gov. Whitmer signs bill regulating pharmacy benefit managersMichigan Gov. Whitmer signs bill regulating pharmacy benefit managers

Michigan Gov. Whitmer signs bill regulating pharmacy benefit managers

The governor said the new law will help customers understand the "back end" pricing of prescription drugs and "lower inflated prices."

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COVID-19 shots unlikely to prompt rare inflammation in kidsCOVID-19 shots unlikely to prompt rare inflammation in kidsCOVID-19 shots unlikely to prompt rare inflammation in kids

COVID-19 shots unlikely to prompt rare inflammation in kids

The condition, formally known as multisystem inflammatory syndrome in children, involves fever plus symptoms affecting at least two organs and often includes stomach pain, skin rash or bloodshot eyes.

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CMS ends ACO track in rural pay transformation modelCMS ends ACO track in rural pay transformation modelCMS ends ACO track in rural pay transformation model

CMS ends ACO track in rural pay transformation model

CMS says it's working on broader ACO transformation efforts and will announce additional proposals soon.

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