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New details for surprise billing dispute resolutions | Unnecessary ED visits cost $47B a year

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Thursday, September 30, 2021
Thursday, September 30, 2021
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HHS lays out surprise billing resolution process in new rule

The Biden administration gave new details on the independent dispute resolution process that out-of-network providers and plans can use to settle surprise billing disputes.

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Unnecessary ED visits cost $47B a year, report finds

Those with a chronic condition were twice as likely to receive care in the ED than people who were more familiar with the healthcare system.

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5 things to know: Kaiser staff prepare to strike

Kaiser healthcare workers will soon vote on whether to strike after they say contract negotiations have stalled.

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Non-rural providers can qualify for American Rescue Plan's $8.5 billion rural fund

Eligibility for the $8.5 billion in COVID-19 rural fund hinges on whether patients, not providers, are rural. CommonSpirit Health, a 140-hospital system with north of $30 billion in revenue, plans to apply for a portion of the money.

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Revenue-cycle vendor Ensemble Health Partners files for IPO

Ensemble Health Partners touts an end-to-end revenue-cycle product for hospitals and physician practices. Private equity firm Golden Gate Capital has been majority owner since 2019.

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HHS kills Trump-era 340B rule targeting community health clinics

The rule would have required community health clinics to pass on insulin and Epi-Pen savings directly to patients.

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As Democrats bicker over massive spending plan, here’s what’s at stake for Medicaid

With Democrats controlling both chambers of Congress and the White House, health experts say this could be the only time such a fix to the “Medicaid gap” will be possible for many years.

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Sarah Jones Simmer

Former dating app exec to lead weight management startup Found

Sarah Jones Simmer, former Bumble chief operating officer, will help Found bring clinical weight management directly to consumers, the company says.

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