Payers are blaming “aggressive provider coding” for driving up medical costs, but health systems are pushing back on that narrative, arguing that the real issue lies not in upcoding, but in ...
Congress should enact legislation to require the Centers for Medicare and Medicaid Services to evaluate transitioning to a single modern procedure coding system to eliminate excess costs and lower ...
As covered in a prior alert, in 2023, the US Court of Appeals for the Ninth Circuit vacated in part a decision certifying a class action against UBH for improperly developing, and relying on, its own ...
Despite technology advances in electronic health records (EHRs) and the establishment of interoperability requirements by regulatory bodies, siloed patient information remains an unsolved problem ...
Measurement frameworks can shift anecdotal validation to trackable results, offering proof that behavioral healthcare can generate tangible ROI. Despite decades of evidence linking behavioral health ...
The Health Affairs Forefront featured topic “Medicare And Medicaid Integration” includes analysis, proposals, and commentary that will inform policies on the state and federal levels to advance ...
Like many in the U.S., Ohioans are experiencing a historic shortage of behavioral healthcare resources. But population health management tools from Alera Health will help the Ohio Behavioral Health ...