FFRDC provides support to federal agencies, particularly HHS, to enhance problem solving, says Oscar Alleyne, MITRE’s managing director of the public health division.  

Providers bypass the manual process for medical record requests through ChartSwap’s automated system, says president Nate Kelly.

Cigna has won an appeal against CVS and its former Express Scripts president over a noncompete agreement. On Wednesday, the U.S. Court of Appeals for the Eighth Circuit in St. Louis, Missouri, upheld a lower court decision barring former Cigna executive Amy Bricker from working for CVS.

The Supreme Court has ruled that the federal Indian Health Service is required to reimburse Tribes for overhead costs for contracted health services from third parties, including private insurers, Medicare and Medicaid.

New ONC rules are expected to have advancements around public health certification, electronic prior authorization, patient engagement tools and further refinements around information sharing, says Sean Sullivan, a partner at Alston & Bird.  

A federal judge has ruled against the Federal Trade Commission’s efforts to stop Novant Health from buying two Community Health Systems hospitals in North Carolina. In March, the FTC had sued to block Novant’s $320 million purchase of CHS hospitals, Lake Norman Regional Medical Center and Davis Regional Psychiatric Hospital.

Johns Hopkins Health Plans has launched a new multi-payer portal to connect providers and payers. Using the real-time platform, provider offices will be able to submit and track electronic claims, claims status, remittance and claims payment information, according to Johns Hopkins. It helps providers with insurance claims and prior authorization requests.  WHY THIS MATTERS

MedeAnaltyics and HSBlox are able to work out friction points, develop contracts, pay providers and use analytics to measure performance for value-based care, says David Wolf, MedeAnalytics AVP, and Lynn Carroll, HSBlox COO.  

SCAN Health Plan has won its lawsuit against the Department of Health and Human Services over the way the government calculated Medicare Advantage Star Ratings for 2024. The ruling means SCAN will get the $250 million bonus it was initially denied and that other Medicare Advantage plans could also get federal dollars that were denied […]

Ascension, which was hit by a cyberattack that crippled operations at its 140 hospitals, is working towards completing EHR restoration across its entire system by June 14. The large health system of 140 hospitals gave an update Wednesday to its restoration work since the May 8 ransomware attack that disrupted operations.