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Prices paid to hospitals by employers and private insurers for both inpatient and outpatient services in 2022 averaged 254% of what Medicare would have paid, with wide variation in prices among states, according to a new RAND report.

The disruption promised by the retailization of healthcare hasn’t materialized as planned. Walmart and Walgreens recently announced the closing of retail clinics.

Jim Rechtin will assume the role of president and chief executive officer of Humana effective July 1, the insurer announced this week. Rechtin joined Humana in January as part of a long-planned CEO transition. Since then, he has worked in close partnership with Humana’s current CEO, Bruce Broussard, to immerse himself in the company’s operations. […]

Qualified health information networks allow providers to find all of the records in every location where a patient has been, across his or her lifetime, says Dr. John Blair, CEO, MedAllies, whose company was recently named a QHIN designee.

The Centers for Medicare and Medicaid Services’ January expansion of the two-midnight rule to include Medicare Advantage plans has contributed to higher inpatient volumes and revenue growth in the first quarter of the year, according to a Strata Decision Technology report.

The frameworks came out about the same time HIMSS released its annual healthcare cybersecurity survey, which this year shows how healthcare organizations are using AI, says Lee Kim, senior principal of cybersecurity and privacy at HIMSS.  

Ascension has confirmed it experienced a ransomware attack that has caused disruptions to patient care in its network.  Ascension reported the cyberattack on May 8.

Kaiser Permanente plans to sell up to $3.5 billion of holdings in private-equity funds due to cash constraints, The Wall Street Journal said, citing unnamed sources. Kaiser is reportedly working with investment bank Jefferies Financial Group to offload up to $3.5 billion of stakes to secondary buyers. WHY THIS MATTERS

Three members of the Senate Veterans’ Affairs Committee are calling on the Department of Veterans Affairs to push for stronger accountability provisions in its ongoing contract negotiations with Oracle Health on the Electronic Health Record Modernization (EHRM) program. The current contract is slated to expire on May 16.

Kathleen McGrow acts as the workflow bridge from bedside to information technology, says chief nursing information officer at Microsoft, who also co-chairs a HIMSS innovation nursing advisory group.  

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