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Medicaid: A Solution to Address Social Needs?

Health-related social needs—such as food security, inadequate or unstable housing, lack of utilities or transportation, and domestic violence—all can have a profound impact on an individual's health...

Audit and Compliance Market Update

Appeals Backlog Update and New Audit StrategyThis month we are writing about two items that may seem to be unconnected but do have a common thread. First, providers and suppliers have once again...

CHIP Funding Hangs in the Balance

Federal funding for the Children's Health Insurance Program (CHIP) is set to expire at the end of September, a change that would likely result in an increase in the rate of uninsured children in the...

Audit and Compliance Market Update

On July 13, the Centers for Medicare & Medicaid Services (CMS) released the Medicare outpatient prospective payment system (OPPS) proposed rule for 2018.Of major importance to hospitals is CMS'...

Stuck in the Middle of Repeal and Replace

The rate of uninsured Americans is on the rise, according to a recently released survey from Gallup and Sharecare. In the second quarter of 2017, the uninsured rate measured 11.7%, up slightly from...