CMS finalizes framework for Medicaid work rules: 8 things to know
Becker’s Payer Issues
CMS published its interim final rule for state implementation of Medicaid work requirements June 1. HR 1 outlined how low-income, nonpregnant people between ages 19 and 64 must work, engage in community service or attend school — or some mix of these — for at least 80 hours per month. This applies to expansion states and some states with section 1115 demonstrations covering a similar population. However, a rule with specifics on community engagement requirements was due this month. The rule’s comment period runs until July 31.
How R1 left the IVR behind and built something better for patients
Sierra
For decades, the Interactive Voice Response (IVR) has been the universal constant of healthcare customer service. Press 1 for billing. Press 2 for scheduling. Miss an option, start over from the beginning. It worked. But as patient expectations evolved and the complexity of healthcare administration grew, R1 started asking a harder question: What if the phone call itself could actually be a good experience?
From claims to compassion: Reclaiming patient advocacy in revenue cycle
Fierce Healthcare
I typically start my mornings with a little silence before the hustle and bustle of the day begins. One morning, the silence was interrupted by a frantic call from my father saying something was not right with my mom. For the next 60 seconds, there was a rapid fire of questions that ultimately ended with “Dad, hang up. Call 9-1-1. When they arrive, tell them that due to mom’s history, we would like her to be airlifted to Vanderbilt. I will meet you there.” Unfortunately, we lost my mother several days later.
Hospitals of all sizes are using AI to improve revenue cycle operations
Healthcare Finance
More than a quarter of health system financial leaders are moving AI pilots to production-scale deployments across their revenue cycles. Hospitals of all sizes are improving day-to-day business operations using AI, according to an HFMA survey of 95 finance professionals. The Healthcare Financial Management Association released the survey results ahead of HFMA's annual conference.
