Understanding contract management for healthcare

Effective contract management for healthcare organizations is pivotal in this complex and highly regulated world. Healthcare organizations, whether large hospitals, clinics, or individual practitioners, contract with various entities, including vendors, insurance providers, and regulatory bodies. These contracts govern everything from purchasing medical supplies to services reimbursement, making healthcare contract management a critical aspect of running…

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The Impact of HIV on Black People in the United States

Black people in the U.S. have been disproportionately affected by HIV since the epidemic’s beginning, and that disparity has deepened over time. Black people account for more new HIV diagnoses, people estimated to be living with HIV, and HIV-related deaths than any other racial/ethnic group in the U.S. This fact sheet provides an overview of…

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KFF is the independent source for health policy research, polling, and journalism. Our mission is to serve as a nonpartisan source of information for policymakers, the media, the health policy community, and the public.

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What the Outcome of the Election Could Mean for Medicaid

This brief examines the two presidential candidates’ records and other recent policy proposals that could inform starkly different directions for the program across key areas, including Affordable Care Act (ACA) Medicaid expansion, financing, eligibility, benefits, and cost-sharing, prescription drugs, long-term services and supports, and managed care.

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What is denial management in healthcare?

Millions of healthcare claims are denied annually, costing providers billions in lost revenue and expensive appeals. A 2024 survey shows that around 15% of all claims submitted to private payers, Medicare Advantage and Medicaid managed care plans are initially denied. Since most involve charges of $14,000 and above, the stakes are worryingly high. Frustratingly, more…

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In case you missed it: August HICPAC Public Meeting Recap

The Healthcare Infection Control Practices Advisory Committee (HICPAC) held a public meeting August 22, 2024, in Atlanta, GA. Official meeting minutes will be available on the HICPAC website soon. Until then, here is a summary of key issues from the day’s discussion. Watch recording of the live public webcast: HICPAC Meeting – Aug. 22, 2024…

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