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May. 12, 2022
New Ruling Affirms Insurer ED Policy Violates Federal Law
An arbitrator in Indiana has made clear that an insurer’s policy to deny or underpay claims for emergency services based on the diagnosis on the claim form is a violation of federal and state law. In its decision, the arbitrator ordered that Anthem pay a group of 11 acute-care hospitals in Indiana compensation of $4.5 million.
Article
May. 12, 2022
New Standards for Plans, Networks in Exchange Marketplace for 2023
Changes to plan offerings, new network adequacy standards, including for essential community providers, and tightening up the medical loss ratio calculation are all part of a final rule issued by the federal Department of Health and Human Services (HHS).
Article
May. 12, 2022
COVID-19 Lockdown Disrupts Contrast Media Supply Chain
Hospitals and health systems across the United States are preparing mitigation strategies in response to an alert by the manufacturer of a supply shortage of a diagnostic agent, GE Omnipaque contrast media. This contrast media is most commonly utilized for CT scans and cardiac catheterizations.
COVIDArticle
May. 12, 2022
“60 Minutes” Features Children’s Wisconsin Response to Rising Mental Health Crisis Among Adolescents
With Wisconsin registering the fifth highest increase of adolescent self-harm and attempted suicide in the country, according to the U.S. Centers for Disease Control and Prevention, “60 Minutes” featured an extended segment on Children’s Wisconsin’s response to a recent spike in medical health visits by children on its May 8, 2022, program.
Article
May. 12, 2022
Wisconsin Rural Health Conference: June 15-17
Taking place June 15-17 at the KI Convention Center in Green Bay, the Wisconsin Rural Health Conference is a statewide forum designed to highlight public policy and operational issues affecting rural health care, with a focus on how the delivery of and access to rural health care are changing.
Article
May. 12, 2022
Physician Leadership Development Conference: June 16-17
The annual WHA Physician Leadership Development Conference, taking place June 16-17 at the KI Convention Center in Green Bay, is structured to meet the leadership development needs for developing physician leaders and senior physician leaders, as well as their senior leader hospital administrators.
Physician ResourcesArticle
May. 12, 2022
WHA Resource Spotlight: WHAIC Data Maps Help Identify Community Health Needs
In 2021, the WHA Information Center (WHAIC) team developed a Community Health Needs Assessment (CHNA) mapping tool that helps hospitals and community partners identify the most prevalent clinical conditions and areas of need in their communities.
Article
May. 5, 2022
Will You Be on the First Contributor List for 2022?
The 2022 Wisconsin Hospitals State PAC and Conduit fundraising campaign is off to a strong start following the virtual kick-off event in March. Make your contribution before May 12 to be included on the first contributor listing, which will be published in that week’s edition of The Valued Voice newsletter.
Article
May. 5, 2022
New AHA Report Highlights Dramatic Spike in Health Care Input Costs
The American Hospital Association (AHA) has released a new report that examines the tremendous growth of a variety of input costs for hospitals and health systems. The report includes national data on the dramatic increases in expenses for workforce, drugs, supplies and equipment, in addition to skyrocketing economy-wide inflation.
Economic ImpactArticle
May. 5, 2022
Medicare Advantage Plan Practices Impede Beneficiary Access to Necessary Care
A new report issued by the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) has found that Medicare Advantage insurers often deny prior authorization requests and payment for covered Medicare services. The OIG says these practices can delay or prevent necessary care and create significant negative health outcomes for beneficiaries enrolled in Medicare Advantage plans.
Medicare