New Congress Tackling Drug Prices Two democrats and an independent introduced bills in the House and Senate to lower the high costs of drugs. Sen. Bernie Sander (I-VT), Rep. Elijah Cummings (D-MD), Rep. Ro Khanna (D-CA) introduced a three-part plan last week that included: The Prescription...

House Votes to Join Legal Defense of ACA; Committee Plans Hearing on Judge's Decision  In one of the first votes after taking over the House, Democrat leaders pushed through a measure to allow the chamber to defend the Affordable Care Act in court by joining the...

Happy New Year! Judge Rules in Favor of Hospitals in 340B Case In a major development, Federal D.C. district court Judge Rudolph Contreras sided with hospitals stating that CMS overstepped its authority when cutting 340B drug reimbursement by almost 30 percent as part of the 2018 hospital outpatient pay...

Senior House Democrats' New Bill Ramps Up the Medicare Expansion Debate Earlier this week, Congresswomen Rosa DeLauro (D-CT) and Jan Schakowsky (D-IL) introduced legislation, the Medicare for America Act, that would greatly expand Medicare coverage while maintaining employer-sponsored health insurance for those who have it and...

Vice President, Network Management and Development Lori Chovanak is Vice President, Network Management and Development at Strategic Healthcare. Prior to joining Strategic Healthcare, Lori was the CEO of the Ohio Nurses Association, President/CEO of the Ohio Nurses Foundation, and Executive Director of Montana Nurses Association. In...

Credentialing and Contracting Consultant   Stephanie comes to Strategic Health care with over ten years of professional experience in the health insurance and billing industry. In 2008, she began as an Account Specialist for a physical therapy billing and collection group. She worked with the insurance plans...

Federal Court Nixes Affordable Care Act -- Confusion Grows, Congressional Leaders Vow Action, Courts Likely To Act A federal judge in Texas on Friday ruled that the Affordable Care Act is unconstitutional now that Congress has eliminated a penalty for those who forgo health insurance. U.S. District Judge...

Non-Profit Hospitals Will Struggle in 2019: Moody's & Fitch Not-for profit hospitals will continue their course in 2019 of having their expenses outpace their revenue streams, according to a Moody's Investors Service  report released last week. The outlook reflects Moody's expectation that operating cash flow in...

OIG Calls for Major Reforms to Medicare Wage Index System  According to a report released by the HHS Office of Inspector General last week, investigators discovered significant vulnerabilities in the wage index system while conducting reviews of hospitals’ wage data from 2004 through 2017.  The wage index, which is...

HHS Moves on Stark, Anti-Kickback Reforms; New Congress Wants More Health Care Changes Health care providers of all types are urging officials to waive or roll back the requirements of federal fraud and abuse laws so they can join forces and coordinate care, sharing cost reductions...