Topics
Reimbursement
Provider-run plans lead pack in NCQA health plan ratings
NCQA quality ratings show provider plans on top
Revenue Cycle Management
Optum ranked top healthcare revenue cycle vendor in new Black Book ratings
Black Book: Optum top revenue cycle vendor
Strategic Planning
Ascension rebrands, renames hospitals, splits company into two divisions
Ascension rebrands, renames hospitals
Capital Finance
Henry Ford Health restructures systemwide debt in historic $1 billion transaction
Michigan system makes history with debt restructuring
Supply Chain
Orphan drug spending not as high as originally thought, study says
Study: Orphan drugs aren't major spending driver
Accounting & Financial Management
Healthcare providers keep close tabs on labor costs to keep spending in check
Providers keep close tabs on labor costs
Budgeting
Patient view of of long-term, in-home care costs unrealistic, Genworth Financial says
Study: Long-term, in-home care costs underestimated
Quality and Safety
NIH awards $5.3 million to Montefiore team to study effect of chemicals in NICUs
Doctors get $5.3M to study chemicals in the NICU
Billing and Collections
Study: Hospitals still using chargemaster markups to maximize revenue
Study: Chargemasters still leveraged by hospitals
Claims Processing
Claims denials management tools offer hospitals opportunity to automate revenue cycle processes
Claims denials management tools offer opportunity to automate revenue cycle
Workforce
Physicians moving from small to large group practices, analysis finds
It's official: Docs are moving to large practices
Operations
Safety-net hospitals slash readmissions, but changes to penalty formula needed, study says
Study: Safety-nets cut readmissions, at a price
Medical Devices
University Hospitals in Cleveland first in state to treat cancer patient with proton therapy
Hospital logs state first in proton therapy use
Hospital/physician relations
Doctors, hospitals tussle over role of nurse-midwives
Doctors, hospitals tussle over role of nurse-midwives
Construction & Facilities Management
Vassar Brothers Medical Center breaks ground on $500 million patient pavilion
New York hospital breaks ground on $500M expansion
Compliance & Legal
North Carolina hits Blue Cross Blue Shield with record $3.6 million fine
North Carolina hits insurer with record $3.6M fine
Policy and Legislation
Health law in spotlight as Hillary Clinton, Donald trump fight for Arizona
Arizona focus on health law ahead of election
Community Benefit
Massachusetts health reform progresses, but coverage gaps remain, study says
Breaking down Massachusetts' reform, 10 years later
Accountable Care
Shared savings is working for physician-led ACOs run by Aledade, owners say
Aledade touts success with ACOs
Acute Care
ER visits swell, On-call specialists harder to find after Affordable Care Act, studies show
Studies: Illinois ER volume swells, Mass on-call specialists hard to find
Ambulatory Care
Surprise! Here's another bill for that 'paramedic response'
Additional bills for 'paramedic response' create challenges
Analytics
Hospitals hungry for predictive analytics despite current low utilization, Health Catalyst study shows
Study: Hospitals hungry for predictive analytics despite current low utilization
Business Intelligence
Employees, not outsiders, are responsible for most cyber threats, IBM says
IBM: Employees, not outsiders, are responsible for most cyber threats
ICD-10 & Coding
Tech firm launches contest to find the best ICD-10 coders
Who are the best ICD-10 coders?
Meaningful Use
Medical groups ask CMS chief Andy Slavitt to finalize 90-day EHR reporting
Medical groups to Andy Slavitt: Make 90-day reporting official
Medicare & Medicaid
Medicare Advantage winning competition against Medicare, Avalere analysis shows
MA stealing away beneficiaries from Medicare
Patient Engagement
Doctors, hospitals must focus on post-ICU syndrome for elderly patients, research shows
Doctors, hospitals must focus on post-ICU syndrome for elderly patients, research shows
Pharmacy
EpiPen payments by Medicare Part D have risen 1,000% since 2007, Kaiser Family Foundation finds
Part D EpiPen spending skyrockets
Population Health
How Seattle's Swedish Medical Center is linking dentists, clinics to improve population health
Hospital-dentist network improving health in Seattle
Risk Management
President Barack Obama asks remaining exchange insurers for help enrolling younger beneficiaries
Obama asks insurers for help
Telehealth
AHRQ says studies show wide success in telehealth applications for behavioral, chronic care
AHRQ: Studies show wide success with telehealth
Mergers & Acquisitions
Anthem-Cigna, Aetna-Humana mergers would squeeze commercial insurance market, AMA study claims
AMA: Insurance mergers would squeeze providers
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U.S. Department of Health and Human Services (HHS)

In-depth

CMS rule would standardize emergency preparedness for healthcare providers

CMS rule would standardize emergency preparedness for healthcare providers

Flooding in Baton Rouge, Louisiana, leads agency to propose a rule to establish a…

No risk corridors payments for 2015 plan year

No risk corridors payments for 2015 plan year

HHS is asking insurers to pay 2016 collections to reimburse for 2014 benefit year.

Whitepapers

Revenue Cycle Management in Home Health Care

Revenue Cycle Management in Home Health Care

Home Health is a burgeoning and besieged industry; its growth connected to our aging population and increased…

The Consumer-Centric Revenue Cycle

The Consumer-Centric Revenue Cycle

With the shift to value-based care, patients are becoming more involved with their healthcare financials. Therefore,…

Latest News

September 16, 2016 | Susan Morse

No risk corridors payments for 2015 plan year

September 13, 2016 | Jeff Lagasse

CMS rule would standardize emergency preparedness for healthcare providers

September 7, 2016 | Beth Jones Sanborn

Lawmakers ask HHS to be flexible with MACRA, stop short of backing delay

September 6, 2016 | Kaiser Health News

Doctors, experts stress need for extended monitoring of Zika-exposed infants

August 31, 2016 | Jeff Lagasse

American Hospital Association warns consumers will lose out if marketplaces aren't stabilized

August 31, 2016 | Bernie Monegain

HHS awards $53 million to tackle opioid crisis

August 30, 2016 | Jessica Davis

Hackers hit SCAN Health Plan, breach data of nearly 90,000 patients

VIEW ALL NEWS

MostPopular

Top 10 healthcare issues to watch in 2016

Top 10 healthcare issues to watch in 2016

Solutions & Services News Briefs

Solutions & Services News Briefs

5 challenges facing health systems

5 challenges facing health systems

Managers attack mid-cycle losses

Managers attack mid-cycle losses

Marshfield's master plan

Marshfield's master plan

It's official: Docs are moving to large practices

It's official: Docs are moving to large practices

Rural practices brace for MACRA

Rural practices brace for MACRA

News

Healthcare mergers and acquisitions in 2016: Running list

Healthcare mergers and acquisitions in 2016: Running list

While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 is also poised for more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Analyze this: Health systems, health plans get to the core of big data

Analyze this: Health systems, health plans get to the core of big data

Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. But with more patients weighing public hospital grades, experts, as well as a few…

Whitepapers

Clinical Quality Measures 101

Clinical Quality Measures 101

Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to…

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data that's already flowing through financial systems into…