May-June 2017

Reimbursement

Humana launches maternity bundled payment model

Revenue Cycle Management

Tips for maximizing hospital reimbursement: Start by shoring up your revenue cycle

Strong rev cycle boosts reimbursement, expert says

Strategic Planning

Why the healthcare industry could face an ultimatum: Keep hiring or lower costs

The tug-of-war between healthcare job growth and rising costs

Capital Finance

UnitedHealth Group grows first quarter profits driven by Medicare Advantage

UnitedHealth Group grows Q1 profits with Medicare Advantage

Supply Chain

Medical supply shortage: 64% of surgical staff hoard, waste or overuse

64% of surgical staff hoard, waste or overuse supplies

Accounting & Financial Management

HIMSS18 Business of Healthcare Symposium to focus on finding success in a value-based world

HIMSS18 symposium: Finding success in value-based care

Budgeting

Costly physician performance metrics have serious flaws, study finds

Performance metrics: Costly and potentially flawed

Quality and Safety

UnityPoint Health System hit with cyberattack affecting 16,000 patients

Billing and Collections

With physician billing, there's $11-54 billion of challenged revenue each year, study finds

Physicians see $11-54B of challenged revenue

Claims Processing

How to manage MVA and workers' compensation claims successfully

Workforce

What millennial doctors want when job hunting, and reasons they leave

Culture tops list of what millennial doctors want when job hunting

Operations

Follow the money: Where Gartner, IDC and HIMSS Analytics say hospitals will invest the most in 2018

Study: Where hospitals are investing in 2018

Medical Devices

How a $10 microchip can turn ultrasounds into high-powered 3D image machines

$10 microchip turns ultrasounds into 3D image machine

Hospital/physician relations

AMA, Mayo Clinic and others post Charter on Physician Well-Being to address burnout

AMA, Mayo, others tackle physician burnout in new medical charter

Construction & Facilities Management

St. Luke's planning on $100 million hospital, while facilities in Montana and Alaska embark on projects of their own

St. Luke's $100M hospital, other projects

Compliance & Legal

Banner Health hit with $18 million settlement over treatment and billing allegations

Banner Health to pay $18 million over false claims act allegations

Policy and Legislation

Senate Finance Committee tackles Medicaid, Medicare policy to combat opioid use disorder

Senate committee tackles Medicaid, Medicare policy on opioid use

Community Benefit

New Hampshire hospitals commit $50 million to advance addiction programs

New Hampshire hospitals commit $50 million to drug treatment

Accountable Care

Medicare ACOs have increased federal spending

Acute Care

Freestanding emergency departments target high-income areas, report says

Freestanding EDs target high-income areas

Ambulatory Care

Medical schools, teaching hospitals account for 3% of US GDP, report shows

Med schools, teaching hospitals are 3% of GDP

Analytics

The case for equipping doctors with drug pricing data

Why physicians need Rx price transparency

Business Intelligence

MGMA poll shows widespread satisfaction with medical practice culture, but not everyone is happy

MGMA: Medical practice success can hinge on culture

ICD-10 & Coding

Physician practices examine risk adjustment coding in wake of federal lawsuits

Practices keeping close watch on risk adjustment coding

Meaningful Use

OIG to investigate $15B in meaningful use payments

Medicare & Medicaid

What Paul Ryan's retirement from Congress means for Medicaid reform

What Paul Ryan's exit means for Medicaid reform

Patient Engagement

Uber offers providers, patients new Uber Health transportation app and dashboard

Uber offers providers, patients new transportation app

Pharmacy

Pharmacies can administer vaccines at a lower cost than doctor's offices and medical clinics, study shows

Vaccines are cheaper at pharmacies

Population Health

Medicaid recipients use preventative care at rates comparable to those with commercial insurance, AHIP says

AHIP: Medicaid advances use of preventative care services

Risk Management

6 focus areas CIOs are prioritizing in 2018

6 things keeping CIOs up at night

Telehealth

Telehealth gaining traction with vets

Mergers & Acquisitions

CareGroup, Lahey merger gets official thumbs up from Massachusetts Department of Health

Mass Department of Health officially greenlights CareGroup/Lahey merger

May-June 2017

Featured Resources

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

MostPopular

Top 10 healthcare issues to watch in 2016

CMS cancels mandatory bundles, reduces joint model participation

Docs must now explain 'observational' statuses

List: 769 hospitals fined for medical errors, infections

News

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.

Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

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. ...

Whitepapers

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 ...

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 report ...

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.

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