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Reimbursement

Tax credits, shopping around keep Obamacare marketplace plans affordable, feds say

Feds: Obamacare marketplace plans remain affordable

Revenue Cycle Management

HIMSS Revenue Cycle Summit: Call for speaking proposals closes August 12

HIMSS Revenue Cycle Summit: Call for speaking proposals closes August 12

Strategic Planning

Insurers contemplate 'Walmart-like' model to lower costs

Insurers contemplate 'Walmart-like' model to lower costs

Capital Finance

Montefiore Group, Albert Einstein College of Medicine, Columbia University Medical Center land $3 million for HIV prevention

NY hospitals land $3M for HIV prevention

Supply Chain

UPMC forms independent company with IBM Watson to improve supply chain performance

UPMC joins IBM Watson on supply chain performance venture

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

Demand for geriatric emergency rooms grows as units reduce stress, medical risks

Demand for geriatric emergency rooms grows; units reduce stress, medical risks

Billing and Collections

Healthcare providers explore no-interest loans to help patients pay for care, say move cuts bad debt

Providers explore no-interest loans

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

Healthcare staffing gaps push salaries up for most medical professionals

Healthcare salaries spike amid hiring surge

Operations

Hospitals want more features from HCAHPS vendors, less concerned with price, peer60 finds

Survey: HCAHPS vendors have room to improve

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

St. Vincent health system will open 8 microhospitals to answer demand for acute care in central Indiana

Indiana system opening microhospitals

Compliance & Legal

Whistleblower lawsuit against UnitedHealth, Aetna, Health Net revived over Medicare Advantage scores

Whistleblower lawsuit against big payers revived

Policy and Legislation

Doctors voice rising concerns for small practices under MACRA

Doctors voice rising concerns for small practices under MACRA

Community Benefit

Community health centers get $100 million boost from HHS

Community health centers get $100M boost

Accountable Care

Map: See where the Next Generation accountable care organizations are

Map: See where the Next Gen ACOs are

Acute Care

Experts push for hospital care for elderly that involves staying active

Experts push for hospital care for elderly that involves staying active

Ambulatory Care

Surprise! Here's another bill for that 'paramedic response'

Additional bills for 'paramedic response' create challenges

Analytics

IBM Watson aligns with health systems, imaging firms to fight cancer, diabetes, heart disease

IBM Watson aligns with 15 health systems

Business Intelligence

Mylan offers EpiPen coupon after public backlash over price hike

Mylan offers EpiPen coupon

ICD-10 & Coding

ICD-10 grace period will end on October 1, CMS says

ICD-10 grace period will end on Oct. 1

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

ACOs saved $466 million in 2015

ACOs saved over $400M in 2015

Patient Engagement

Doctors, hospitals, advocates push for education on killer sepsis

Doctors, hospitals, advocates push for education on killer sepsis

Pharmacy

Hillary Clinton, lawmakers call on Mylan to reverse the price hike on EpiPen

Lawmakers demand reversal of EpiPen price hike

Population Health

Georgia maternal mortality among nation's worst; officials, physicians site lack of care, poor overall health

Georgia maternal mortality among nation's worst

Risk Management

Locky ransomware attacks hit hospitals the hardest, report says

Locky ransomware targets hospitals

Telehealth

AHRQ says studies show wide success in telehealth applications for behavioral, chronic care

AHRQ: Studies show wide success with telehealth

Mergers & Acquisitions

Pfizer buys cancer drugmaker Medivation for $14 billion, will add XTANDI to drug lineup

Pfizer buys cancer drugmaker for $14B

Top Stories

Aetna and Humana trial set for Dec. 5, later than companies had hoped

Aetna and Humana trial set for Dec. 5

CMS releases Medicare Advantage value-based insurance design model

Medicare Advantage value-based model released

Minnesota Hospital Association study shows huge gaps in appropriate care for mental health patients

MHA: Thousands of mental health hospital stays avoidable

PHI releases first direct-care workforce state data center

Oct 12, 2011 |

PHI releases first direct-care workforce state data center

The Paraprofessional Healthcare Institute (PHI), a national nonprofit working to improve America's ...

Featured Resources

How Healthcare Reform Impacts Your Revenue Cycle A dramatic increase in the number of patients insured by high-deductible, high-copay plans has led to providers spending more time collecting payments. These challenges are intensified by a number of other trends, including: a rise in bad debts, the ...

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 ...

Confidence. Visibility. Control: Is Your Organization Adequately Preparing for ICD-10? At least in this case, good things do not come to those who wait. Your healthcare organization must continue to prepare for the changeover to ICD-10 code sets. Although the Centers for Medicare & Medicaid Services ...

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Solutions & Services News Briefs

Top 10 healthcare issues to watch in 2016

See which hospitals will pay readmission fines in 2017

Aetna to top opioid prescribers: You're being watched

News

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. ...

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.

Whitepapers

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 ...

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 report ...