Topics
Reimbursement
AMA president weighs the pros and cons of MACRA, MIPS
AMA president weighs the pros and cons of MACRA, MIPS
Revenue Cycle Management
Hospitals need cost reduction strategies, fall short on setting goals
Hospitals target cost reduction strategies
Strategic Planning
Here's where hospitals are investing in innovation today
Here's where hospitals are investing in innovation today
Capital Finance
Healthcare spending, price growth slows in 2017 but job growth spikes
Healthcare spending, price growth slows
Supply Chain
Why blockchain could transform the very nature of EHRs
Why blockchain could transform the very nature of EHRs
Accounting & Financial Management
Healthcare spending growth stalls in Massachusetts
Massachusetts health spending growth stalls
Budgeting
Costly fertility treatments fuel rise of crowdfunding
Costly fertility treatments fuel rise of crowdfunding
Quality and Safety
HHS to face audit of its own cybersecurity, incident response capabilities
HHS to face audit of its own cybersecurity
Billing and Collections
Yes, patients want to discuss pricing, payment options before treatment
Survey: Yes, patients want to talk about pricing
Claims Processing
Reinventing Claims Management for the Value-Based Era
Reinventing Claims Management for the Value-Based Era
Workforce
3 employee engagement myths hospitals should throw out with the trash
3 employee engagement myths hurting hospitals
Operations
Telemedicine can lower costs for health systems by $24 a patient, study finds
Telehealth can really trim system costs
Medical Devices
Ochsner deploys robots to zap germs in fight against deadly hospital-acquired infections
Ochsner deploys robots to fight against infection
Hospital/physician relations
Cure for healthcare's high employee turnover is engagement, expert says
Expert: Cure for healthcare's high turnover is engagement
Construction & Facilities Management
Saint Barnabas Medical Center unveils new $25 million addition
Saint Barnabas unveils new $25M addition
Compliance & Legal
OIG is investigating Tom Price's travel on private jets
OIG investigating Tom Price's private jet travel
Policy and Legislation
AMA creates dashboard to track CMS deregulation in the Trump era
AMA starts tracking CMS deregulation
Community Benefit
UnitedHealthcare gives out $234,000 in grants to help consumers in rural areas of Kansas gain access to care
UnitedHealthcare awards $234,000 in rural healthcare grants
Accountable Care
Healthcare providers welcome changes to CMMI, back flexibility
Providers welcome changes to CMMI
Acute Care
Only 3.3% of emergency room visits are 'avoidable,' study says
Only 3.3% of ER visits are 'avoidable,' study says
Ambulatory Care
Racial and ethnic disparities remain consistent at Veterans Health Administration patient-centered medical homes
Racial/ethnic disparities exist at VA medical homes
Analytics
Boston Big Data and Healthcare Analytics Forum accepting speaker proposals
Boston Big Data Forum accepting speaker proposals
Business Intelligence
Healthcare sector continues steady march of job growth in August with 16,000 jobs added
Healthcare adds 16,000 jobs in August
ICD-10 & Coding
ICD-10 gets down to specifics, and attention to detail directly affects finances
ICD-10 codes get specific, and it matters for the bottom line
Meaningful Use
OIG plans to investigate $15 billion in meaningful use payments
OIG to investigate $15B in meaningful use payments
Medicare & Medicaid
CMS says it will change direction of CMMI, wants providers to have greater flexibility in payment model design
CMS to change direction of CMMI
Patient Engagement
Despite providers posting prices, patients still not shopping around for services
Study: Providers' posted prices still not utilized by patients
Pharmacy
FDA moves to close loophole on orphan drugs to bring down costs
FDA moves to close loophole on orphan drugs
Population Health
Next wave of population health promises to broaden beyond the 1%
Next wave of population health promises to broaden beyond the 1%
Risk Management
Premature births cost health plans $6 billion annually
Premature births cost health plans $6B annually
Telehealth
UPMC launches statewide app-based ER telemedicine program for health plan members
UPMC launches app-based ER telemedicine program
Mergers & Acquisitions
Anthem acquires Florida Medicare Advantage plan and network HealthSun
Anthem acquires MA network HealthSun
View more

Reimbursement

In-depth

Hospitals tighten controls on health benefits amidst rising costs, changing industry landscape

Hospitals tighten controls on health benefits amidst rising costs, changing industry landscape

Their annual Benefits Survey involved more than 196 hospitals…

MACRA 2018 revisions meet with broad support but groups call for fine tuning

MACRA 2018 revisions meet with broad support but groups call for fine tuning

Organizations say reducing the reporting burden on clinicians and increasing…

Whitepapers

Beyond Dollars and Cents: A Closer Look At Value

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…

An Innovative Way to Accelerate the Healthcare Revenue Cycle

An Innovative Way to Accelerate the Healthcare Revenue Cycle

The right Revenue Cycle Management solution can dramatically improve efficiency, reduce costs,…

Latest News

September 22, 2017 | Susan Morse

AMA creates dashboard to track CMS deregulation in the Trump era

September 22, 2017 | Susan Morse

Healthcare providers welcome changes to CMMI, back flexibility

September 21, 2017 | Bernie Monegain

AMA president weighs the pros and cons of MACRA, MIPS

September 21, 2017 | Jeff Lagasse

CMS biosimilar policy revisions could save $11.4 billion over 10 years, report says

September 21, 2017 | Tom Sullivan

Here's where hospitals are investing in innovation today

September 20, 2017 | Susan Morse

CMS says it will change direction of CMMI, wants providers to have greater flexibility in payment model design

September 20, 2017 | Jeff Lagasse

Almost half of Americans favor single-payer healthcare system, poll finds

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MostPopular

Top 10 healthcare issues to watch in 2016

Top 10 healthcare issues to watch in 2016

CMS cancels mandatory bundles, reduces joint model participation

CMS cancels mandatory bundles, reduces joint model participation

Docs must now explain 'observational' statuses

Docs must now explain 'observational' statuses

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

Anthem won't pay for MRIs at hospital outpatient hubs

Anthem won't pay for MRIs at hospital outpatient hubs

Bundled payments to focus on physician payments

Bundled payments to focus on physician payments

5 challenges facing health systems

5 challenges facing health systems

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 saw 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

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…

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…