Topics
Reimbursement
America's Health Insurance Plans asks for 6-month ceiling on short-term, limited duration plans
AHIP asks for 6-month ceiling on short-term plans
Revenue Cycle Management
Nonprofit, public hospital margins hit 10-year record low, Moody's report says
Moody's says nonprofit and public hospital margins hit 10-year record low
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
See which states earned an 'A' and those that got an 'F' in Leapfrog's new patient safety grades
States that got 'As' and 'Fs' in Leapfrog patient safety report
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
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
Value-based care driving hospital CEO and COO salaries higher, survey finds
See which healthcare execs get paid more because of value-based care
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 health committee advances opioid bill
Senate health committee advances opioid bill
Community Benefit
New Hampshire hospitals commit $50 million to advance addiction programs
New Hampshire hospitals commit $50 million to drug treatment
Accountable Care
Medicare Accountable Care Organizations have increased federal spending, contrary to savings projections
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 plans to investigate $15 billion in meaningful use payments
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 popularity among veterans, signaling potential revenue opportunity
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
View more

Reimbursement

In-depth

HIMSS18 revenue cycle recap: Patient-centric approach takes communication, flexibility and motivated staff

HIMSS18 revenue cycle recap: Patient-centric approach takes communication, flexibility and motivated staff

A new philosophy is emerging around the hospital…

What the Amazon, Berkshire Hathaway, JPMorgan deal means for payers

What the Amazon, Berkshire Hathaway, JPMorgan deal means for payers

The potential ability to lower the cost and target insured employees in a personalized,…

Whitepapers

Payers: Get Ready for What's Next with Payment Reform

Payers: Get Ready for What's Next with Payment Reform

Value-Based Reimbursements and quality-based incentives are replacing Fee for Service. With the government…

5 Payer Strategies for Managing Post-Discharge Patients

5 Payer Strategies for Managing Post-Discharge Patients

In switching to value-based compensation, providers and payers are incentivized to make post-acute care…

Latest News

April 24, 2018 | Susan Morse

Senate health committee advances opioid bill

April 24, 2018 | Susan Morse

Centene reports higher earnings due to Affordable Care Act marketplace

April 23, 2018 | Jeff Lagasse

It's time to end manual cleaning of medical scopes, researchers say

April 23, 2018 | Susan Morse

America's Health Insurance Plans asks for 6-month ceiling on short-term, limited duration plans

April 20, 2018 | Susan Morse

Federal court grants insurers class action status over cost-sharing reduction payments

April 20, 2018 | Susan Morse

Humana launches maternity bundled payment model with analytics and care coordination capabilities

April 19, 2018 | Susan Morse

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

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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

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…

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.

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.

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…

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…

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.