Topics
Reimbursement
New cancer drug surpasses highest price to date
New cancer drug surpasses highest price to date
Revenue Cycle Management
How predictive analytics helped reduce readmissions at UnityPoint Health
Predictive analytics reduced readmissions at UnityPoint
Strategic Planning
CHS announces hospital sales worth $1.5B in revenue amidst 'disappointing' 2nd quarter losses
CHS announces $1.5B hospital sales plan amidst financial losses
Capital Finance
Healthcare/pharmaceutical sector second only to technology in dominating corporate cash
Healthcare/pharma second in corporate cash holdings
Supply Chain
Johnson & Johnson hit with $417 million verdict in talc lawsuit
J&J to pay $417M in talc verdict
Accounting & Financial Management
CFOs explain changing role, see collaboration key as healthcare changes
CFOs weigh in on changing role
Budgeting
Costly fertility treatments fuel rise of crowdfunding
Costly fertility treatments fuel rise of crowdfunding
Quality and Safety
Advocate Health Care hospital nutrition programs yield $4.8 million in savings, research shows
Study: Hospital nutrition programs yield $4.8 million in savings
Billing and Collections
Colorado health systems face media scrutiny over medical bills
Colorado health systems face media scrutiny
Claims Processing
Reinventing Claims Management for the Value-Based Era
Reinventing Claims Management for the Value-Based Era
Workforce
Physician satisfaction is widespread, but raises and student loan help are hard to come by, survey says
Survey: Physicians see high job satisfaction, few raises
Operations
Hospitals weigh primary care C-suite roles to bridge gaps in care, improve quality
Should hospital C-suites add a primary care role?
Medical Devices
Report: Aetna in secret talks with Apple about giving members Apple Watches
Report: Aetna in secret talks with Apple
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
Texoma Medical Center nears completion of $50 million expansion
TMC nears end of $50 million expansion
Compliance & Legal
Mylan, Department of Justice finalize $465 million settlement over EpiPen, Medicaid drug rebates
Mylan, Department of Justice finalize $465 million settlement over EpiPen rebates
Policy and Legislation
Providers weigh CMS special status details as MACRA reporting draws closer
Providers weigh CMS special status guidelines
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
Aledade tech is helping solo practitioners stay independent amid value-based shift
Aledade helping solo practitioners with value-based shift
Acute Care
Hospitals that spend more on emergency care see better outcomes, MIT says
MIT: Hospitals should spend more on emergency care
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
Chinese billionaire Tianqiao Chen makes big stock buy in CHS, brings stake to 22.1%
Chinese billionaire makes big CHS stock buy, boosting stake to 22.1%
ICD-10 & Coding
CMS waves Physician Quality Reporting System penalties for 2017, 2018 after massive ICD-10 update clogs system
CMS waves PQRS penalties for 2017, 2018 thanks to ICD-10
Meaningful Use
OIG plans to investigate $15 billion in meaningful use payments
OIG to investigate $15B in meaningful use payments
Medicare & Medicaid
CMS targets providers that have high error rates in new claims processing, fraud reviews
CMS launches targeted claims audit
Patient Engagement
Despite providers posting prices, patients still not shopping around for services
Study: Providers' posted prices still not utilized by patients
Pharmacy
Biosimilar drugs often translate to lower provider profits, says Navigant analysis
Study: Biosimilars translate to lower profits
Population Health
CVS continues march into primary care with expansion of MinuteClinic network, chronic disease program
CVS continues march into primary care with new clinics, chronic disease services
Risk Management
OptumRx opioid risk management program to go nationwide
OptumRx to expand opioid program
Telehealth
UPMC launches statewide app-based ER telemedicine program for health plan members
UPMC launches app-based ER telemedicine program
Mergers & Acquisitions
Presence Health to merge into Catholic giant Ascension's joint venture system
Presence to merge into Ascension joint venture system
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…

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Senate Republicans eye "skinny repeal" option that rolls back individual mandate

Narrow bill would also eliminate the Affordable Care Act's penalties for…

Whitepapers

Increase Medicare Stars Rating with Advanced Analytics

Increase Medicare Stars Rating with Advanced Analytics

Is your health plan still using expensive, labor-intensive, one-off tactics such as mobile mammograms and…

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…

Latest News

August 23, 2017 | Liz Szabo, Kaiser Health News

New cancer drug surpasses highest price to date

August 23, 2017 | Bill Siwicki

Aledade tech is helping solo practitioners stay independent amid value-based shift

August 22, 2017 | Susan Morse

CMS targets providers that have high error rates in new claims processing, fraud reviews

August 22, 2017 | Susan Morse

Only one county in US lacks an ACA insurer in 2018

August 21, 2017 | Beth Jones Sanborn

Providers weigh CMS special status details as MACRA reporting draws closer

August 21, 2017 | Beth Jones Sanborn

'Mixed' results from payment reform efforts should steer future course, not condemn them entirely, Health Affairs says

August 21, 2017 | Susan Morse

New bundled payment models will switch power from hospitals to physicians, Altarum says

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Top 10 healthcare issues to watch in 2016

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Docs must now explain 'observational' statuses

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Trump's budget cuts HHS spending by $15B

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Eight indicted in $158M fraud scheme linked to compound drugs

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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

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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.

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

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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.

Clinical Quality Measures 101

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