Topics
Reimbursement
Provider-run plans lead pack in NCQA health plan ratings
NCQA quality ratings show provider plans on top
Revenue Cycle Management
Optum ranked top healthcare revenue cycle vendor in new Black Book ratings
Black Book: Optum top revenue cycle vendor
Strategic Planning
ONC to healthcare managers: Be prepared when negotiating EHR contracts
With vendor negotiations, be prepared
Capital Finance
Henry Ford Health restructures systemwide debt in historic $1 billion transaction
Michigan system makes history with debt restructuring
Supply Chain
Orphan drug spending not as high as originally thought, study says
Study: Orphan drugs aren't major spending driver
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
NIH awards $5.3 million to Montefiore team to study effect of chemicals in NICUs
Doctors get $5.3M to study chemicals in the NICU
Billing and Collections
Study: Hospitals still using chargemaster markups to maximize revenue
Study: Chargemasters still leveraged by hospitals
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
Physicians moving from small to large group practices, analysis finds
It's official: Docs are moving to large practices
Operations
Safety-net hospitals slash readmissions, but changes to penalty formula needed, study says
Study: Safety-nets cut readmissions, at a price
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
Vassar Brothers Medical Center breaks ground on $500 million patient pavilion
New York hospital breaks ground on $500M expansion
Compliance & Legal
Appeals court blocks Penn State Hershey Medical Center-PinnacleHealth merger
Court halts Pennsylvania hospital merger
Policy and Legislation
Connecticut hospitals may appeal decision over state user fee, say tax costing them $500 million
Connecticut hospitals fight $500M user fee
Community Benefit
Massachusetts health reform progresses, but coverage gaps remain, study says
Breaking down Massachusetts' reform, 10 years later
Accountable Care
Shared savings is working for physician-led ACOs run by Aledade, owners say
Aledade touts success with ACOs
Acute Care
ER visits swell, On-call specialists harder to find after Affordable Care Act, studies show
Studies: Illinois ER volume swells, Mass on-call specialists hard to find
Ambulatory Care
Surprise! Here's another bill for that 'paramedic response'
Additional bills for 'paramedic response' create challenges
Analytics
Sentry Data Systems names Tom Tran CFO and COO
Analytics firm taps new CFO
Business Intelligence
Employees, not outsiders, are responsible for most cyber threats, IBM says
IBM: Employees, not outsiders, are responsible for most cyber threats
ICD-10 & Coding
Tech firm launches contest to find the best ICD-10 coders
Who are the best ICD-10 coders?
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
Medicare Advantage winning competition against Medicare, Avalere analysis shows
MA stealing away beneficiaries from Medicare
Patient Engagement
Patient understanding crucial to success in consumer-driven healthcare
With healthcare, the patient is always right
Pharmacy
EpiPen payments by Medicare Part D have risen 1,000% since 2007, Kaiser Family Foundation finds
Part D EpiPen spending skyrockets
Population Health
How Seattle's Swedish Medical Center is linking dentists, clinics to improve population health
Hospital-dentist network improving health in Seattle
Risk Management
University of Southern California hospitals back online after ransomware attack
Ransomware attack hits California hospitals
Telehealth
Cigna to offer telehealth for marketplace plans
Cigna adds telehealth to plans
Mergers & Acquisitions
Anthem-Cigna, Aetna-Humana mergers would squeeze commercial insurance market, AMA study claims
AMA: Insurance mergers would squeeze providers
View more

Reimbursement

In-depth

Study: Hospitals still using chargemaster markups to maximize revenue

Study: Hospitals still using chargemaster markups to maximize revenue

A higher chargemaster price can increase the payment from private insurers, which often…

Power couple: Marshfield Clinic's marriage between health system and health plan is paying off

Power couple: Marshfield Clinic's marriage between health system and health plan is paying off

Running its own health plan has allowed Marshfield Clinic to…

Whitepapers

On-Demand Webinar: Documenting, Coding and Reporting HAIs

On-Demand Webinar: Documenting, Coding and Reporting HAIs

This webinar covers documentation details required to identify, report and assign ICD-10-CM/PCS codes…

Revenue Cycle Management in Home Health Care

Revenue Cycle Management in Home Health Care

Home Health is a burgeoning and besieged industry; its growth connected to our aging population and increased…

Latest News

September 27, 2016 | Beth Jones Sanborn

Patient understanding crucial to success in consumer-driven healthcare

September 27, 2016 | Susan Morse

Cigna to offer telehealth for marketplace plans

September 27, 2016 | Kaiser Health News

Experts recommend more no-cost women's preventive care services

September 26, 2016 | Susan Morse

Blue Cross Blue Shield of Nebraska loses $140 million in Obamacare, will exit market

September 26, 2016 | Kaiser Health News

California tobacco ballot initiative would raise millions to support Medi-Cal

September 23, 2016 | Susan Morse

Anthem-Cigna, Aetna-Humana mergers would squeeze commercial insurance market, AMA study claims

September 23, 2016 | Susan Morse

Medicare Advantage winning competition against Medicare, Avalere analysis shows

VIEW ALL NEWS

MostPopular

Top 10 healthcare issues to watch in 2016

Top 10 healthcare issues to watch in 2016

Solutions & Services News Briefs

Solutions & Services News Briefs

5 challenges facing health systems

5 challenges facing health systems

Managers attack mid-cycle losses

Managers attack mid-cycle losses

Marshfield's master plan

Marshfield's master plan

It's official: Docs are moving to large practices

It's official: Docs are moving to large practices

Rural practices brace for MACRA

Rural practices brace for MACRA

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 is also poised for 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…

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…