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Reimbursement

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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…

Feds accuse Aetna/Humana attempting to derail merger challenge by blocking CMS defendants

Feds accuse Aetna/Humana attempting to derail merger challenge by blocking CMS defendants

Aetna and Humana want to stop the DOJ from calling any CMS employees…

Whitepapers

Are Your Claims Ready for Value-Based Reimbursement (VBR)?

How can you succeed under new value-based reimbursement (VBR) models? For starters, healthcare…

7 Steps to Improve HCC Capture for Value-Based Payment

For large integrated health networks, what impact do hierarchical condition categories (HCCs) have under…

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…

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.

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.