Ruling throws out 2014 rule, leading to question of how CMS will determine whether it has overpaid an MA insurer.

Payers and providers can track, in real time, the status of claims submissions and remittances.

Here are some of the things hospitals should be working to put in place and resources available during storm season.

Households and businesses made up nearly half of the spending, meaning consumers are unable to spend in other sectors and businesses are crunched for resources.

Joining a group purchasing organization can have a ripple effect that reduces expenses across the entire healthcare system, with the potential to save up to $864 billion by 2022.

Hit especially hard were Massachusetts' community hospitals, with median operating margins plunging to 0.9 percent.

The top two priorities boil down to cost and consumerism has surged into the top 5 for 2018, mirroring industry trends.

CMS levies reimbursement penalties against hospitals that underperform on 30-day readmission rates, leaving for-profit hospitals at a disadvantage.

When asked, 86 percent said insurance companies are "very" or "somewhat" responsible, while 82 percent said hospitals were "very" or "somewhat" responsible.

What looks like a nightmare for hospital finance executives is also an opportunity to reduce excessive losses typically associated with such claims.

With both doctors and nurses in high-demand, more education and diversity is needed, and there are steps hospitals can take now to address the problem.

New research shows the use of scribes meant less after-hours EHR work for doctors and a better experience for patients.

The custom sensor would measure information from the body beyond heart rate, report says.

Establish clear strategic goals and target a financial return, get the revenue cycle right, and motivate employees accordingly.

Allegheny Health Network in Pittsburgh leads the pack with a $1 billion expansion.

AHA joins other 340B stakeholders in asking the court to declare the delay unlawful and to enact the regulation.

Largest sum went to the Substance Abuse and Mental Health Services Administration to focus on increasing access to medication-assisted treatment.

UH Care Continues tool uses a logistics technology platform to support patients in transitioning out of the hospital, identifying at-risk patients and facilitating appropriate solutions.

ACO MSSP generated savings of $1.84 billion from 2013 to 2015, nearly double the $954 million estimated by CMS, according to NAACOS.

Visits to the emergency room to treat low-acuity conditions decreased by 36 percent; Use of non-emergency room centers increased by 140 percent.

The institutions that were studied added more than $562 billion in value to the nation's economy in 2017, including direct and indirect economic impact.

The expense of software and implementation, as well as concerns about data security, are slowing growth in a market moving toward $33 billion globally.

Anderson will oversee innovation in a group that was formed from the practitioners of RWJBarnabas Health and the Rutgers Health Group.

Doctors need to carefully and properly use the HCC codes, which indicate the expected costs for a patient.

Administrator Seema Verma said changes to the program eliminate 25 measures and saves hospitals over 2 million hours of work and $75 million.

Proposed rule on removing such mandates as "re-approval" is expected to save healthcare facilities $1.12 billion per year.

Led by Society to Improve Diagnosis in Medicine, project seeks to improve accuracy, quality of medical diagnoses to thwart patient harm.

PBMs have been dogged by controversy for years, and yet they've become a fixture -- which David Henka sees as a real problem.

An aging population and more educated consumers means transformational healthcare change is coming, says HIMSS CEO Hal Wolf.

Absent more rigorous federal regs, Pew Charitable Trusts, MedStar Health and AMA offer model test cases to help vendors and providers detect potentially dangerous usability risks.

Pharmacy giant now offering telemedicine services in 10 US states with nationwide expansion planned by year's end.

The antitrust concern over the Medicare prescription drug plans is holding up approval of the $69 billion deal.