Anthem set a policy to deny coverage if it is determined through the discharge diagnosis that the visit was unnecessary.

Close to 60 percent of responding executives say their organizations have processes and structures in place to achieve cost transformation goals.

Password strength, multiple tabs and SOC audits are some of the means by which healthcare providers can protect sensitive patient data.

University of Michigan raised $5 billion, with more than $1.4 billion to be directed to advance patient care, research and education at Michigan Medicine.

Savings opportunities are fairly equal across hospital size, location, and whether the facility is urban or rural, for-profit or not-for-profit, or system-based or standalone.

Spending by private payers has grown at a faster clip, with growth hitting 7.4 percent compared to 2.3 percent for public payer spending.

Two areas for financial hope are being paid for telehealth and better data sharing in a rule on health information blocking.

Cigna's Healthspring, KelseyCare's Kelsey-Seybold plan, Humana's CarePlus Health Plan, Florida Blue and Martin's Point are also on the list.

Making patient financial responsibility clear from the get-go is an imperative for providers trying to avoid no-pays and consumer dissatisfaction.

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

Drug samples were the most common benefits, with 55 percent of doctors reporting having received them.

Deploying multiple interventions simultaneously within the EHR is shown to improve care while avoiding unnecessary costs.

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.

Health systems continued either pouring money into their facilities or expanding presence and scope of services last month, according to HIMSS Analytics.

Anthem is being held responsible for cyber attacks that stole the protected health information of close to 79 million people.

Repeal would end the ACA's most popular provision, to cover those with preexisting conditions.

Shifts in financing have pushed healthcare organizations toward addressing social issues that make it difficult for millions of people to stay healthy.

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.

Health data needs to be interoperable for the relationship between health systems and clinics to bridge the consumerism gap.

HIMSS is accepting speaker proposals for six pre-conference symposiums on Monday, Feb. 11 in Orlando.

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.

Open enrollment, which begins November 1, will not be negatively impacted, CMS says.

Respondents also showed concern about the security of their medical information, and their plan's ability to help them avoid scams.

Any such requirement would raise significant legal issues, including First Amendment concerns, PhRMA says.

While a majority of patients say they would consider the technologies to diagnose cancer and recommend treatment, they still fear a catastrophic impact on finances.

During October, we talk to infosec executives and experts about the problems and practical steps to securing sensitive data, advice about what to do (and what not to do) during and after a security incident.

Health and hygiene company RB said consumers who purchase certain products at Walmart will receive a free medical video visit.

Eighteen transactions were recorded in the third quarter of 2018, a 38 percent decrease over the 29 deals recorded in the third quarter of 2017.