Humana joins Aetna in covering in-patient hospital admissions for COVID-19 related treatment.

Understanding contract loopholes, and being self-advocates during negotiations, can help community hospitals increase their collections.

In Orlando, health IT professionals will get an update on what FHIR currently can and can't do - and what to expect from it going forward.

Revenue is tanking, while expenses are going up, as organizations prepare for big surges in coronavirus cases.

Providers continue to face critical shortages of critical care staff, ventilators, masks and other personal protection equipment.

Healthcare companies on Moody's list of lower-rated companies have about $41.6 billion of outstanding debt, a 28% increase in the past year.

With a labor-intensive budgeting process that provided little business value, OSF Healthcare decided it was time to be more flexible.

Half of U.S. physicians say they have treated a patient with COVID-19 symptoms, while three-quarters report not being able to test easily.

Since all of the estimates are based on pneumonia, it's likely that costs will be even higher during the coronavirus outbreak.

Prior authorization requirements have hindered freeing up hospital beds due to delays in getting inpatients to post-acute care.

The message is clear: Nurses and physicians should treat asymptomatic patients as carefully as symptomatic patients.

While not all insurers may be aware of it, prior authorizations can have detrimental downstream financial effects for hospitals and health systems.

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

The research shows significant variability in EHR satisfaction among specialties, but high-quality training can help.

The decision is unrelated to the current COVID-19 coronavirus pandemic, Kaiser says.

Anthem claims the DOJ has violated the law in holding Medicare Advantage plans to payment standards that are not applied to regular Medicare.

HHS and CMS should immediately distribute funds to every hospital at the rate of $25,000 per bed, or $30,000 in hot spots, AHA says.

The nonprofit health system has sponsored numerous programs and services that help address social determinants of health.

Lack of information on key financing aspects is preventing ACOs from signing on, says NAACOS president.

There was a 2% drop in ICU deaths at non-minority hospitals, but the same improvement rate was not seen at minority-serving hospitals.

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.

At HIMSS20, one physician association will show how data-driven care management, with prompt patient outreach, helped decrease ED use by 8%.

Report analyzed more than 1.8 billion commercial healthcare claims and data visualization to benchmark prices and use across 112 metropolitan areas from 2012 to 2016.

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.

CMS is also allowing ERs to use drive-through testing and telehealth, and for tests to be done at home for stay-at-home residents.

More robust SDOH data is not only a care quality consideration, but a business consideration as payers, providers seek a whole-person view.

Should states win their case to regulate how PBMs contract with pharmacies, plan costs will rise, AHIP says.

UnitedHealth Group previously announced $50 million to fight COVID-19 by supporting healthcare workers, seniors and hard-hit communities.

IT security is a legacy word, says Brian Selfridge: "This isn't cybersecurity, this is risk."

Paradise Medical Group is running a virtual practice as the federal government has announced expanded access to telehealth services.

BMC takes on financially distressed ambulatory surgery centers and makes them viable, company says.