UnitedHealth plans to update its provider directories to show its beneficiaries those hospitals that use non-participating hospital-based physicians

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

Eastern Maine Healthcare Systems is the latest hospital to rename itself to keep pace with changes, digital health and otherwise, reshaping the industry.

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.

Affected supplies include consumables, pacemakers, computers and MRI machines.

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.

NCQA uses HEDIS scores to rate plans, a performance measure used by more than 90 percent of health insurers.

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.

The largest increase from 2016 to 2017 attributed to Emergency Medicine, a specialty that saw nearly five percent growth.

The core of a dashboard is information, as systems track the development and efficacy of innovation projects.

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.

If Democrats are able to make a significant enough dent in Congress, it could forecast a shift in policy with far-ranging implications for the industry.

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.

AARP says "Part D bailout" would be a windfall for big pharma; PhRMA counters that proposed changes would undermine Part D's structure.

Association calls on healthcare to more effectively share date and give clinicians the tools they need to improve care.

Here's a look at what Mayo achieved and what goes into such an agreement with patients.

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

In two separate moves on one day, ACO stakeholders ask CMS to keep upside-only risk model, while 29 others from Next Gen ACO Coalition want to make risk more predictable.

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.