CMS takes credit for introducing waivers and a reinsurance program for insurers to submit high-cost claims into a risk pool.

The report raises questions of whether Medicare Advantage plans inappropriately deny claims to increase profits.

The CEO of Amazon, Berkshire Hathaway and JPMorgan Chase joint venture will speak at HIMSS19 in February.

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.

The industry continues to struggle with accurate or complete clinical supply capture at the point of care.

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.

Between 2005 and 2015, average CEO compensation jumped from $1.6 million to $3.1 million, an increase of 93 percent.

CMS promotes MA's supplemental benefits as consumers increasingly choose private coverage versus government insurance.

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.

Government alleged HMA unlawfully boosted inpatient admissions, submitted inflated claims to government payers and paid physician kickbacks for referrals.

A hearing on a requested injunction against the Trump Administration's rule ...

Investment in housing with such supportive social services as psychological assessments, physical activity and socialization programs can reduce hospitalization for older adults.

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.

Study from Yale researchers found some hospitals aren't complying with state, federal regulations for patient records requests.

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.

The top three clinical episodes selected are major joint replacement of the lower extremity, congestive heart failure, and sepsis.

Security and privacy standards and mimicking a social media approach may be the next logical steps, one expert says.

Whether consumers will benefit from clout, data, lower pricing or not is up for debate.

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.

MRSA bacteria carry high morbidity and mortality rates, making the disease a significant threat to patient safety.

The cart helps prevent unnecessary hospitalizations for nursing home patients, saves money and provides peace of mind to physicians and families.

When the transaction is complete, Community Health Systems affiliates will still operate four hospitals in South Carolina.