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Topics

Reimbursement

American Hospital Association and PhRMA question legality of Most Favored Nation Model

AHA and PhRMA question legality of new favored nation model

Revenue Cycle Management

Automating revenue cycle on the back end improves patient engagement on the front

Automating the back end of revenue cycle improves patient engagement

Strategic Planning

Aetna president to take helm of CVS Health as CEO Larry Merlo steps down next year

Aetna president to take helm of CVS as CEO Larry Merlo steps down

Capital Finance

Healthcare M&As poised to come off extended pause

Healthcare M&As poised to come off extended pause

Supply Chain

Premier joins 34 health systems in DeRoyal partnership for expanded domestic isolation gown production

Premier, 34 health systems partner on gown production

Accounting & Financial Management

Healthcare executives fear for their organizations' viability without a COVID-19 vaccine

Executives fear for their hospitals' financial viability without a vaccine

Budgeting

Employers' health benefits costs expected to grow, but most won't take cost-saving measures

Employers' health benefits costs expected to increase in 2021

Quality and Safety

FDA approves first COVID-19 home test

FDA approves first COVID-19 home test

Billing and Collections

HFMA task force releases best practices for resolving patient medical bills

HFMA task force releases best practices for resolving patient medical bills

Claims Processing

Payers are working to meet deadline for interoperability mandate

Payers work to meet interoperability deadline

Workforce

Struggles of care home staff during COVID-19 first wave revealed in Whatsapp messages

Whatsapp messages reveal care home struggles

Operations

CMS finalizes changes to Stark Law that hinder physician referral

CMS finalizes changes to Stark Law on physician referral

Medical Devices

Faced with shortages, researchers combine heat and humidity to disinfect N95 masks

Heat and humidity effective at disinfecting N95 masks

Hospital/physician relations

Quality of initial training makes a big difference in EHR satisfaction, KLAS report finds

Poor EHR training brings down provider satisfaction

Construction & Facilities Management

$1.5B Children's Healthcare hospital to be named after donor, owner of the Atlanta Falcons

$1.5 Children's Healthcare hospital to be named for Falcons owner

Compliance & Legal

Hospitals need to post their negotiated prices in less than six short weeks

Hospitals need to post negotiated prices in 6 weeks

Policy and Legislation

ATA applauds reforms to Stark Law, Anti-Kickback Statute

ATA applauds reforms to Stark Law, Anti-Kickback Statute

Community Benefit

Intermountain Healthcare, United Way and more partner to address social determinants of health in Utah

Intermountain Healthcare, United Way and more address SDOH

Accountable Care

Centers for Medicare and Medicaid Services announces 51 direct contracting entities

CMS announces 51 direct contracting entities

Acute Care

CMS announces new flexibilities for care outside of a hospital setting amid COVID-19 surge

CMS announces new flexibilities for care outside of a hospital setting

Ambulatory Care

Medical schools, teaching hospitals account for 3% of US GDP, report shows

Med schools, teaching hospitals are 3% of GDP

Analytics

HIMSS Stage 7 explained: Only six organizations worldwide have achieved this status on three different maturity models

HIMSS Stage 7 explained

Business Intelligence

Northwell website patterns predict COVID-19 caseload

Northwell website patterns predict COVID-19 caseload

ICD-10 & Coding

Physician practices examine risk adjustment coding in wake of federal lawsuits

Practices keeping close watch on risk adjustment coding

Meaningful Use

CMS overhauls meaningful use EHR program, renames it 'Promoting Interoperability'

CMS overhauls meaningful use as 'Promoting Interoperability'

Medicare & Medicaid

CMS proposed rule reduces user fee in ACA exchanges

CMS proposes reducing user fee in ACA exchanges

Patient Engagement

More than 758,000 people select healthcare plans in the third week of open enrollment

758K sign up in week 3 of open enrollment

Pharmacy

PhRMA, others sue HHS and FDA for allowing import of drugs from Canada

PhRMA sues HHS and FDA for rule allowing drugs from Canada

Population Health

Moderna seeks regulatory authorization for its COVID-19 vaccine

Moderna seeks regulatory authorization for its COVID-19 vaccine

Risk Management

FBI, HHS warn of 'increased and imminent' cyber threat to hospitals

FBI, HHS warn of 'increased and imminent' cyber threat to hospitals

Telehealth

Telehealth ICU tech helps Geisinger quickly expand capacity and enhance care

Telehealth ICU tech helps Geisinger quickly expand capacity and enhance care

Mergers & Acquisitions

Beth Israel Lahey Health to add Joslin Diabetes Center to its network

Beth Israel Lahey Health to add Joslin Diabetes Center to its network

Top Stories

Study finds racial bias in Optum algorithm

Study finds racial bias in Optum algorithm

UPDATED LIST: Medicare Advantage star ratings for 2020 show more 4 star or higher plans

UPDATED: List of 2020 Medicare Advantage star ratings

Reducing wasteful spending in healthcare by curbing administrative complexity

Curbing administrative complexity to slash waste

Featured Resources

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to learn strategies that increase patient ...

MostPopular

28-year-old volunteer in AstraZeneca COVID-19 vaccine trial dies

CVS Health expands COVID-19 testing services

CMS is expected to release new rebate rule soon

Average cost of COVID-19 hospitalizations is $34,662 to $45,683

News

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

Analyze this: Health systems, health plans get to the core of big data

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Healthcare mergers and acquisitions in 2016: Running list

Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Whitepapers

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data ...