Blog

Reimbursement

Cigna, Humana, other insurers waive costs for COVID-19 treatment

Cigna, Humana, others waive COVID-19 costs

Revenue Cycle Management

Managed care, revenue cycle performance strategies are critical to increasing payer yield

Managed care, rev cycle strategies can boost payer yield

Strategic Planning

Forecasting the future of FHIR

Capital Finance

Telehealth a target for venture capitalists as its potential to diagnose coronavirus grows

Coronavirus spurs venture capitalists to eye telehealth

Supply Chain

Trump accuses hospitals of hoarding ventilators

Accounting & Financial Management

Credit stress continues to rise in healthcare sector as maturities loom, social risks rise

Moody's: Credit stress is rising in healthcare

Budgeting

Benefits of a dynamic budgeting process

Quality and Safety

Survey confirms physicians lack tests and equipment to fight COVID-19

Physician survey confirms tests, supplies are lacking to fight COVID-19

Billing and Collections

For payers, patients and employees, coronavirus spending could exceed $20,000 for the most serious cases

COVID-19 spending could top $20K for payers, patients

Claims Processing

Blue Shield of California to cover whole genome sequencing of critically-ill children

Blue Shield of California to cover gene sequencing of critically ill children

Workforce

Some COVID-19 patients still have coronavirus after symptoms disappear, possibly endangering health workers

Some COVID-19 patients are still infectious after symptoms abate

Operations

Retrospective denials, prior authorization may be straining hospital and patient finances

Prior authorization may be straining hospital finances

Medical Devices

Apple is developing custom health information tracking chips

Apple is developing custom health chips

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

Kaiser Permanente cancels plans for $900 million headquarters in Oakland

Kaiser Permanente cancels $900M headquarters

Compliance & Legal

DOJ accuses Anthem of fraud in risk adjustment payments for its Medicare Advantage plans

DOJ accuses Anthem of fraud in risk adjustment for MA plans

Policy and Legislation

AHA wants federal stimulus funds to go directly to hospitals

Community Benefit

Advocate Aurora Health contributed $2.1 billion to community charitable care and services in 2018

Advocate Aurora: $2.1B in charity care

Accountable Care

NAACOS urges CMMI to release more information on new payment model

NAACOS wants more information on new payment model

Acute Care

Critical care improvements may differ depending on a hospital's patient population

Patient population determines ICU improvements

Ambulatory Care

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

Med schools, teaching hospitals are 3% of GDP

Analytics

How analytics, SDOH insights are helping reduce ED use

Business Intelligence

While the price of healthcare is growing, utilization is dropping and price variations persist, report says

HCCI: Price of healthcare is growing, utilization is dropping, price variations persist

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 as 'Promoting Interoperability'

Medicare & Medicaid

Hospitals can bill for treatment outside their four walls

Patient Engagement

Better data sharing between payers, providers can move the needle on social determinants of health

How data sharing can improve SDOH

Pharmacy

Mayo Clinic is studying antimalarial drug for COVID-19 treatment

Antimalarial drug is on the front lines of COVID-19 treatment

Population Health

One-year projected costs of coronavirus to the commercial market could hit $251 billion

COVID-19 could cause $251B in commercial market costs

Risk Management

Cybersecurity needs to be put in business terms

Telehealth

Virtual health: From Camp Fire to coronavirus

Mergers & Acquisitions

BMC Hospital to buy Bayonne Medical Center

Blog

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.

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

MostPopular

CMS issues coronavirus elective surgeries recommendations

List: 769 hospitals fined for medical errors, infections

Getting paid for virtual care services: Codes to know

64% of surgical staff hoard, waste or overuse supplies

News

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 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.

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. ...

Whitepapers

Clinical Quality Measures 101 Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report ...

Search form

Publications

Education

Career Advancement

Newsletters

About us