Blog

Reimbursement

UnitedHealthcare, Envision, settle contract dispute

Revenue Cycle Management

Small percentage of uninsured patients generate most of hospitals' self-pay revenue

Hospitals' self-pay revenue comprised of small percentage of uninsured

Strategic Planning

Amazon could be making move to broaden scope of PillPack

Capital Finance

Struggles will continue for nonprofit hospitals in 2019, Fitch says

Nonprofit hospital struggles to continue in 2019

Supply Chain

2018's top 25 supply chains

Accounting & Financial Management

Healthcare cost variations between regions attributed to price, usage

Price, usage lead to regional cost variation

Budgeting

Hospitals in one rural system have negative operating margins of $100 million a year, CEO says

Rural hospitals lose $100M a year, CEO says

Quality and Safety

Veterans' Affairs hospitals show quality equal to or greater than their private sector counterparts, data shows

VA hospitals notch high marks for quality

Billing and Collections

Billing and payment tech becoming more responsive, survey finds

Responsive billing methods coming to the fore

Claims Processing

Change, TIBCO use blockchain to build smart contract system for payers

Change, TIBCO build smart contract system for payers

Workforce

Nurses struggle with burnout, harassment

Operations

ACA enrollment down by half a million

Medical Devices

Apple is developing custom health information tracking chips

Apple is developing custom health chips

Hospital/physician relations

Physicians employed by hospitals and corporations more dissatisfied than independent doctors

Hospital-employed physicians less satisfied, burnout prevalent

Construction & Facilities Management

Mayo Clinic leads among the biggest hospital construction projects that kicked off in September

9 big healthcare construction projects that kicked off in September

Compliance & Legal

Digital transformation demands a whole new level oversight to avoid healthcare fraud

Digital tech a boost and boon for healthcare fraud

Policy and Legislation

AHIP, healthcare organizations, advocate for federal standard to prevent surprise medical bills

AHIP and others advocate to prevent surprise medical bills

Community Benefit

Kaiser Permanente commits $1.65 million to California wildfire relief efforts

Accountable Care

MSSP ACOs saved more money than CMS reported, says National Association of ACOs

MSSP ACOs saved more money than CMS reported, NAAACO says

Acute Care

Emergency responders to California wildfire used a patient lookup system to harness volunteer providers

Cal EMSA's PULSE tool is heartbeat of field operations

Ambulatory Care

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

Med schools, teaching hospitals are 3% of GDP

Analytics

With regulatory barriers falling, AI will see more clinical adoption in 2019

AI poised to permeate healthcare in 2019

Business Intelligence

Healthcare spending growth slowed in 2017

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

CMS extends enrollment deadline for consumers who are asked to leave a message

CMS extends enrollment deadline for consumers awaiting a callback

Patient Engagement

Hennepin Healthcare uses EHR data to identify patients at risk of homelessness

Hennepin uses EHR data to find patients at-risk of homelessness

Pharmacy

CVS Health's new guaranteed net pricing PBM returns 100% of rebates to clients

CVS Health's new PBM returns 100% of rebates to clients

Population Health

Social determinants of health pose challenges for most Americans, survey shows

Social determinants pose challenge for most

Risk Management

(UPDATED)Camp Fire in Northern California damages Adventist Health Feather River Hospital, patients evacuated

(UPDATED)Camp wildfire damages hospital, patients evacuated

Telehealth

How telehealth benefits by Medicare Advantage plans

Mergers & Acquisitions

Cigna, Express Scripts merger clears state hurdles

Blog

Featured Resources

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.

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?

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

Physician compensation top concern for health orgs

Hospital-employed physicians less satisfied, burnout prevalent

OIG: Hospitals illegally claimed $4M of GME

Cost-sharing 'insurance' offered through religious affiliation

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.

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. ...

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

Credible, Defensible Estimates In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

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 ...

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 ...

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