Blog

Reimbursement

Insurers could deny 1 in 6 ER visits if they were to adopt Anthem policy, JAMA says

Insurers could deny 1 in 6 ER visits under Anthem policy

Revenue Cycle Management

Cost transformation is imperative, but hospital efforts are lagging behind, survey shows

Cost transformation imperative, but efforts lag

Strategic Planning

CFOs guide to building a cybersecurity dashboard

Capital Finance

Michigan Medicine nets $1.4 billion from massive university fundraising campaign

Michigan Medicine nets $1.4B from massive university fundraising campaign

Supply Chain

Hospitals spend $25B more than they should on supply chain

Accounting & Financial Management

Healthcare spending is growing along with prices, up 5% over 2017

Healthcare spending up 5% over 2017

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

Updated: CMS Star ratings for 2019 Medicare Advantage plans and Part D coverage show Kaiser on top (see list)

List: CMS 2019 Star ratings show Kaiser on top

Billing and Collections

Want consumers to pay medical bills faster? Deliver a better patient experience

Bad patient experience can cause consumers to delay payments

Claims Processing

Silver lining: Million dollar medical claims leap 87%

Workforce

Most doctors report having financial ties to the industry

Most docs report financial ties to industry

Operations

Electronic health records show promise in reducing unnecessary testing

EHRs may reduce unnecessary testing

Medical Devices

Apple is developing custom health information tracking chips

Apple is developing custom health chips

Hospital/physician relations

Hospitals are losing money on employed physicians: Here's how to save the bottom line and your staff

How hospitals can boost ROI on employed physicians

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

Anthem pays $16 million in record HIPAA settlement for data breach

Anthem pays $16M in record HIPAA settlement

Policy and Legislation

Repeal of ACA on Republican agenda after midterms

Repeal of ACA on GOP agenda after midterms

Community Benefit

Community health workers can reduce costly hospitalizations

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

Urgent care visits increase as emergency room visits fall, study finds

Urgent care visits rise, emergency room visits fall

Ambulatory Care

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

Med schools, teaching hospitals are 3% of GDP

Analytics

Hospitals and health systems should develop strong relationships with urgent and retail clinics

Consumerism requires hospitals to partner with retail clinics

Business Intelligence

6 deep-dive symposiums at HIMSS Global Conference

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 responds to data breach affecting 75,000 in federal ACA portal

CMS responds to data breach of 75,000 in ACA portal

Patient Engagement

Most Medicare beneficiaries think Medicare won't be available for their children, HealthMine finds

Most Medicare beneficiaries don't think it will stick around

Pharmacy

Drug companies are being required to post list prices in television ads

Drug companies are being required to post list prices in TV ads

Population Health

Artificial intelligence gaining trust for cancer diagnosis and treatment, study finds

AI, genetic testing for cancer gains trust

Risk Management

Cybersecurity strategy: Hackers have one, do you?

Telehealth

Doctor on Demand expands through Walmart collaboration

Mergers & Acquisitions

Hospital merger and acquisition activity slows down in the third quarter but large-scale transactions continue

Hospital M&A activity slows a bit in third quarter

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

Hospital execs' salaries outpace physician pay

Aetna CEO to resign post-merger with CVS Health

List: CMS 2019 Star ratings show Kaiser on top

CMS: New innovative payment models coming

News

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 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.

Whitepapers

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 ...

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.

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