Topics
Reimbursement
U.S. hospitals and health systems face a long road to recovery
U.S. hospitals and health systems face a long road to recovery
Revenue Cycle Management
30% of hospitals and health systems using revenue cycle automation require two or more vendors
30% of hospitals use multiple RCM vendors
Strategic Planning
The top ten things CEOs got right during the pandemic
The top ten things CEOs got right during the pandemic
Capital Finance
Healthcare M&As poised to come off extended pause
Healthcare M&As poised to come off extended pause
Supply Chain
Hospitals need vaccine supply predictability 'all the way to the loading docks'
Hospitals need vaccine supply predictability
Accounting & Financial Management
Kaiser Permanente hit by pandemic but remains in the black in 2020
Kaiser remains in the black in 2020
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
Biomaterials could mean better vaccines, virus-fighting surfaces in hospitals
Biomaterials could mean better vaccines
Billing and Collections
CMS issues billing codes for Eli Lilly's COVID-19 antibody treatment
CMS issues billing codes for Eli Lilly's COVID-19 antibody treatment
Claims Processing
Payers are working to meet deadline for interoperability mandate
Payers work to meet interoperability deadline
Workforce
Healthcare employment falls for the first time since last April
Healthcare employment falls for the first time since last April
Operations
Methodist Hospital of Southern California uses automated contact tracing to contain COVID-19
Methodist Hospital uses automated contact tracing to contain COVID-19
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
AMA removes bust of founder from public display over racist past
AMA removes bust of 'racist' founder
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
Athenahealth to pay $18.25M for alleged False Claims Act violations
Athenahealth to pay $18.25M for alleged False Claims Act violations
Policy and Legislation
Health plans banned from denying coverage of COVID-19 tests for asymptomatic individuals
Health plans banned from denying coverage of COVID-19 tests
Community Benefit
Universal coverage of long-term care for older Americans may stabilize provider revenues
Universal long-term care coverage may benefit providers
Accountable Care
Updated with list: Majority of Next Generation ACOs earned shared savings
Updated list: Most Next Gen ACOs earned shared savings
Acute Care
Blood vessel damage, inflammation found in COVID-19 patients' brains, but no infection
COVID-19 patients show blood vessel damage, inflammation
Ambulatory Care
Oak Street Health opens three new clinics at Walmart supercenters in Texas
Oak Street Health opens new clinics at Walmart supercenters in Texas
Analytics
Automating 'high level' healthcare tasks can create high value savings
Automating 'high level' healthcare tasks can create high value savings
Business Intelligence
Fourth quarter COVID-19 costs catch up to insurers
Fourth quarter COVID-19 costs catch up to insurers
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
As insurers end grace period for COVID-19 hospital costs, out-of-pocket costs may rise
COVID-19 costs may rise as insurers' grace periods end
Patient Engagement
A more active role for consumers will decelerate health spending over the next two decades
Active consumers will decelerate health spending
Pharmacy
Here are the latest updates on the COVID-19 vaccine distribution
Here are the latest updates on the COVID-19 vaccine distribution
Population Health
HIMSSCast: Health equity, caregiver diversity and COVID-19
Health equity, caregiver diversity, and COVID-19
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 used less in disadvantaged areas, Health Affairs study finds
Telehealth used less in disadvantaged areas, Health Affairs study finds
Mergers & Acquisitions
Cigna's Evernorth subsidiary purchasing MDLive in bid to expand telehealth services
Cigna's Evernorth purchasing telehealth provider MDLive
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Blog

Payers must change dynamic with providers to survive in the post-Affordable Care Act world
Dec 23, 2015 | Healthcare Finance Staff
Payers must change dynamic with providers to survive in the post-Affordable Care Act world
Finding the path to success in the post-Affordable Care Act world of ...
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Dec 22, 2015 | Healthcare Finance Staff
Affordable Care Act rate stabilization program results should guide strategy for 2016
Earlier this year, the Centers for Medicare and Medicaid Services released the ...
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Nov 03, 2015 | Healthcare Finance Staff
Plans should be prepared for the difference between operational and financial success
In the first part of this series, we looked at a transformative year in ...
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Nov 03, 2015 | Healthcare Finance Staff
Engaging providers means aligning their goals with that of the consumer
In our last column, we took a look at how U.S. health plans operate in a world of rising ...
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Nov 03, 2015 | Healthcare Finance Staff
Transforming provider relationships is key to engaging consumers
U.S. health plans today operate in a world of rising expectations. They must work to contain rising ...
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Oct 15, 2015 | Healthcare Finance Staff
RAPS, EDPS and risk adjustment: the health plan perfect storm
Commercial and government programs have witnessed a busy year -- most notably with the first year of ...
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Sep 25, 2015 | Healthcare Finance Staff
All signs point to value-based care: Are you ready?
With the current shift to value-based reimbursement, providers are facing noteworthy changes as healthcare ...
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Sep 17, 2015 | Healthcare Finance Staff
Setbacks and successes: What we've learned from the first year of commercial risk adjustment
Qualified health plans completed their first year of commercial ...
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Aug 06, 2015 | Healthcare Finance Staff
CEO pay ratio rule, inequality debate could pressure healthcare
Though still a major source of middle class jobs, healthcare companies, including consolidating ...
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Jul 31, 2015 | Healthcare Finance Staff
Praluent is not like Sovaldi
A few reasons why the want-to-be cholesterol blockbuster Praluent will not be as much of a "budget buster" as the ...
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