Topics
Reimbursement
Smoking cessation efforts may reduce avoidable hospital readmissions
Smoking linked to higher readmissions
Revenue Cycle Management
Revenue cycle, billing improvements trump lawsuits when it comes to collecting
Rev cycle, billing improvements boost collections
Strategic Planning
Close to one-third of healthcare employees have never received cybersecurity training, report shows
One-third of healthcare employees lack cybersecurity training
Capital Finance
Half of healthcare leaders say artificial intelligence will yield positive return on investment in 3 years
Half of leaders say AI will yield ROI in 3 years
Supply Chain
Hospital bottom lines could benefit from more clinical integration in the supply chain
Clinical integration in supply chain boosts bottom lines
Accounting & Financial Management
Profitability declined in August as volumes begin to soften, says Kaufman Hall
Report: Profitability down, volumes soft
Budgeting
Pressures of value-based care reforms trigger sharp increase in clinical outsourcing partnerships
Value-based care pressures driving outsourcing
Quality and Safety
Hospitals face rising risk of sophisticated cyberattacks
Hospitals face rising risk of cyberattacks
Billing and Collections
Poor digital billing process associated with uncollected payments
Poor digital billing associated with collections
Claims Processing
BCBS Institute and Solera partner, pay SDoH organizations through outcomes-based medical claims
BCBS Institute, Solera, to pay organizations through outcomes-based claims
Workforce
2018 cohort of newly-certified physician assistants is the youngest and largest yet
Largest and youngest group of PAs now certified
Operations
Some ICU admissions may be preventable, saving money and improving care
Preventing some ICU admissions can save money
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Women in healthcare face more harassment, have fewer opportunities and lower wages, study shows
Women: Fewer opportunities, lower wages
Construction & Facilities Management
Cape Cod Healthcare building $180M patient tower, investing in EHR
CCHC building $180M patient tower
Compliance & Legal
Sutter Health avoids trial, settles antitrust case with California Attorney General
Sutter Health settles antitrust case
Policy and Legislation
Public health insurance options would cut into industry margins, Moody's says
Public health insurance poses a threat for industry margins
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
Physician-led accountable care organizations outperform hospital-led counterparts
Physician-led ACOs outperform hospital ACOs
Acute Care
Pressure ulcers cost the health system $26.8 billion a year
Pressure ulcers cost the health system $26.8B a year
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Anthem, MassChallenge HealthTech to collaborate on accelerator launch
Anthem, MassChallenge HealthTech launching accelerator
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 EHR program, renames it 'Promoting Interoperability'
CMS overhauls meaningful use as 'Promoting Interoperability'
Medicare & Medicaid
Medicaid rebates central to the concern over 340B drug program, survey shows
Medicaid rebate picture for 340B uncertain
Patient Engagement
Online patient portal usage linked to higher rates of flu shots, blood pressure checks
Patient portals linked to more flu shots, blood pressure checks
Pharmacy
Majority of physicians fear another prescription drug crisis
Most physicians fear another drug crisis
Population Health
Old is not necessarily elderly as seniors want both lifespan and health span
Old is not necessarily elderly
Risk Management
Hospital employees are clicking on phishing emails, and that's a problem, JAMA study shows
JAMA: Hospital employees are clicking on phishing emails
Telehealth
Telehealth eliminates time and distance to save money
Telehealth eliminates time and distance to save money
Mergers & Acquisitions
Federal court sides with CVS Health/Aetna on their merger
Federal court sides with CVS/Aetna
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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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