Topics
Reimbursement
HIMSSCast: How Oscar Health is taking on legacy players to bring innovation to health insurance
How Oscar Health is bringing innovation to health insurance
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
A study in collaboration: 24 hospitals, one health record
HIMSS21: 24 hospitals, one health record
Capital Finance
Healthcare M&As poised to come off extended pause
Healthcare M&As poised to come off extended pause
Supply Chain
White House says data is one key to improving pharma supply chain resilience
White House says data is one key to improving pharma supply chain resilience
Accounting & Financial Management
Employer health costs projected to rise 6.5% in 2022 due in part to COVID-19
Health costs projected to rise 6.5% in 2022
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
Atrium Health's quick turnaround allowed for digital innovation during the pandemic
Atrium Health's quick turnaround allowed for digital innovation during the pandemic
Billing and Collections
Cost-sharing waivers for COVID-19 patients had substantial financial impact
Cost-sharing waivers for COVID-19 patients had substantial impact
Claims Processing
Anthem collaborates with Epic to give providers more data-driven insights 
Anthem collaborates with Epic on provider data-driven insights 
Workforce
COVID-19 having an impact on physicians' salaries, though pay remains high
COVID-19 having an impact on physicians' salaries
Operations
Hospitals saw gains in volume, revenue and margin in April, finds Kaufman Hall
Hospitals saw gains in volume, revenue and margin in April
Medical Devices
Wound dressings have a significant impact on total cost of care
Expensive wound dressings impact cost of care
Hospital/physician relations
AMA removes bust of founder from public display over racist past
AMA removes bust of 'racist' founder
Construction & Facilities Management
Michigan Medicine to resume construction on $920 million hospital
Michigan Medicine to resume construction on $920M hospital
Compliance & Legal
Judge rules in favor of HHS in health plan lawsuit on Medicare Advantage star rating calculations
Judge rules in favor of HHS in health plan lawsuit on MA star ratings
Policy and Legislation
HHS providing $424 million to rural health clinics for COVID-19 testing
HHS providing $424M to rural health clinics for COVID-19 testing
Community Benefit
UnitedHealthcare introduces community-based collaborative to improve health outcomes, equity
UnitedHealthcare introduces community-based collaborative
Accountable Care
Healthcare organizations ask HHS to delay quality measure reporting for ACOs
Healthcare organizations ask HHS to delay ACO reporting requirements
Acute Care
Mayo Clinic and Kaiser Permanente invest in at-home acute level care 
Mayo Clinic and Kaiser Permanente invest in at-home acute level care 
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
Mayo Clinic launches remote diagnostics platform, forms 2 new companies to support it
Mayo Clinic launches remote diagnostics platform, forms 2 new companies to support it
Business Intelligence
AHIP updates mission in bid to rebrand, commits to mental health and chronic care
AHIP updates mission in bid to rebrand
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
Chiquita Brooks-LaSure confirmed to lead Centers for Medicare and Medicaid Services
Chiquita Brooks-LaSure confirmed to lead CMS
Patient Engagement
To make new tech implementations work, patient consultant says to focus on the person
To make new tech implementations work, patient consultant says to focus on the person
Pharmacy
Biogen teaming with Cigna, CVS Health to increase access to its Alzheimer's drug
Biogen teams with Cigna, CVS Health on Alzheimer's drug
Population Health
Intermountain and MDClone pairing saves money as both patients and populations are better understood
Intermountain and MDClone pairing saves money
Risk Management
Geisinger and Noteworth launch virtual care platform to help control chronic diseases
Geisinger and Noteworth launch virtual care platform
Telehealth
The importance of engaging health plan members in virtual care
The importance of engaging health plan members in virtual care
Mergers & Acquisitions
Sentara Healthcare, Cone Health call off affiliation
Sentara Healthcare, Cone Health call off affiliation
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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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