Opinions

Jul 08, 2015 | Healthcare Finance Staff

There is little question that healthcare payers, like all healthcare organizations, have mounting challenges when it comes to ...

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Jul 08, 2015 | Healthcare Finance Staff

Bundled pricing strategies and price variation

The conversation regarding rising healthcare costs in the U.S. continues to swell with tension and uncertainty. Why do ...

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Jul 06, 2015 | Healthcare Finance Staff

Results are in: Reinsurance and risk adjustment

The seminal reporting period for Marketplace-participating plans has closed and the results are in. Where does the ...

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Jul 02, 2015 |

Key tips for a successful hospital merger or acquisition

With margins razor thin, hospitals are increasingly looking to transactions to achieve economies of scale ...

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Jul 02, 2015 |

Cybersecurity legislation only a partial solution (Insight)

The shocking truth is that only about 6 percent of healthcare data breaches to date are the work of ...

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Jul 01, 2015 | Richard Best

How to achieve compliance with a strategic perspective (Insight)

Due to the multitude of diverse yet wide-spread requirements, staying compliant can be overwhelming, ...

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Jun 30, 2015 | Carl Natale

Breaking down the biggest post-ICD-10 myths

The fear is that ICD-10 code set is so large and complex that medical coders aren't going to be able to keep up with ...

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Jun 26, 2015 | Austin Kirkland

Building a high-value healthcare delivery system

Can you think of any other industry that is, or needs to be, more personalized and service-oriented than healthcare?

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Jun 25, 2015 | Healthcare Finance Staff

For ACA marketplaces, the near-poor are the sweet spot

Among the near-poor, the proportion of the newly insured who gain their insurance through the marketplace was ...

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Jun 19, 2015 | William G. Sutton

Equipment leasing options - Fair Market Value or $1 Buyout?

Knowing the factors that go into deciding whether to enter into a fair market value (FMV) lease or $1 ...

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Featured Resources

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.

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?

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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.

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. ...

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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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