Topics
Reimbursement
Bill would expand access to digital therapeutics
Bill would expand access to digital therapeutics
Revenue Cycle Management
Cleveland Clinic to debut AI tools for revenue cycle
Cleveland Clinic to debut AI tools for revenue cycle
Strategic Planning
WebMD CMO Dr. John Whyte selected as new CEO of the AMA
WebMD CMO Dr. John Whyte selected as new CEO of the AMA
Capital Finance
Orlando Health, Watson Clinic partnering on new hospital
Orlando Health, Watson Clinic partnering on new hospital
Supply Chain
Trump releases executive order to speed domestic drug production
Trump releases executive order to speed domestic drug production
Accounting & Financial Management
Aetna exiting ACA markets as CVS Health logs $1.8B in profit
Aetna exiting ACA markets as CVS logs $1.8B in profit
Budgeting
Health system operating margins declined in August
Health system operating margins declined in August
Quality and Safety
Kaiser Permanente fined $819K for delays in handling member complaints
Kaiser Permanente fined $819K for delays in handling member complaints
Billing and Collections
Revenue cycle challenged by low collection rates, high denials
Revenue cycle challenged by low collection rates, high denials
Claims Processing
Optum levying strict measures on Change outage loan repayment, AMA says
Optum levying strict measures on Change outage loan repayment
Workforce
New York-Presbyterian laying off 2% of workforce
New York-Presbyterian laying off 2% of workforce
Operations
Revenues and expenses up, margins down for nation's hospitals
Revenues and expenses up, margins down for nation's hospitals
Medical Devices
Payers have poor member digital experiences compared to other industries
Payers' member digital experiences lagging
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling on noncompetes
Hospitals, physicians submit opposing views to FTC ruling
Construction & Facilities Management
Hartford HealthCare teams with Memorial Sloan Kettering on cancer center
Hartford HealthCare teams with MSK on cancer center
Compliance & Legal
Lawsuit claims UnitedHealth Group misled investors on finances
Lawsuit claims UnitedHealth Group misled on finances
Policy and Legislation
$715B Medicaid cut passes House committee in reconciliation bill
$715B Medicaid cut passes House committee in reconciliation bill
Community Benefit
Mobile Healthcare does house calls
Mobile Healthcare does house calls
Accountable Care
HIMSS25 session shows how physicians are incentivized in alternative payment models
HIMSS25 session shows how physicians are incentivized in APMs
Acute Care
CMS proposing 2.4% increase for hospice care
CMS proposing 2.4% increase for hospice care
Ambulatory Care
Cleveland Clinic partners with Regent Surgical for ambulatory surgery centers
Cleveland Clinic partners with Regent Surgical for ambulatory surgery centers
Analytics
Yale New Haven Health data breach affects 5 million people
Yale New Haven Health data breach affects 5M
Business Intelligence
Michael Dowling stepping down as president and CEO of Northwell Health after 23 years
Dowling stepping down as Northwell CEO after 23 years
ICD-10 & Coding
Physician practices examine risk adjustment coding in wake of federal lawsuits
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking 
Financial disincentives for providers who commit information blocking 
Medicare & Medicaid
CMS closing loophole it says states exploit to benefit illegal immigrants
CMS closing loophole it says states exploit to benefit illegal immigrants
Patient Engagement
HIMSSCast: 'How do we grow again?'
HIMSSCast: 'How do we grow again?'
Pharmacy
Reforms are needed in the 340B drug program, Senate report says
Reforms are needed in the 340B drug program, Senate report says
Population Health
Enrollment in ACA exchanges has exploded in recent years
Enrollment in ACA exchanges has exploded in recent years
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Alliance for Connected Care outlines policy requests to CMS
Alliance for Connected Care outlines policy requests to CMS
Mergers & Acquisitions
CareSource finalizes Commonwealth Care Alliance acquisition
CareSource finalizes Commonwealth Care Alliance acquisition
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Opinions

Jul 08, 2015 | Healthcare Finance Staff
Leveraging the full power of the SBC
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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Key tips for a successful hospital merger or acquisition
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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Cybersecurity legislation only a partial solution (Insight)
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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How to achieve compliance with a strategic perspective (Insight)
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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Breaking down the biggest post-ICD-10 myths
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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Building a high-value healthcare delivery system
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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Equipment leasing options - Fair Market Value or $1 Buyout?
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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