Topics
Reimbursement
CMS: Innovative new payment models are coming -- and some will be mandatory
CMS: New innovative payment models coming
Revenue Cycle Management
Change Healthcare puts blockchain claims processing tech on Amazon Web Services
AWS, Change apply blockchain to claims processing
Strategic Planning
Hurricane Florence: Lessons from hospitals that survived recent natural disasters
As Hurricane Florence comes, lessons from other disasters
Capital Finance
Healthcare spending in the U.S. sends damaging ripple effect across other major sectors, households, Moody's report says
Healthcare spending could cripple major sectors of U.S. economy, Moody's report says
Supply Chain
Hospital supply chain directors brace for impact from Trump tariff threats
Hospital supply chain leaders brace for Trump tariff threat impact
Accounting & Financial Management
Hospital profits in Massachusetts shriveling due to financial pressure
Massachusetts hospitals see profits shrinking
Budgeting
Sustainable cost control tops list of priorities for healthcare executives, Advisory Board study says
Advisory Board: Sustainable cost control is top priority for healthcare executives
Quality and Safety
Few health insurance plans rank highest or lowest in NCQA's plan ratings
Few insurance plans rank highest or lowest in NCQA ratings
Billing and Collections
More than half of Americans have been surprised by a medical bill, survey shows
57 percent of Americans have been surprised by medical bill
Claims Processing
Silver lining: Million dollar medical claims leap 87%
Silver lining: Million dollar medical claims leap 87%
Workforce
Fatigue, scheduling, data all contributors to pervasive physician burnout epidemic
Physician burnout rooted in fatigue
Operations
Scribes ease physician administrative burden and boost patient experience, JAMA study says
JAMA: Scribes ease EHR workload and improve patient experience
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Hospitals are losing money on employed physicians: Here's how to save the bottom line and your staff
How hospitals can boost ROI on employed physicians
Construction & Facilities Management
Here are the biggest hospital construction projects that kicked off in August
Biggest constructions projects of August
Compliance & Legal
American Hospital Association suing HHS over delay in implementing drug pricing rule for 340B
AHA, others, suing HHS over 340B delay
Policy and Legislation
HHS doles out more than $1 billion in grants to various HHS orgs to fight opioid epidemic
HHS doles out more than $1 billion in grants to fight opioid epidemic
Community Benefit
University Hospitals scores $200,000 award to broaden implementation of new technology to combat opioid abuse
University Hospitals scores $200K to expand anti-opioid abuse technology
Accountable Care
MSSP ACOs saved more money than CMS reported, says National Association of ACOs
MSSP ACOs saved more money than CMS reported, NAAACO says
Acute Care
Urgent care visits increase as emergency room visits fall, study finds
Urgent care visits rise, emergency room visits fall
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
EHR investments slowing down as hospitals cite high costs, study finds
EHR investments slowing down
Business Intelligence
Andy Anderson takes reins of Combined Medical Group featuring two large New Jersey health systems
Anderson is new CEO of NJ's Combined Medical Group
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
CMS removes Medicare requirements identified as unnecessary, obsolete or excessively burdensome
CMS nixes "excessively burdensome" Medicare requirements
Patient Engagement
HIMSS outlines 4 ways to fight the opioid crisis
HIMSS: 4 ways to fight the opioid crisis
Pharmacy
Pharmacy benefit managers operate with lack of transparency, expert finds
PBMs lack transparency, experts say
Population Health
Provider workforce gap will only grow with 'Silver Tsunami'
Provider workforce gap will grow with 'Silver Tsunami'
Risk Management
Accountable care organizations: Time to make risk-adjustment more stable
ACOs to CMS: Time to stabilize risk-adjustment
Telehealth
CVS MinuteClinic rolls out telehealth app with Teladoc
CVS MinuteClinic rolls out telehealth app with Teladoc
Mergers & Acquisitions
DOJ wants Aetna, CVS Health to divest Part D plans before merger approval
Aetna, CVS Health need to divest Part D plans, DOJ says
View more

Affordable Care Act

In-depth

Cigna-Express Scripts deal unlikely to harm competition or consumers, DOJ says

Cigna-Express Scripts deal unlikely to harm competition or consumers, DOJ says

The next expected approval is for CVS Health's $69 billion acquisition of Aetna.

ACA expansion did not improve access to complex surgeries for low-income, minority patients

ACA expansion did not improve access to complex surgeries for low-income, minority patients

That result surprised researchers, since the ACA's Medicaid…

Whitepapers

Early Morning Discharge Efficiencies Improve Patient Flow

Early Morning Discharge Efficiencies Improve Patient Flow

This solutions brief summarizes how a multi-specialty medical group helped a hospital prepare for an…

Capturing Hidden Revenue: Maximize Yield Through a Holistic Collections Strategy

Capturing Hidden Revenue: Maximize Yield Through a Holistic Collections Strategy

As reimbursement challenges grow and operating margins shrink, healthcare's ...

Latest News

September 18, 2018 | Susan Morse

Cigna-Express Scripts deal unlikely to harm competition or consumers, DOJ says

September 13, 2018 | Jeff Lagasse

ACA expansion did not improve access to complex surgeries for low-income, minority patients

September 12, 2018 | Susan Morse

CMS awards grants for the Federally-Facilitated Exchange Navigator Program

September 11, 2018 | Susan Morse

American Hospital Association suing HHS over delay in implementing drug pricing rule for 340B

September 10, 2018 | Susan Morse

ACA about-face: Insurers keeping premium increases lower than last year, RWJF and AP studies find

September 7, 2018 | Susan Morse

Montana health plan strikes victory over cost-sharing reduction payments

August 28, 2018 | Jeff Lagasse

Uninsured hospitalizations for cardiac events declined following implementation of the Affordable Care Act

VIEW ALL NEWS

MostPopular

CMS nixes "excessively burdensome" Medicare requirements

CMS nixes "excessively burdensome" Medicare requirements

Aetna, CVS Health need to divest Part D plans, DOJ says

Aetna, CVS Health need to divest Part D plans, DOJ says

CMS: New innovative payment models coming

CMS: New innovative payment models coming

Nurse practitioners ease physician shortage? Not so fast

Nurse practitioners ease physician shortage? Not so fast

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

Cost-sharing 'insurance' offered through religious affiliation

Cost-sharing 'insurance' offered through religious affiliation

UnitedHealth wins case over Medicare Advantage overpayment rule

UnitedHealth wins case over Medicare Advantage overpayment rule

News

Analyze this: Health systems, health plans get to the core of big data

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

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

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. But with more patients weighing public hospital grades, experts, as well as a few…

Whitepapers

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data that's already flowing through financial systems into…

Clinical Quality Measures 101

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…

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.