Topics
Reimbursement
American Hospital Association and PhRMA question legality of Most Favored Nation Model
AHA and PhRMA question legality of new favored nation model
Revenue Cycle Management
Automating revenue cycle on the back end improves patient engagement on the front
Automating the back end of revenue cycle improves patient engagement
Strategic Planning
Aetna president to take helm of CVS Health as CEO Larry Merlo steps down next year
Aetna president to take helm of CVS as CEO Larry Merlo steps down
Capital Finance
Healthcare M&As poised to come off extended pause
Healthcare M&As poised to come off extended pause
Supply Chain
Premier joins 34 health systems in DeRoyal partnership for expanded domestic isolation gown production
Premier, 34 health systems partner on gown production
Accounting & Financial Management
Healthcare executives fear for their organizations' viability without a COVID-19 vaccine
Executives fear for their hospitals' financial viability without a vaccine
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
FDA approves first COVID-19 home test 
FDA approves first COVID-19 home test 
Billing and Collections
HFMA task force releases best practices for resolving patient medical bills
HFMA task force releases best practices for resolving patient medical bills
Claims Processing
Payers are working to meet deadline for interoperability mandate
Payers work to meet interoperability deadline
Workforce
Struggles of care home staff during COVID-19 first wave revealed in Whatsapp messages
Whatsapp messages reveal care home struggles
Operations
CMS finalizes changes to Stark Law that hinder physician referral 
CMS finalizes changes to Stark Law on physician referral
Medical Devices
Faced with shortages, researchers combine heat and humidity to disinfect N95 masks
Heat and humidity effective at disinfecting N95 masks
Hospital/physician relations
Quality of initial training makes a big difference in EHR satisfaction, KLAS report finds
Poor EHR training brings down provider satisfaction
Construction & Facilities Management
$1.5B Children's Healthcare hospital to be named after donor, owner of the Atlanta Falcons
$1.5 Children's Healthcare hospital to be named for Falcons owner
Compliance & Legal
Hospitals need to post their negotiated prices in less than six short weeks
Hospitals need to post negotiated prices in 6 weeks
Policy and Legislation
ATA applauds reforms to Stark Law, Anti-Kickback Statute
ATA applauds reforms to Stark Law, Anti-Kickback Statute
Community Benefit
Intermountain Healthcare, United Way and more partner to address social determinants of health in Utah
Intermountain Healthcare, United Way and more address SDOH
Accountable Care
Centers for Medicare and Medicaid Services announces 51 direct contracting entities
CMS announces 51 direct contracting entities
Acute Care
CMS announces new flexibilities for care outside of a hospital setting amid COVID-19 surge
CMS announces new flexibilities for care outside of a hospital setting
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
HIMSS Stage 7 explained: Only six organizations worldwide have achieved this status on three different maturity models
HIMSS Stage 7 explained
Business Intelligence
Northwell website patterns predict COVID-19 caseload
Northwell website patterns predict COVID-19 caseload
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 proposed rule reduces user fee in ACA exchanges 
CMS proposes reducing user fee in ACA exchanges
Patient Engagement
More than 758,000 people select healthcare plans in the third week of open enrollment
758K sign up in week 3 of open enrollment
Pharmacy
PhRMA, others sue HHS and FDA for allowing import of drugs from Canada
PhRMA sues HHS and FDA for rule allowing drugs from Canada
Population Health
Moderna seeks regulatory authorization for its COVID-19 vaccine
Moderna seeks regulatory authorization for its COVID-19 vaccine
Risk Management
FBI, HHS warn of 'increased and imminent' cyber threat to hospitals
FBI, HHS warn of 'increased and imminent' cyber threat to hospitals
Telehealth
Telehealth ICU tech helps Geisinger quickly expand capacity and enhance care
Telehealth ICU tech helps Geisinger quickly expand capacity and enhance care
Mergers & Acquisitions
Beth Israel Lahey Health to add Joslin Diabetes Center to its network
Beth Israel Lahey Health to add Joslin Diabetes Center to its network
View more

AHIP

In-depth

HHS issues final rule ending pharmacy benefit manager drug rebates to insurers

HHS issues final rule ending pharmacy benefit manager drug rebates to insurers

Opponents say the rule will not lower drug prices, and some question whether it…

Supreme Court appears favorable to keeping Affordable Care Act

Supreme Court appears favorable to keeping Affordable Care Act

Congress has already decided it doesn't want the entire law to fall, says Justice Sonia Sotomayor.

Whitepapers

Improving the Patient Financial Experience Throughout the Patient Journey

Improving the Patient Financial Experience Throughout the Patient Journey

While many healthcare providers believe that improving the patient financial…

Is the Patient or Member Experience You're Delivering on Life Support? Lessons for Payers and Providers

Is the Patient or Member Experience You're Delivering on Life Support? Lessons for Payers and Providers

Customer experience is a crucial part of a health…

Latest News

November 21, 2020 | Susan Morse

HHS issues final rule ending pharmacy benefit manager drug rebates to insurers

November 10, 2020 | Susan Morse

Supreme Court appears favorable to keeping Affordable Care Act

November 10, 2020 | Susan Morse

Supreme Court to hear oral arguments this morning to determine validity of Affordable Care Act

November 7, 2020 | Susan Morse

What now for Joe Biden's presidency and healthcare?

November 6, 2020 | Susan Morse

Payer Notebook: AHIP takes issue with proposed rule on coverage for FDA-approved breakthrough devices

October 28, 2020 | Susan Morse

COVID-19 vaccines must be covered at no cost, CMS says

October 7, 2020 | Jeff Lagasse

New rule on foreign drug importation is likely to result in additional costs, undercutting cost-saving goal

VIEW ALL NEWS

MostPopular

28-year-old volunteer in AstraZeneca COVID-19 vaccine trial dies

28-year-old volunteer in AstraZeneca COVID-19 vaccine trial dies

CVS Health expands COVID-19 testing services

CVS Health expands COVID-19 testing services

CMS is expected to release new rebate rule soon

CMS is expected to release new rebate rule soon

Average cost of COVID-19 hospitalizations is $34,662 to $45,683

Average cost of COVID-19 hospitalizations is $34,662 to $45,683

Hospital costs for COVID-19 varies by age, length of stay

Hospital costs for COVID-19 varies by age, length of stay

21 Medicare Advantage plans earn 5 stars in CMS release of star ratings

21 Medicare Advantage plans earn 5 stars in CMS release of star ratings

COVID-19 vaccine is on track for January, but prioritization is necessary

COVID-19 vaccine is on track for January, but prioritization is necessary

News

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…

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.

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.

Whitepapers

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…

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…

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.