Topics
Reimbursement
New risk adjustment model may reduce financial penalty for safety net hospitals
Risk adjustment model could benefit safety net hospitals
Revenue Cycle Management
St. Luke's revenue cycle benefits by offering patients a discounted price for paying upfront
St. Luke's benefits by offering discounted, upfront payments
Strategic Planning
Two major Blue insurers, Cambia, BCBS North Carolina, combine in strategic alliance
Blue insurers Cambia and BCBS North Carolina form alliance
Capital Finance
Investing in consumerism and technology requires scale, wise allocation of investments
Investing in consumerism requires scale, wisdom
Supply Chain
Nearly all hospital leaders say supply chain optimization improves margins, survey shows
98% say supply chain optimization boosts margins
Accounting & Financial Management
Community Health Systems sees major drop in net losses over 2017, reporting $328 million for Q4 2018
CHS reports major drop in net losses for Q4 2018
Budgeting
High healthcare use linked with lower prices, according to Robert Wood Johnson Foundation
High healthcare use linked with lower prices
Quality and Safety
Drug that prevents lung problems in older preemies also lowers costs
Drug for preemies could lower costs
Billing and Collections
Zuckerberg San Francisco General Hospital to halt
Zuckerberg San Francisco General Hospital caught in uproar over "balance billing"
Claims Processing
Change, TIBCO use blockchain to build smart contract system for payers
Change, TIBCO build smart contract system for payers
Workforce
Gender-based salary gap persists among academic emergency medicine physicians
Gender salary gap among emergency medicine physicians
Operations
Rush University Medical Center reveals data breach that may have compromised information of 45,000 patients
Rush University Medical Center reveals data breach
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
One more reason to focus on retaining physicians: They generate $2.4 million for their hospitals
Physicians generate $2.4M in net revenue for their hospitals
Construction & Facilities Management
Northwell Health, NYC Health + Hospitals open new $47.7 million joint lab to help hospitals focus on emergency testing, cut costs
Northwell Health, NYC Health + Hospitals open new $47.7M joint lab
Compliance & Legal
Capital Regional Medical Center hit with $1.1 million verdict after hospital visitor slips, falls on wet floor
Florida hospital slapped with $1.1M verdict after 2016 fall incident
Policy and Legislation
Physicians for Fair Coverage proposes ban on surprise medical bills for out-of- network care, creation of reimbursement standards
Physicians for Fair Coverage proposes ban on surprise medical bills
Community Benefit
Kaiser Permanente commits $1.65 million to California wildfire relief efforts
Kaiser Permanente commits $1.65 million to California wildfire relief efforts
Accountable Care
Providers await drop-out numbers for BPCI Advanced
Providers await drop-out numbers for BPCI Advanced
Acute Care
University of Chicago Medicine study shows need to enhance patient rest, evaluate overnight interruptions for better patient experience
University of Chicago Medicine study shows how to help patients rest for improved experience
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Using zip codes to find at-risk patients to determine the social determinants of health
Using zip codes to find at-risk patients
Business Intelligence
While the price of healthcare is growing, utilization is dropping and price variations persist, report says
HCCI: Price of healthcare is growing, utilization is dropping, price variations persist
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
Efficient hospitals operate on -2% margins in Medicare payments, MedPAC reports
Hospitals lose money on Medicare payments, MedPAC reports
Patient Engagement
How the 'A' in 'AI' can stand for 'Assistive,' and what that means for providers and patients
Should 'AI' stand for 'Assistive Technology?'
Pharmacy
Interdisciplinary education helps hospital patients better understand their medications, could reduce readmissions
Interdisciplinary education could cut readmissions
Population Health
Investment by health systems key to improving cancer outcomes in U.S., report says
Health system investment can better cancer outcomes
Risk Management
Hospital employees are clicking on phishing emails, and that's a problem, JAMA study shows
JAMA: Hospital employees are clicking on phishing emails
Telehealth
New ambulance payment model will reimburse for on-site treatment, use of telehealth
Ambulance payment model will allow on-site treatment, telehealth
Mergers & Acquisitions
Medical University of South Carolina completes acquisition of 4 hospitals from Community Health Systems
MUSC completes $176M acquisition of 4 CHS hospitals
View more

Cigna

In-depth

High drug prices: Who's really to blame?

High drug prices: Who's really to blame?

There's a whole lot of finger pointing happening among feds, providers, payers, pharmacy benefits managers and big…

Anthem accelerates start for pharmacy benefit manager IngenioRX

Anthem accelerates start for pharmacy benefit manager IngenioRX

Cigna's acquisition of current pharmacy benefit manager Express Scripts helped spur the early…

Whitepapers

Tapping Technology to Move the Quadruple Aim from Concept to Reality

Tapping Technology to Move the Quadruple Aim from Concept to Reality

According to a recent HIMSS Media survey of hospitals and ambulatory care leaders, fewer…

Global Innovators

Global Innovators

Healthcare digitization is still often perceived as being an endeavor on the level of the individual healthcare system or nation state. While…

Latest News

February 8, 2019 | Susan Morse

High drug prices: Who's really to blame?

January 31, 2019 | Susan Morse

Anthem accelerates start for pharmacy benefit manager IngenioRX

January 16, 2019 | Beth Jones Sanborn

Humana, Tenet Healthcare reach new deal restoring in-network access

January 4, 2019 | Beth Jones Sanborn

Cleveland Clinic acquires Indian River Medical Center, Martin Health in deals requiring $750 million in financial commitments

January 2, 2019 | Susan Morse

Tenet and Cigna reach multi-year contract agreement

December 31, 2018 | Susan Morse

Top 10 payer stories of 2018

December 19, 2018 | Susan Morse

Cigna, Express Scripts merger to close Thursday

VIEW ALL NEWS

MostPopular

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

Using zip codes to find at-risk patients

Using zip codes to find at-risk patients

CMS: Health spending will soar to $6 trillion

CMS: Health spending will soar to $6 trillion

Why a talent shortage is plaguing healthcare execs, and what they're doing about it

Why a talent shortage is plaguing healthcare execs, and what they're doing about it

See the first star ratings for home health

See the first star ratings for home health

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…

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.

Whitepapers

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.

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…