Topics
Reimbursement
Hospitals saw increased profitability as 2019 came to a close
Hospital profitability up in December
Revenue Cycle Management
Managed care, revenue cycle performance strategies are critical to increasing payer yield
Managed care, rev cycle strategies can boost payer yield
Strategic Planning
Forecasting the future of HL7 FHIR at HIMSS20
Forecasting the future of FHIR
Capital Finance
Investment in medical and health R&D not keeping up with needs of nation, report finds
Healthcare R&D investments lag disease burden
Supply Chain
Department of Health and Human Services launches Foundry for American Biotechnology
HHS launches Foundry for American Biotechnology
Accounting & Financial Management
Ransomware attacks spike, costing healthcare organizations millions
Ransomware attacks costing healthcare millions
Budgeting
A dynamic healthcare budget process may trump traditional budgeting in terms of accuracy, flexibility
Benefits of a dynamic budgeting process
Quality and Safety
Thousands of uninsured kidney disease patients strain Texas emergency departments
Uninsured dialysis patients strain Texas ERs
Billing and Collections
One in 5 operations may lead to surprise bills, even when the surgeon and hospital are in-network
1 in 5 operations may lead to surprise bills
Claims Processing
BCBS Institute and Solera partner, pay SDoH organizations through outcomes-based medical claims
BCBS Institute, Solera, to pay organizations through outcomes-based claims
Workforce
Hospitals with internationally trained nurses have a more stable, educated nursing workforce
Internationally trained nurses are stabilizing the U.S. workforce
Operations
Healthcare spending is higher over 5 years, mostly due to a rise in prices, says new report
Healthcare spending is higher due to rise in prices
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
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
Cape Cod Healthcare building $180M patient tower, investing in EHR
CCHC building $180M patient tower
Compliance & Legal
More than $2 billion in fraud recoveries collected from healthcare companies last year
Healthcare companies paid $2B-plus in fraud recoveries
Policy and Legislation
ONC unveils new plan for combating clinician burnout
ONC unveils new plan for combating clinician burnout
Community Benefit
Advocate Aurora Health contributed $2.1 billion to community charitable care and services in 2018
Advocate Aurora: $2.1B in charity care
Accountable Care
Out-of-network primary care tied to rising ACO costs
Out-of-network primary care tied to rising ACO costs
Acute Care
Critical care improvements may differ depending on a hospital's patient population
Patient population determines ICU improvements
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
How analytics, SDOH insights are helping reduce ED use
How analytics, SDOH insights are helping reduce ED use
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
CMS offers proposed rule on Comprehensive Care for Joint Replacement Model
CMS offers proposed rule on CJR Model
Patient Engagement
When the health IT expert becomes the patient
When the health IT expert becomes the patient
Pharmacy
Oscar Health offers $3 a month drug prescriptions
Oscar Health offers $3 a month drug prescriptions
Population Health
HIMSSCast: Technology, policy and COVID-19
HIMSSCast: Technology, policy and COVID-19
Risk Management
Cybersecurity needs to be put in business terms
Cybersecurity needs to be put in business terms
Telehealth
Highmark launches technology-enabled opioid treatment program in West Virginia
Highmark launches teleaddiction program in West Virginia
Mergers & Acquisitions
Healthcare mergers and acquisitions continue to be active, with a positive outlook for the future
Healthcare M&A still active; outlook positive
View more

Cigna

In-depth

Oscar Health offers $3 a month drug prescriptions

Oscar Health offers $3 a month drug prescriptions

The formulary includes about 100 drugs, including insulin, and is expected to expand.

Cigna + Oscar to launch health plan for small businesses

Cigna + Oscar to launch health plan for small businesses

The partnership will offer integrated medical, behavioral, and pharmacy services benefits.

Whitepapers

Three Data-Driven Processes for Maximizing Healthcare Revenue

Three Data-Driven Processes for Maximizing Healthcare Revenue

Over the past decade, changes in the healthcare landscape have squeezed margins, brought…

The State of Healthcare Performance Improvement

The State of Healthcare Performance Improvement

Kaufman Hall has released its third annual survey of hospital and health system leaders on the state of…

Latest News

February 20, 2020 | Susan Morse

Oscar Health offers $3 a month drug prescriptions

January 14, 2020 | Susan Morse

Cigna + Oscar to launch health plan for small businesses

December 26, 2019 | Susan Morse

Legislators question insurers about surprise billing practices

December 12, 2019 | Susan Morse

Ten former NFL players charged with alleged fraud of healthcare benefit program for retired players

November 27, 2019 | Jeff Lagasse

Consumer satisfaction lower for hospitals, higher for payers

November 18, 2019 | Susan Morse

PillPack launches Amazon Pharmacy branding

November 4, 2019 | Susan Morse

Haven rolls out health plan pilot for some employees

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MostPopular

UPDATE: WHO again stops short of declaring global health emergency over coronavirus

UPDATE: WHO again stops short of declaring global health emergency over coronavirus

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATED: List of 2020 Medicare Advantage star ratings

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

See how hospitals did in star ratings

See how hospitals did in star ratings

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

See the first star ratings for home health

See the first star ratings for home health

Tufts Health Plan expands telehealth amid Harvard Pilgrim merger

Tufts Health Plan expands telehealth amid Harvard Pilgrim merger

News

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.

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.