Topics
Reimbursement
Private health plans pay providers at 241 percent of what Medicare would pay
Private health plans pay 241% of Medicare rate
Revenue Cycle Management
Astria Health blames revenue cycle contractor for bankruptcy
Astria Health files for bankruptcy, blames rev cycle contractor
Strategic Planning
Providers and precision medicine: Are you ready?
Providers and precision medicine: Are you ready?
Capital Finance
The role investors can play in addressing the opioid epidemic
How investors can address the opioid crisis
Supply Chain
United States remains the largest market for medical devices, at more than $150 billion
U.S. is top medical device market at $150 billion
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
New clinical pathway for cancer patients leads to better outcomes, lower healthcare costs
New clinical pathway lowers healthcare costs
Quality and Safety
Quality standards framework can improve both clinical and financial performance in healthcare
How a healthcare quality workforce can better care, costs
Billing and Collections
Medical costs create hardships for more than half of Americans
Medical costs a hardship for most Americans
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
With medical groups employing more physicians, a leader with the right skill set is paramount
Finding the right medical group leader
Operations
Precision medicine: Getting the data creates a challenge for physicians
Precision medicine: The challenge for physicians
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Wording in medical student evaluations differ by gender, minority status, revealing potential bias
Gender, minority bias revealed in med student evals
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
Chinese nationals indicted for Anthem hack from 2014
Chinese nationals indicted for Anthem hack
Policy and Legislation
President Trump calls for an end to surprise medical bills
President Trump calls for an end to surprise billing
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
UnitedHealthcare introduces new bundled payment program for maternity care
UnitedHealthcare unveils bundled payment program for maternity care
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
Focus on Precision Medicine
Focus on Precision Medicine
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 cracks down on spread pricing by pharmacy benefit managers
CMS cracks down on spread pricing by PBMs
Patient Engagement
Millennial healthcare preferences are a departure from the status quo
MIllennial preferences a departure from status quo
Pharmacy
CDC concurs with panel on misapplication of opioid guidelines
CDC agrees opioid guidelines misapplied
Population Health
Screenings for social determinants of health need to be tailored to clinics, BU finds
SDOH screenings need to be tailored for clinics
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
With telehealth still evolving as a care delivery model, text-based care may offer the best quality for some patients
Text-based telemedicine: The next evolution?
Mergers & Acquisitions
JPMorgan Chase to acquire payments technology company InstaMed
JPMorgan Chase to acquire InstaMed
View more

Food and Drug Administration (FDA)

In-depth

States bring price fixing lawsuit against Teva and other drug makers

States bring price fixing lawsuit against Teva and other drug makers

Teva colluded with 20 competitors on 86 generic drugs to avoid price erosion and keep…

Drug companies are being required to post list prices in TV ads

Drug companies are being required to post list prices in TV ads

If pharmaceutical manufacturers are ashamed of their drug prices, then change the price, HHS…

Whitepapers

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…

The Evolution of Utilization Review and Its Impact on Revenue Integrity

The Evolution of Utilization Review and Its Impact on Revenue Integrity

Existing utilization review (UR) paradigms are no longer suitable for addressing the…

Latest News

May 13, 2019 | Susan Morse

States bring price fixing lawsuit against Teva and other drug makers

May 8, 2019 | Susan Morse

Drug companies are being required to post list prices in TV ads

May 8, 2019 | Susan Morse

Reimbursement, regulation, resistance to change remain provider barriers to precision medicine

April 23, 2019 | Susan Morse

CMS proposes to pay for transformative IT

March 12, 2019 | Susan Morse

HHS $87.1 billion budget includes funding to end opioid epidemic, HIV

March 8, 2019 | Susan Morse

Bill proposes to extend Medicare and Medicaid rebate rule to commercial market

March 6, 2019 | Beth Jones Sanborn

Scott Gottlieb lauded for tough stance on tobacco and vaping, approval of new drugs at FDA

VIEW ALL NEWS

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IBM Watson Health lists top 15 health systems

IBM Watson Health lists top 15 health systems

Anthem accelerates start for PBM IngenioRX

Anthem accelerates start for PBM IngenioRX

Gender, minority bias revealed in med student evals

Gender, minority bias revealed in med student evals

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

CMS proposes to pay for transformative IT

CMS proposes to pay for transformative IT

Hospitals investing to create revenue streams

Hospitals investing to create revenue streams

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

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

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.

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…