Topics
Reimbursement
More than half of rural hospitals could close under a public health option
Half of rural hospitals could close under public health option
Revenue Cycle Management
Healthcare revenue cycle management market projected to be worth $104 billion by 2025
Rev cycle market worth $104B by 2025
Strategic Planning
Close to one-third of healthcare employees have never received cybersecurity training, report shows
One-third of healthcare employees lack cybersecurity training
Capital Finance
U.S. spends more on healthcare, but not on social services spending, study finds
Higher social spending linked to higher healthcare spending
Supply Chain
Optimizing the total performance of a healthcare supply chain means data and clinical integration
Optimizing the total performance of the supply chain
Accounting & Financial Management
Charity care spending among California hospitals is plunging
CA hospitals: Charity care plunging
Budgeting
Health systems allocate just 5-10% of total spending on primary care, despite benefits
Public and private payers underinvest in primary care
Quality and Safety
Hospitals are demanding secure medical devices before they buy
Hospitals are demanding secure medical devices
Billing and Collections
AHIP supports a federal model of California law to end surprise billing
AHIP supports California law to end surprise billing
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
Up to 14% of internal medical residents have been bullied during training, Johns Hopkins found
14% of internal medicine residents have been bullied
Operations
Physicians looking to become small practice owners have many factors to consider before making the leap
What would-be physician practice owners should consider
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
Cape Cod Healthcare building $180M patient tower, investing in EHR
CCHC building $180M patient tower
Compliance & Legal
Centene, Aetna protest losing Louisiana MCO contracts worth billions
Centene, Aetna protest losing Louisiana MCO contracts worth billions
Policy and Legislation
HHS proposes substance use disorder regulatory reforms to increase sharing of information
HHS proposes substance use disorder regulatory reforms
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
Rural hospitals not using bundled payment models, data shows
Rural hospitals not using bundled payment models
Acute Care
Diverting avoidable emergency department visits could save healthcare $32 billion annually
Diverting avoidable ED visits could save $32B
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Healthcare cloud computing growth due in part to curbing infrastructure costs
Curbing infrastructure costs fuels cloud growth
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
Kidney transplants covered by Medicaid increased in states after Medicaid expansion
Medicaid-covered kidney transplants rise with expansion
Patient Engagement
Most patients willing to share medical records for research purposes
Most are willing to share medical records for research
Pharmacy
Drug price forecast projects 4.5 percent increase in hospital drug spending for 2020
4.5% increase predicted for hospital drug spending
Population Health
IPA, insurer launch innovative new partnership to manage social determinants of health
IPA, insurer launch innovative new partnership to manage social determinants of health
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
Use of non-hospital-based provider-to-patient telehealth grew nearly 1,400%
Non-hospital-based telehealth grew 1,400%
Mergers & Acquisitions
Signify Health, Remedy Partners signify intent to merge
Signify, Remedy to merge
View more

Healthcare Information and Management Systems Society

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The Evolution of Utilization Review and Its Impact on Revenue Integrity

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