Topics
Reimbursement
CMS relents, opens up smartphone-connected CGMs for reimbursement
CMS relents, opens up smartphone-connected CGMs for reimbursement
Revenue Cycle Management
Hospital executives say Affordable Care Act insurance reforms driving up bad debt
Hospital execs: ACA driving up bad debt
Strategic Planning
It's not just primary care physicians that are in demand, specialists are quickly becoming a commodity
Why providers should focus on both specialists and primary care
Capital Finance
AHA, Philips, UPMC launch $30M venture fund for cardiovascular innovation
AHA, Philips, UPMC launch $30M venture fund for cardiovascular innovation
Supply Chain
Why it's time to revisit hospital supply chain contracts to start saving money
Expert tips for finding big savings in hospital supply chain
Accounting & Financial Management
What hospitals in financial distress should do now to avoid closing down
Remedies for hospitals in distress
Budgeting
Costly physician performance metrics have serious flaws, study finds
Performance metrics: Costly and potentially flawed
Quality and Safety
New AMA policies takes aim at drug shortages and poor EHR training for medical students
AMA's new policies take aim at drug shortages, poor EHR education
Billing and Collections
Automating claims would save healthcare more than $11 billion annually
Automated claims could save $11B
Claims Processing
How to manage MVA and workers' compensation claims successfully
How to manage MVA and workers' compensation claims successfully
Workforce
Payers: There's more we all can do to reduce physician burnout
Payers: There's more we all can do to reduce physician burnout
Operations
Change Healthcare national survey of insurers shows value-based care improving
Survey of 120 insurers shows value-based care improving
Medical Devices
A more cost effective, clinically sound approach to hemodialysis treatment
A cost-saving hemodialysis treatment
Hospital/physician relations
Hospitals are losing money on employed physicians: Here's how to save the bottom line and your staff
How hospitals can boost ROI on employed physicians
Construction & Facilities Management
Here are the new hospital construction, expansion projects revealed in May
New hospital construction, expansion projects
Compliance & Legal
More doctors indicted in 15-year-long $580 million kickback scheme at Pacific Hospital of Long Beach
Doctors indicted in 15-year $580M kickback scheme
Policy and Legislation
Association Health Plans to expand under final rule
Association Health Plans to expand under final rule
Community Benefit
AHA report: Hospitals spend almost $3 trillion, support more than 16 million jobs
AHA: Hospitals drive $3 trillion in spending for national economy, support 16 million jobs
Accountable Care
ACO Partner rewards 148 physicians with $148,000 in shared savings
ACO Partner rewards physicians for shared savings
Acute Care
Where acute care hospitals can find cost-savings in palliative care
Palliative care can yield cost-savings in acute care settings
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
UnitedHealthcare partners with Quest Diagnostics on lab data
UnitedHealthcare, Quest partner on lab data
Business Intelligence
Community health centers see significant uptick in patient visits, analysis shows
Community health centers see significant uptick in patient visits, analysis shows
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
Michigan's Medicaid expansion a boon to primary care providers
Michigan Medicaid expansion showing results
Patient Engagement
New research suggests it's time to teach baby boomers about patient portals
Time to teach older patients about portals
Pharmacy
Pharmaceutical companies should focus on medication adherence to improve revenue
How pharma can boost revenue through adherence
Population Health
A new breed of Medicaid innovators rises to tackle social determinants of health
Medicaid innovators tackle social determinants
Risk Management
LifeBridge Health reveals breach that compromised health data of 500,000 patients
Data of 500K patients compromised in LifeBridge Health breach
Telehealth
With physician shortage looming, hospitals turn to telehealth tools
How telehealth can address physician shortage
Mergers & Acquisitions
UnitedHealthcare expands Medicare Advantage footprint in Louisiana
UnitedHealthcare expands MA footprint in Louisiana
View more

Highmark

In-depth

Health plans look to collaborations to gain data, interoperability and efficiencies

Health plans look to collaborations to gain data, interoperability and efficiencies

'One truth will be available to all and ultimately to the payer as well,'…

Highmark Health posts $1.1 billion in income and points to ACA business among the reasons

Highmark Health posts $1.1 billion in income and points to ACA business among the reasons

Strong performance partly attributed to Affordable Care Act business,…

Whitepapers

Organizing Hospital and Health System Investment Platforms

Organizing Hospital and Health System Investment Platforms

To address healthcare leaders' growing concerns about ensuring their organization's long-term health,…

Capturing New Business in a Competitive Landscape - How Adaptable Is Your Health Plan?

Capturing New Business in a Competitive Landscape - How Adaptable Is Your Health Plan?

Hear directly from Dannette Coleman, EVP at HealthEdge and a former…

Latest News

April 6, 2018 | Susan Morse

Health plans look to collaborations to gain data, interoperability and efficiencies

March 20, 2018 | Susan Morse

Highmark Health posts $1.1 billion in income and points to ACA business among the reasons

December 28, 2017 | Susan Morse

10 top healthcare finance trends of 2017

December 20, 2017 | Bernie Monegain

Aledade gets boost for ACO business with $23 million in new funding

September 1, 2017 | Susan Morse

PinnacleHealth joins UPMC to become UPMC Pinnacle

August 11, 2017 | Susan Morse

Insurers file multiple scenarios for 2018 ACA premium rates due to uncertainty over CSRs, individual mandate

August 10, 2017 | Susan Morse

Kaiser Permanente first in Medicare Advantage consumer satisfaction, study finds

VIEW ALL NEWS

MostPopular

Top 10 healthcare issues to watch in 2016

Top 10 healthcare issues to watch in 2016

CMS cancels mandatory bundles, reduces joint model participation

CMS cancels mandatory bundles, reduces joint model participation

Docs must now explain 'observational' statuses

Docs must now explain 'observational' statuses

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

Anthem won't pay for MRIs at hospital outpatient hubs

Anthem won't pay for MRIs at hospital outpatient hubs

Bundled payments to focus on physician payments

Bundled payments to focus on physician payments

5 challenges facing health systems

5 challenges facing health systems

News

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…

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

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…