Topics
Reimbursement
Providers and billing departments face possible communications gap
Providers and billers: A communication gap?
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
Employer medical benefit costs projected to nearly double the rate of inflation in 2020
Medical benefit costs could soon outpace inflation
Budgeting
Focus on operational efficiency and RTLS technology has given Wake Forest Baptist Health a financial leg up
How RTLS saved Wake Forest $3.5M per year
Quality and Safety
Hospitals face rising risk of sophisticated cyberattacks
Hospitals face rising risk of cyberattacks
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
Kaiser Permanente workers planning strike that could be largest in more than two decades
Kaiser workers planning large strike
Operations
Inaccuracies found in physician residents' EHR documentation
EHR documentation inaccuracies found
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Women in healthcare face more harassment, have fewer opportunities and lower wages, study shows
Women: Fewer opportunities, lower wages
Construction & Facilities Management
Cape Cod Healthcare building $180M patient tower, investing in EHR
CCHC building $180M patient tower
Compliance & Legal
OxyContin maker Purdue Pharma files for Chapter 11 bankruptcy, settles lawsuits
OxyContin maker Purdue Pharma files for bankruptcy
Policy and Legislation
Pelosi drug bill would give HHS Secretary Alex Azar authority to negotiate prices on 25 drugs
Pelosi drug bill would give HHS authority to negotiate drug prices
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
How artificial intelligence can allow providers to get a better handle on social determinants of health data
How AI can harness SDOH data
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
Why aren't presidential candidates talking about value-based care?
Why aren't presidential candidates talking about value-based care?
Patient Engagement
Cutting operational costs while improving care quality requires leveraging technology to drive efficiencies
Cutting costs, boosting quality: Efficiency is the goal
Pharmacy
Medications underused in treating opioid addiction, says Mayo Clinic
Opioid crisis: Medications underused
Population Health
Majority of hospitals, physician practices screen patients for at least one SDOH, Dartmouth study finds
Most hospitals screen for at least one SDOH
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
Federal court sides with CVS Health/Aetna on their merger
Federal court sides with CVS/Aetna
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Highmark

In-depth

Three largest insurers dominate market share in at least 37 states, GAO report says

Three largest insurers dominate market share in at least 37 states, GAO report says

Blue Cross was the most named, largest insurer in 10 states in which three…

Highmark saves $260 million in avoidable healthcare costs through PCP value-based program

Highmark saves $260 million in avoidable healthcare costs through PCP value-based program

The insurer rewards physicians in care coordination reimbursements.

Whitepapers

Taking Value Analysis to the Next Level

Taking Value Analysis to the Next Level

In the industry's ongoing transition from fee-for-service to value-based, healthcare executives are being challenged to…

A New Approach to Comparative Analytics Drives Improvement Enterprise-wide

A New Approach to Comparative Analytics Drives Improvement Enterprise-wide

Today's healthcare environment requires a new means to get the right comparative…

Latest News

March 22, 2019 | Susan Morse

Three largest insurers dominate market share in at least 37 states, GAO report says

June 28, 2018 | Susan Morse

Highmark saves $260 million in avoidable healthcare costs through PCP value-based program

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

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MostPopular

Brand-name drug rebates reduced spending growth

Brand-name drug rebates reduced spending growth

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

Hospitals are demanding secure medical devices

Hospitals are demanding secure medical devices

See the first star ratings for home health

See the first star ratings for home health

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

Getting paid for virtual care services: Codes to know

Getting paid for virtual care services: Codes to know

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…

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.