Topics
Reimbursement
Trinity Heath anticipates $2 billion in losses and further layoffs as COVID-19 continues
Trinity Health is expecting $2B in losses
Revenue Cycle Management
Healthcare CFOs look to technology and automation for COVID-19 recovery
CFOs look to tech for COVID-19 recovery
Strategic Planning
Health Partners adds Children's Hospital of Pennsylvania to network
Health Plan Partners adds Children's Hospital of Pennsylvania
Capital Finance
Healthcare real estate remains attractive to investors despite COVID-19 pandemic
Healthcare real estate remains attractive to investors
Supply Chain
National stockpiling standards are needed to address product shortages, Premier says
Premier: National stockpiling standards are needed
Accounting & Financial Management
Credit downgrades aren't attributable to COVID-19, but cash flow will be a challenge
COVID-19 is not causing credit downgrades
Budgeting
A dynamic healthcare budget process may trump traditional budgeting in terms of accuracy, flexibility
Benefits of a dynamic budgeting process
Quality and Safety
Mayo Clinic announces advanced care at home model with Medically Home
Mayo Clinic announces advanced care at home
Billing and Collections
Blue Shield of California is offering providers up to $200 million during COVID-19 crisis
Blue Shield of California offers providers $200M
Claims Processing
Epic connects with HCSC on payer data exchange platform
Epic connects with HCSC on payer data exchange platform
Workforce
Behavioral health is an overlooked need for healthcare workers during COVID-19
Health workers need behavioral health during pandemic
Operations
Bright Health Plan to expand into new markets in 2021
Bright Health Plan to expand in 2021
Medical Devices
Report says Abbott's FreeStyle Libre 14 day system cuts diabetes management costs
Report says Abbott's FreeStyle Libre 14 day system cuts diabetes management costs
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
Kaiser Permanente cancels plans for $900 million headquarters in Oakland
Kaiser Permanente cancels $900M headquarters
Compliance & Legal
Ten indicted in $1.4B multi-state hospital testing fraud scheme
Ten indicted in $1.4B multi-state hospital testing fraud scheme
Policy and Legislation
Trump administration asks Supreme Court to end ACA as COVID-19 cases rise
Trump asks Supreme Court to end ACA
Community Benefit
Parkview Medical Center is leveraging community partnerships to tackle SDOH
Program at Parkview is tackling SDOH
Accountable Care
Blue Shield California's Health Reimagined ties provider pay to quality and patient satisfaction
Blue Shield California pilot includes value-based reimbursement 
Acute Care
New Orleans hospital provides microcosm of COVID-19's effects on ED volumes
New Orleans hospitals shows coronavirus effects on ED
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Colorado HIEs have improved outcomes, costs for jails via speedy information access
HIEs in Colorado have lowered costs for inmate care
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
HHS has reduced backlog of Medicare appeals by almost half
HHS has reduced Medicare appeals by 43%
Patient Engagement
Loneliness is an issue for COVID-19 patients that tech alone can't solve, says former HIMSS employee
Loneliness is an issue for COVID-19 patients that tech alone can't solve
Pharmacy
Compounded drug market needs transparency, more regulatory certainty, says Pew
Compounded drug market needs transparency
Population Health
In an open letter, Chicago hospitals called systemic racism a public health crisis
Chicago hospitals call out racism
Risk Management
Cybersecurity needs to be put in business terms
Cybersecurity needs to be put in business terms
Telehealth
Telehealth is an important tool for rural hospitals in treating COVID-19, research shows
Telehealth is especially important for rural hospitals
Mergers & Acquisitions
Healthcare mergers and acquisitions are down, but not as much as anticipated
M&A is down, but not as much as expected
View more

Kaiser Family Foundation

In-depth

CMS provides flexibility on medical loss ratio deadline and rebates due to COVID-19

CMS provides flexibility on medical loss ratio deadline and rebates due to COVID-19

The flexibility will permit insurers to prepay to enrollees a portion or all…

Insurers are refunding surplus revenues now, rather than later

Insurers are refunding surplus revenues now, rather than later

Insurers will be issuing a total of about $2.7 billion in refunds, estimates the Kaiser Family…

Whitepapers

Payers: Powering the Member Experience, Why a Data Strategy Matters

Payers: Powering the Member Experience, Why a Data Strategy Matters

Healthcare payer organizations are looking to new classes of data to enhance member…

Powering the Member Experience: Why a Strong Data Strategy Matters

Powering the Member Experience: Why a Strong Data Strategy Matters

Like other savvy digital consumers, health plan members expect meaningful, flexible, and…

Latest News

June 15, 2020 | Susan Morse

CMS provides flexibility on medical loss ratio deadline and rebates due to COVID-19

May 27, 2020 | Susan Morse

Insurers are refunding surplus revenues now, rather than later

February 11, 2020 | Susan Morse

House committees release surprise billing legislation

November 6, 2019 | Susan Morse

National Committee for Quality Assurance ranks health plans for comparison during open enrollment

October 11, 2019 | Susan Morse

Medicare Advantage plans on the rise ahead of open enrollment and star ratings release

July 16, 2019 | Susan Morse

New CMS resources help states waive ACA requirements

July 16, 2019 | Jeff Lagasse

Family of four faces $25,000 in average annual unsubsidized ACA costs in 2019

VIEW ALL NEWS

MostPopular

False-negative tests highlight need for accuracy

False-negative tests highlight need for accuracy

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

Physician, hospital spending hits 10-year low

Physician, hospital spending hits 10-year low

ED visits are down 42% across U.S.

ED visits are down 42% across U.S.

CEOs say decisions made during crisis will have future impact

CEOs say decisions made during crisis will have future impact

Hospital staffing shortages face new competition from Amazon, other disruptors

Hospital staffing shortages face new competition from Amazon, other disruptors

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

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.

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…