Topics
Reimbursement
Private insurers pay 240% of what Medicare pays for hospital services
Private insurers pay 240% of what Medicare pays
Revenue Cycle Management
The overall outlook for 2020 healthcare revenues improves following second quarter results
This year's healthcare revenues may be better than originally predicted
Strategic Planning
Operation Warp Speed is on track for January, but prioritization is necessary, officials say
COVID-19 vaccine is on track for January, but prioritization is necessary
Capital Finance
Healthcare real estate remains attractive to investors despite COVID-19 pandemic
Healthcare real estate remains attractive to investors
Supply Chain
Healthcare industry is grappling with the emergence of counterfeit PPE in the COVID-19 battle
Healthcare is grappling with counterfeit PPE
Accounting & Financial Management
Nonprofit hospitals' liquidity supports the ability to repay CARES Act loans, says Fitch
Fitch: Nonprofit liquidity will support CARES repayment
Budgeting
Healthcare expenses for hospital employees increase in 2020, survey shows
Healthcare expenses for hospital employees increase in 2020
Quality and Safety
At UHealth, repurposing old technology is keeping patients and staff safe during COVID-19
UHealth repurposing technology to keep patients and clinicians safe
Billing and Collections
Dramatic procedure price differences in Ohio relate to larger price issues
Dramatic procedure price differences in Ohio relate to larger price issues
Claims Processing
Payers are working to meet deadline for interoperability mandate
Payers work to meet interoperability deadline
Workforce
Hospital CEO turnover rate dipped in 2019 for the first time in five years
Hospital CEO turnover rate dipped in 2019 for the first time in five years
Operations
Hospitals' financial recovery will be tied to the health of the economy, before and after COVID-19
Hospital financial recovery is tied to the economy
Medical Devices
Personal information of 348,000 people potentially exposed in NorthShore data breach
NorthShore breach exposed PHI of 348,000 people
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
Ohio State University is poised to build a $1.79 billion inpatient hospital
OSU is poised to build a $1.79B hospital
Compliance & Legal
With price transparency an inevitability, hospitals need to start working toward compliance
Hospitals need to work toward price transparency compliance
Policy and Legislation
CMS announces chronic kidney disease care model for Medicare beneficiaries
CMS announces kidney disease care model
Community Benefit
Blue Cross Blue Shield of Massachusetts is giving $101 million in premium refunds
BCBS of Massachusetts is giving $101M in premium refunds
Accountable Care
541 ACOs in the Medicare Shared Savings Program saved Medicare $1.2 billion in 2019
ACOs saved $1.2B under MSSP in 2019
Acute Care
Prior health insurance coverage disruptions linked to issues with healthcare access for cancer patients
Health insurance disruptions linked to access issues
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
Cigna launches Evernorth, in a rebrand of its health services portfolio
Cigna launches a rebrand in Evernorth
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
COVID-19 disproportionately affects health coverage of minorities, study finds
COVID-19 disproportionately affects health coverage of minorities
Patient Engagement
Public sentiment on healthcare deteriorating during COVID-19 pandemic
Public sentiment on healthcare deteriorating
Pharmacy
AstraZeneca puts COVID-19 vaccine trial on hold after volunteer becomes ill
AstraZeneca puts COVID-19 vaccine trial on hold
Population Health
AstraZeneca resumes Phase 3 COVID-19 vaccine trial in the U.K.
AstraZeneca resumes Phase 3 COVID-19 vaccine trial in the U.K.
Risk Management
Cybersecurity needs to be put in business terms
Cybersecurity needs to be put in business terms
Telehealth
Telehealth is expected to drive $29 billion in healthcare services in 2020
Telehealth is expected to drive $29B in healthcare services
Mergers & Acquisitions
Former Beaumont trustee wants CEO, COO and CMO fired through AG intervention
Former Beaumont trustee wants CEO, COO and CMO fired
View more

Kaiser Family Foundation

In-depth

Insurers remain profitable, but that could change in the long term

Insurers remain profitable, but that could change in the long term

Most insurers do not yet have a specific estimate of how much premiums might change due to…

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…

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

July 14, 2020 | Jeff Lagasse

Insurers remain profitable, but that could change in the long term

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

VIEW ALL NEWS

MostPopular

COVID-19 vaccine is on track for January, but prioritization is necessary

COVID-19 vaccine is on track for January, but prioritization is necessary

National Nurses United seeks OSHA sanctions on HCA

National Nurses United seeks OSHA sanctions on HCA

Trump executive order makes telehealth permanent 

Trump executive order makes telehealth permanent 

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATED: List of 2020 Medicare Advantage star ratings

Humana taps Salesforce Health Cloud to launch coordinated care platform

Humana taps Salesforce Health Cloud to launch coordinated care platform

Payers work to meet interoperability deadline

Payers work to meet interoperability deadline

Cleveland Clinic and Aetna form ACO

Cleveland Clinic and Aetna form ACO

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

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.

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…