Topics
Reimbursement
Overcoming barriers to value-based care adoption requires wise use of technology
Using tech to overcome VBC challenges
Revenue Cycle Management
Referral process going digital as healthcare providers look to stem revenue leakage
Referral processes going digital
Strategic Planning
Haven rolls out health plan pilot for some employees
Haven rolls out health plan pilot
Capital Finance
Healthcare real estate: The pros and cons of buying versus leasing
To lease or to buy? The pros and cons
Supply Chain
Unnecessary healthcare supply chain spending reaches almost $26 billion; savings opportunities remain
Unnecessary supply chain spending reaches $26B
Accounting & Financial Management
Reducing wasteful spending in healthcare by curbing administrative complexity
Curbing administrative complexity to slash waste
Budgeting
'Care cascades,' or unwarranted tests, show hidden costs
Unnecessary tests show hidden costs
Quality and Safety
Hospitals given latitude to select transplant candidates don't prioritize sickest patients
Hospitals don't prioritize sickest transplant candidates
Billing and Collections
Poor digital billing process associated with uncollected payments
Poor digital billing associated with collections
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
Montefiore Medicine names Philip Ozuah new CEO
Montefiore Medicine names Philip Ozuah new CEO
Operations
Optum CEO Andrew Witty is named president of UnitedHealth Group
Optum CEO Andrew Witty named president of UnitedHealth Group
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
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
Cape Cod Healthcare building $180M patient tower, investing in EHR
CCHC building $180M patient tower
Compliance & Legal
OCR imposes a $2.15 million civil penalty against Jackson Health System for alleged HIPAA violations
Jackson Health pays $2.15M in civil penalty
Policy and Legislation
First week of open enrollment sees roughly 177,000 consumers sign up over two days
177,000 people select Healthcare.gov plans in 2 days
Community Benefit
Advocate Aurora Health contributed $2.1 billion to community charitable care and services in 2018
Advocate Aurora: $2.1B in charity care
Accountable Care
Physician-led accountable care organizations outperform hospital-led counterparts
Physician-led ACOs outperform hospital ACOs
Acute Care
Pressure ulcers cost the health system $26.8 billion a year
Pressure ulcers cost the health system $26.8B a year
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Anthem, MassChallenge HealthTech to collaborate on accelerator launch
Anthem, MassChallenge HealthTech launching accelerator
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
CMS releases final and proposed rules on price transparency bound to get provider and payer pushback
CMS releases final and proposed rules on price transparency
Patient Engagement
Former Aetna CEO Mark Bertolini talks about CVS, the Amazon experience and how insurers stay relevant
Former Aetna CEO Mark Bertolini talks about insurers staying relevant
Pharmacy
Post-market price changes alone account for most recent spending growth for biologics
Post-market price changes linked to biologic spending growth
Population Health
How health insurance literacy can affect the financial hardship of cancer
Insurance literacy can impact financial hardship
Risk Management
Study finds racial bias in Optum algorithm
Study finds racial bias in Optum algorithm
Telehealth
School-based telehealth program reduces ED visits by pediatric asthma patients
School-based telehealth reduced ED visits
Mergers & Acquisitions
Sanford Health, UnityPoint Health call off plans for $11 billion merger
Sanford, UnityPoint call off $11B merger
View more

Marilyn Tavenner

In-depth

Cigna CEO David Cordani to lead board of America's Health Insurance Plans

Cigna CEO David Cordani to lead board of America's Health Insurance Plans

Cordani will replace current chair Bernard Tyson, CEO of Kaiser Permanente, in 2019;…

AHIP thanks CMS for adding flexibility in 2019 Medicare Advantage and Part D rule

AHIP thanks CMS for adding flexibility in 2019 Medicare Advantage and Part D rule

New proposed rule offers insurers more plan flexibility and eases regulations.

Whitepapers

Three Data-Driven Processes for Maximizing Healthcare Revenue

Three Data-Driven Processes for Maximizing Healthcare Revenue

Over the past decade, changes in the healthcare landscape have squeezed margins, brought…

The State of Healthcare Performance Improvement

The State of Healthcare Performance Improvement

Kaufman Hall has released its third annual survey of hospital and health system leaders on the state of…

Latest News

June 15, 2018 | Susan Morse

Cigna CEO David Cordani to lead board of America's Health Insurance Plans

November 22, 2017 | Susan Morse

AHIP thanks CMS for adding flexibility in 2019 Medicare Advantage and Part D rule

November 14, 2017 | Tom Sullivan

GOP Senator promises prompt confirmation hearing for Trump HHS Secretary pick Alex Azar

October 2, 2017 | Kaiser Health News

Medicare paid $1.5 billion to replace failed heart devices

July 28, 2017 | Susan Morse

Providers relieved 'skinny' bill fails, say it's time for bipartisan solution

July 27, 2017 | Susan Morse

Senate expected to vote on single-payer plan, skinny repeal that would end individual, employer mandates

July 17, 2017 | Susan Morse

Insurers urge Senate to drop Cruz amendment, saying premiums would skyrocket

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MostPopular

Former Aetna CEO Mark Bertolini talks about insurers staying relevant

Former Aetna CEO Mark Bertolini talks about insurers staying relevant

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

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

See the first star ratings for home health

See the first star ratings for home health

Data breaches to cost healthcare $4B by year's end

Data breaches to cost healthcare $4B by year's end

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…

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.

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

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…