Topics
Reimbursement
CMS relents, opens up smartphone-connected CGMs for reimbursement
CMS relents, opens up smartphone-connected CGMs for reimbursement
Revenue Cycle Management
Tell us: What are your hospital's top revenue cycle pain points?
Tell us: What are your hospital's top revenue cycle pain points?
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
Hospital-acquired infections keep rising, wasting billions, finds Leapfrog
Hospital-acquired infections on the rise
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
Atul Gawande to lead Amazon, Berkshire Hathaway and JPMorgan Chase venture
Atul Gawande to lead Amazon, Berkshire Hathaway and JPMorgan Chase venture
Operations
9 in 10 hospitals have big IT plans in year ahead, half say insufficient funding is a concern
Nearly all health orgs advancing tech initiatives
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
American Medical Association blasts Trump Administration's
AMA to Trump: End zero tolerance policy now
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
Atul Gawande says Amazon, Berkshire, JPMorgan healthcare venture will take gradual progress
What new Amazon venture CEO Atul Gawande said at AHIP
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
New Medicare model produces nurses to address shortage of primary care, says NEJM
Medicare model produces nurses to address care shortage
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
Physician shortages mean doctors have to learn to use new technologies
As docs decline, telemedicine rises
Mergers & Acquisitions
American Medical Association says CVS Health, Aetna merger would hinder competition in many markets
AMA comes out against CVS Health, Aetna merger
View more

Medicare Administrative Contractors (MACs)

In-depth

CMS relents, opens up smartphone-connected CGMs for reimbursement

CMS relents, opens up smartphone-connected CGMs for reimbursement

The Centers for Medicare and Medicaid Services will reverse a longstanding unpopular position…

HHS Secretary Alex Azar to Supreme Court: Time to rule on Medicare case that affects $4 billion

HHS Secretary Alex Azar to Supreme Court: Time to rule on Medicare case that affects $4 billion

Lower court's decision about disproportionate share hospital…

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

June 15, 2018 | Jonah Comstock

CMS relents, opens up smartphone-connected CGMs for reimbursement

May 2, 2018 | Susan Morse

HHS Secretary Alex Azar to Supreme Court: Time to rule on Medicare case that affects $4 billion

March 26, 2018 | Beth Jones Sanborn

Medicare overpaid $367 million for outpatient physical therapy in six-month stretch, OIG audit finds

November 28, 2016 | Beth Jones Sanborn

Two Midnight rule helped slash improper payments for inpatient hospital claims by 58 percent, CMS says

June 9, 2016 | Susan Morse

CMS delays review of short stay patient claims under two midnight rule

November 2, 2015 | Susan Morse

CMS cements 'physician judgment' exception in two-midnight policy

August 13, 2015 | Henry Powderly

CMS delays two-midnight rule enforcement to January 2016

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

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…

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.