Topics
Reimbursement
CMS to pay hospitals millions in site neutral payments for 2019
Hospitals to get millions in back payments for site neutral cuts
Revenue Cycle Management
HIMSS20 Revenue Cycle Optimization Forum puts the focus on patient-centric solutions
HIMSS20 Revenue Cycle forum focuses on patient-centric solutions
Strategic Planning
Too many providers are failing to meaningfully integrate data analytics
Too many providers are failing to meaningfully integrate data analytics
Capital Finance
Investment in medical and health R&D not keeping up with needs of nation, report finds
Healthcare R&D investments lag disease burden
Supply Chain
Reducing medical device life cycle costs an effective way to trim healthcare costs around the margins
Reducing medical device life cycle costs
Accounting & Financial Management
Healthcare paperwork cost U.S. $812 billion in 2017, 4 times more per capita than Canada
Paperwork cost U.S. $812B in 2017
Budgeting
Children frequently receive unnecessary medical care regardless of insurance type
Children get unnecessary care despite insurance type
Quality and Safety
HHS Secretary Alex Azar: No public health emergency declared in U.S. for coronavirus
No declaration of U.S. public health emergency over coronavirus
Billing and Collections
Tacking surprise billing could reduce healthcare spending by $40 billion
Surprise billing: A $40B problem
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
Gender pay disparities in healthcare pronounced at the beginning of careers
Gender pay disparities begin early
Operations
Study sheds light on executive pay in healthcare industry
Study sheds light on executive pay in healthcare
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
Fewer than half of US clinical trials have complied with the law on reporting results despite new regulations
Minority of clinical trials comply with reporting law
Policy and Legislation
California in violaton for requiring insurers to offer abortion coverage
California in violaton for requiring insurers to offer abortion coverage
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
ACOs in the MSSP model head into future risk
ACOs and the MSSP model head into 2020
Acute Care
Critical care improvements may differ depending on a hospital's patient population
Patient population determines ICU improvements
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 expands coverage of Next Generation Sequencing for patients with breast and ovarian cancer
CMS expands NGS coverage for breast and ovarian cancer
Patient Engagement
Humana, Validic partnership to focus on accessibility of health incentive programs
Humana, Validic partner up on Go360
Pharmacy
Blue Cross Blue Shield organizations and Civica Rx partner on lower cost generic drugs
BCBS organizations, Civica Rx partner on lower cost drugs
Population Health
Surgeon General releases smoking cessation report outlining strategies for healthcare systems, individuals
Surgeon General issues smoking cessation report
Risk Management
Cybersecurity needs to be put in business terms
Cybersecurity needs to be put in business terms
Telehealth
Tufts Health Plan expands telehealth amid Harvard Pilgrim merger
Tufts Health Plan expands telehealth amid Harvard Pilgrim merger
Mergers & Acquisitions
Four South Chicago hospitals pursuing $1.1 billion merger into one healthcare system
Four Chicago systems to merge in $1.1B deal
View more

Medicare Administrative Contractors (MACs)

In-depth

Health and Human Services appeals site neutral payments ruling

Health and Human Services appeals site neutral payments ruling

Beyond cost, CMS said it adopted the lower payments for hospital outpatient facilities as a…

CMS to pay hospitals millions in site neutral payments for 2019

CMS to pay hospitals millions in site neutral payments for 2019

The AHA is calling on CMS to "abandon further illegal cuts for 2020" that CMS says would save…

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

December 13, 2019 | Susan Morse

Health and Human Services appeals site neutral payments ruling

December 13, 2019 | Susan Morse

CMS to pay hospitals millions in site neutral payments for 2019

October 3, 2018 | Susan Morse

CMS revamps the Medicare program integrity manual to accelerate innovation, access to technology

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

VIEW ALL NEWS

MostPopular

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATE: WHO again stops short of declaring global health emergency over coronavirus

UPDATE: WHO again stops short of declaring global health emergency over coronavirus

See the first star ratings for home health

See the first star ratings for home health

Omnicare, CVS Health, accused of prescription drug fraud

Omnicare, CVS Health, accused of prescription drug fraud

Healthcare in 2020: Progress continues, but challenges remain

Healthcare in 2020: Progress continues, but challenges remain

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

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…