Topics
Reimbursement
Medicare reimbursement rates for orthopedic trauma have fallen sharply
Orthopedic Medicare reimbursement falls sharply
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
Walmart Health clinics to expand in Georgia, Florida and Chicago
Walmart Health clinics to expand in Georgia, Florida and Chicago
Compliance & Legal
Montefiore employee terminated after data breach affected up to 4,000 patient records
Montefiore data breach compromises 4,000 patients' info
Policy and Legislation
Insurer projections, 'rolling hotspots' and vaccines get Advisory Board attention
Insurer projections,'rolling hotspots' and vaccines get Advisory Board attention
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 coverage of minorities
Patient Engagement
Public sentiment on healthcare deteriorating during COVID-19 pandemic
Public sentiment on healthcare deteriorating
Pharmacy
EDs should tailor clinical decision support to avoid antibiotic overprescribing, data suggests
CDS may curb ED antibiotic overprescribing
Population Health
Minorities suffer most from COVID-19 in nursing homes and assisted living communities
Minorities in nursing homes, ALs suffer most from COVID-19
Risk Management
Cybersecurity needs to be put in business terms
Cybersecurity needs to be put in business terms
Telehealth
Accolade and Ginger team for integrated physical and mental healthcare
Accolade and Ginger team for integrated physical and mental healthcare
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

Medicare Administrative Contractors (MACs)

In-depth

CMS proposes coverage updates for artificial hearts and ventricular assist devices

CMS proposes coverage updates for artificial hearts and ventricular assist devices

About 6.5 million Americans live with heart failure and these technologies…

CMS increases Medicare payment for high-production coronavirus lab tests

CMS increases Medicare payment for high-production coronavirus lab tests

The action is being taken to rapidly expand COVID-19 testing, particularly for those…

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

August 12, 2020 | Mallory Hackett

CMS proposes coverage updates for artificial hearts and ventricular assist devices

April 15, 2020 | Susan Morse

CMS increases Medicare payment for high-production coronavirus lab tests

April 6, 2020 | Susan Morse

Trump administration wants to use hospitals' $100 billion to cover uninsured

March 31, 2020 | Susan Morse

AHA wants federal stimulus funds to go directly to hospitals

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

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 

340B hospitals say drugmakers are undermining discount pricing program

340B hospitals say drugmakers are undermining discount pricing program

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

News

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.

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.

Whitepapers

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…

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.