Topics
Reimbursement
Rural hospital closures having an impact on mortality rates
Rural hospital closures raising mortality rates
Revenue Cycle Management
Healthcare revenue cycle management market projected to be worth $104 billion by 2025
Rev cycle market worth $104B by 2025
Strategic Planning
Close to one-third of healthcare employees have never received cybersecurity training, report shows
One-third of healthcare employees lack cybersecurity training
Capital Finance
U.S. spends more on healthcare, but not on social services spending, study finds
Higher social spending linked to higher healthcare spending
Supply Chain
Optimizing the total performance of a healthcare supply chain means data and clinical integration
Optimizing the total performance of the supply chain
Accounting & Financial Management
Employer medical benefit costs projected to nearly double the rate of inflation in 2020
Medical benefit costs could soon outpace inflation
Budgeting
Health systems allocate just 5-10% of total spending on primary care, despite benefits
Public and private payers underinvest in primary care
Quality and Safety
Black, Hispanic patients more likely to be brought to safety-net hospital emergency rooms
Minorities more likely to head to safety net ERs
Billing and Collections
AHIP supports a federal model of California law to end surprise billing
AHIP supports California law to end surprise billing
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
UnitedHealth's contract dispute with Team Health has implications industry-wide
UnitedHealth's contract dispute has industry-wide implications
Operations
Insurtech entrepreneurs to lead panel at Health 2.0
Insurtech entrepreneurs to lead Health 2.0. panel
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Women in healthcare face more harassment, have fewer opportunities and lower wages, study shows
Women: Fewer opportunities, lower wages
Construction & Facilities Management
Cape Cod Healthcare building $180M patient tower, investing in EHR
CCHC building $180M patient tower
Compliance & Legal
CEO of telemedicine company pleads guilty to Medicare fraud in $424 million scheme
Telemedicine CEO pleads guilty to Medicare fraud
Policy and Legislation
Trump administration's public charge rule presents threat to health, scholars say
Trumps' public charge rule: Threat to health?
Community Benefit
Kaiser Permanente commits $1.65 million to California wildfire relief efforts
Kaiser Permanente commits $1.65 million to California wildfire relief efforts
Accountable Care
Rural hospitals not using bundled payment models, data shows
Rural hospitals not using bundled payment models
Acute Care
Diverting avoidable emergency department visits could save healthcare $32 billion annually
Diverting avoidable ED visits could save $32B
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
How artificial intelligence can allow providers to get a better handle on social determinants of health data
How AI can harness SDOH data
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
Why aren't presidential candidates talking about value-based care?
Why aren't presidential candidates talking about value-based care?
Patient Engagement
Cutting operational costs while improving care quality requires leveraging technology to drive efficiencies
Cutting costs, boosting quality: Efficiency is the goal
Pharmacy
NimbleRx touts itself as first delivery service designed for independent and local pharmacies
NimbleRx offering pharmacy delivery
Population Health
SDOH: Horizon BCBS New Jersey, RWJBarnabas Health and state partner on value-based model
Horizon, RWJBarnabas and New Jersey partner on value-based model
Risk Management
Hospital employees are clicking on phishing emails, and that's a problem, JAMA study shows
JAMA: Hospital employees are clicking on phishing emails
Telehealth
Use of non-hospital-based provider-to-patient telehealth grew nearly 1,400%
Non-hospital-based telehealth grew 1,400%
Mergers & Acquisitions
Federal court sides with CVS Health/Aetna on their merger
Federal court sides with CVS/Aetna
View more

Out-of-Pocket Payments

In-depth

Candidates clash over Medicare for All in Thursday's debate

Candidates clash over Medicare for All in Thursday's debate

The cost of Senator Bernie Sanders' MFA plan is $50 trillion over 10 years.

Cigna offers new coverage program for expensive gene therapy

Cigna offers new coverage program for expensive gene therapy

Employers, health plans and unions may enroll; Covered consumers have no out-of-pocket payment for…

Whitepapers

The Evolution of Utilization Review and Its Impact on Revenue Integrity

The Evolution of Utilization Review and Its Impact on Revenue Integrity

Existing utilization review (UR) paradigms are no longer suitable for addressing the…

Taking Value Analysis to the Next Level

Taking Value Analysis to the Next Level

In the industry's ongoing transition from fee-for-service to value-based, healthcare executives are being challenged to…

Latest News

September 13, 2019 | Susan Morse

Candidates clash over Medicare for All in Thursday's debate

September 9, 2019 | Susan Morse

Cigna offers new coverage program for expensive gene therapy

August 29, 2019 | Jeff Lagasse

Medicare Plan Finder gets upgrade for the first time in a decade

August 13, 2019 | Susan Morse

Bright Health to expand its health plan model to 13 new markets for 2020

August 6, 2019 | Susan Morse

CVSHealth uses analytics to expand diabetes program, launch hypertension model

July 31, 2019 | Susan Morse

HHS and FDA propose plan for importation of prescription drugs from other countries

July 31, 2019 | Healthcare Finance Staff

In Wednesday's second Democratic debate, 7 of 10 candidates support Medicare for All

VIEW ALL NEWS

MostPopular

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

Hospitals are demanding secure medical devices

Hospitals are demanding secure medical devices

See the first star ratings for home health

See the first star ratings for home health

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

Kentucky hospitals and Anthem BCBS target high cost claims

Kentucky hospitals and Anthem BCBS target high cost claims

Getting paid for virtual care services: Codes to know

Getting paid for virtual care services: Codes to know

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

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.

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…