Topics
Reimbursement
HIMSSCast: How Oscar Health is taking on legacy players to bring innovation to health insurance
How Oscar Health is bringing innovation to health insurance
Revenue Cycle Management
30% of hospitals and health systems using revenue cycle automation require two or more vendors
30% of hospitals use multiple RCM vendors
Strategic Planning
A study in collaboration: 24 hospitals, one health record
HIMSS21: 24 hospitals, one health record
Capital Finance
Healthcare M&As poised to come off extended pause
Healthcare M&As poised to come off extended pause
Supply Chain
White House says data is one key to improving pharma supply chain resilience
White House says data is one key to improving pharma supply chain resilience
Accounting & Financial Management
Employer health costs projected to rise 6.5% in 2022 due in part to COVID-19
Health costs projected to rise 6.5% in 2022
Budgeting
Employers' health benefits costs expected to grow, but most won't take cost-saving measures
Employers' health benefits costs expected to increase in 2021
Quality and Safety
Atrium Health's quick turnaround allowed for digital innovation during the pandemic
Atrium Health's quick turnaround allowed for digital innovation during the pandemic
Billing and Collections
Cost-sharing waivers for COVID-19 patients had substantial financial impact
Cost-sharing waivers for COVID-19 patients had substantial impact
Claims Processing
Anthem collaborates with Epic to give providers more data-driven insights 
Anthem collaborates with Epic on provider data-driven insights 
Workforce
COVID-19 having an impact on physicians' salaries, though pay remains high
COVID-19 having an impact on physicians' salaries
Operations
Hospitals saw gains in volume, revenue and margin in April, finds Kaufman Hall
Hospitals saw gains in volume, revenue and margin in April
Medical Devices
Wound dressings have a significant impact on total cost of care
Expensive wound dressings impact cost of care
Hospital/physician relations
AMA removes bust of founder from public display over racist past
AMA removes bust of 'racist' founder
Construction & Facilities Management
Michigan Medicine to resume construction on $920 million hospital
Michigan Medicine to resume construction on $920M hospital
Compliance & Legal
Judge rules in favor of HHS in health plan lawsuit on Medicare Advantage star rating calculations
Judge rules in favor of HHS in health plan lawsuit on MA star ratings
Policy and Legislation
HHS providing $424 million to rural health clinics for COVID-19 testing
HHS providing $424M to rural health clinics for COVID-19 testing
Community Benefit
UnitedHealthcare introduces community-based collaborative to improve health outcomes, equity
UnitedHealthcare introduces community-based collaborative
Accountable Care
Healthcare organizations ask HHS to delay quality measure reporting for ACOs
Healthcare organizations ask HHS to delay ACO reporting requirements
Acute Care
Mayo Clinic and Kaiser Permanente invest in at-home acute level care 
Mayo Clinic and Kaiser Permanente invest in at-home acute level care 
Ambulatory Care
Oak Street Health opens three new clinics at Walmart supercenters in Texas
Oak Street Health opens new clinics at Walmart supercenters in Texas
Analytics
Mayo Clinic launches remote diagnostics platform, forms 2 new companies to support it
Mayo Clinic launches remote diagnostics platform, forms 2 new companies to support it
Business Intelligence
AHIP updates mission in bid to rebrand, commits to mental health and chronic care
AHIP updates mission in bid to rebrand
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
Chiquita Brooks-LaSure confirmed to lead Centers for Medicare and Medicaid Services
Chiquita Brooks-LaSure confirmed to lead CMS
Patient Engagement
To make new tech implementations work, patient consultant says to focus on the person
To make new tech implementations work, patient consultant says to focus on the person
Pharmacy
Biogen teaming with Cigna, CVS Health to increase access to its Alzheimer's drug
Biogen teams with Cigna, CVS Health on Alzheimer's drug
Population Health
Intermountain and MDClone pairing saves money as both patients and populations are better understood
Intermountain and MDClone pairing saves money
Risk Management
Geisinger and Noteworth launch virtual care platform to help control chronic diseases
Geisinger and Noteworth launch virtual care platform
Telehealth
The importance of engaging health plan members in virtual care
The importance of engaging health plan members in virtual care
Mergers & Acquisitions
Sentara Healthcare, Cone Health call off affiliation
Sentara Healthcare, Cone Health call off affiliation
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Out-of-Pocket Payments

In-depth

Health plan leaders request inclusion of audio-only telehealth visits to MA risk adjustment

Health plan leaders request inclusion of audio-only telehealth visits to MA risk adjustment

The groups said the move is imperative to ensure health costs are…

Cost-sharing waivers for COVID-19 patients had substantial financial impact

Cost-sharing waivers for COVID-19 patients had substantial financial impact

Insurers should be mandated to continue to waive inpatient out-of-pocket costs,…

Whitepapers

Is the Patient or Member Experience You're Delivering on Life Support? Lessons for Payers and Providers

Is the Patient or Member Experience You're Delivering on Life Support? Lessons for Payers and Providers

Customer experience is a crucial part of a health…

Standardization is Key to Maximizing Total Value of Patient Care Products

Standardization is Key to Maximizing Total Value of Patient Care Products

Healthcare organizations know that providing great patient care while keeping an eye…

Latest News

June 7, 2021 | Jeff Lagasse

Health plan leaders request inclusion of audio-only telehealth visits to MA risk adjustment

June 3, 2021 | Susan Morse

Cost-sharing waivers for COVID-19 patients had substantial financial impact

June 1, 2021 | Jeff Lagasse

HHS: Biden's FY22 budget will invest in pandemic preparedness, expanding affordable care

May 28, 2021 | Jeff Lagasse

Healthcare costs for a family of four decrease for the first time in history

May 27, 2021 | Susan Morse

CMS proposes delaying drugmaker rule days after PhRMA sues

May 27, 2021 | Jeff Lagasse

CMS encouraging gig workers from Uber, Lyft and others to sign up for Affordable Care Act coverage

May 13, 2021 | Jeff Lagasse

Telehealth reimbursement parity spurs insurer concerns of overutilization

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MostPopular

CDC sees more blood clot cases linked to the J&J vaccine

CDC sees more blood clot cases linked to the J&J vaccine

BCBS members receive notice of $2.7B antitrust settlement

BCBS members receive notice of $2.7B antitrust settlement

Hospital costs for COVID-19 varies by age, length of stay

Hospital costs for COVID-19 varies by age, length of stay

Coronavirus likely escaped from a Wuhan lab, says former CDC director

Coronavirus likely escaped from a Wuhan lab, says former CDC director

Providers get greater payment for COVID-19 vaccines

Providers get greater payment for COVID-19 vaccines

Bipartisan bill looks to reform MA prior authorization

Bipartisan bill looks to reform MA prior authorization

UnitedHealthcare looks to retroactively deny ER claims

UnitedHealthcare looks to retroactively deny ER claims

News

Healthcare organizations ask HHS to delay quality measure reporting for ACOs

Healthcare organizations ask HHS to delay quality measure reporting for ACOs

The American Hospital Association and American Medical Association are among the 11 organizations signing the letter.

Ending racism in healthcare often begins with medical education - and is the target of a new national project

Ending racism in healthcare often begins with medical education - and is the target of a new national project

Inequities can be found in every facet of the industry, but targeting medical students and residents can help stem the tide.

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…

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…