Topics
Reimbursement
Benefit design, higher deductibles will increase bad debt for hospitals
Benefit design, higher deductibles to increase bad debt
Revenue Cycle Management
Referral process going digital as healthcare providers look to stem revenue leakage
Referral processes going digital
Strategic Planning
Haven rolls out health plan pilot for some employees
Haven rolls out health plan pilot
Capital Finance
Healthcare real estate: The pros and cons of buying versus leasing
To lease or to buy? The pros and cons
Supply Chain
Unnecessary healthcare supply chain spending reaches almost $26 billion; savings opportunities remain
Unnecessary supply chain spending reaches $26B
Accounting & Financial Management
Reducing wasteful spending in healthcare by curbing administrative complexity
Curbing administrative complexity to slash waste
Budgeting
'Care cascades,' or unwarranted tests, show hidden costs
Unnecessary tests show hidden costs
Quality and Safety
Hospitals given latitude to select transplant candidates don't prioritize sickest patients
Hospitals don't prioritize sickest transplant candidates
Billing and Collections
Poor digital billing process associated with uncollected payments
Poor digital billing associated with collections
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
Nursing shortage collides with rising baby boomer population
Nursing shortage collides with rising need
Operations
Blue Cross Blue Shield launches Blue HPN network
BCBS launches Blue HPN network
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
OCR imposes a $2.15 million civil penalty against Jackson Health System for alleged HIPAA violations
Jackson Health pays $2.15M in civil penalty
Policy and Legislation
HIMSSCast: CMS price transparency rule, telehealth parity laws, and healthcare consumerism
HIMSSCast: CMS price transparency rule, telehealth parity laws, and healthcare consumerism
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
Physician-led accountable care organizations outperform hospital-led counterparts
Physician-led ACOs outperform hospital ACOs
Acute Care
Pressure ulcers cost the health system $26.8 billion a year
Pressure ulcers cost the health system $26.8B a year
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
ACA open enrollment picks up in week 3, but is still a 13% drop over last year
ACA open enrollment picks up in week 3 but still lags over last year
Patient Engagement
Humana's Medicare Advantage value-based programs reduce healthcare costs by $3.5 billion, report shows
Humana's MA value-based programs reduce healthcare costs by $3.5B
Pharmacy
AHA and CVS Health are behind pharma bashing radio ads, says STAT report
AHA and CVS Health are behind pharma bashing radio ads, STAT says
Population Health
Majority of parents say socioeconomic factors negatively impact their families' health
Socioeconomic factors impact families' health
Risk Management
Study finds racial bias in Optum algorithm
Study finds racial bias in Optum algorithm
Telehealth
School-based telehealth program reduces ED visits by pediatric asthma patients
School-based telehealth reduced ED visits
Mergers & Acquisitions
Sanford Health, UnityPoint Health call off plans for $11 billion merger
Sanford, UnityPoint call off $11B merger
View more

Out-of-Pocket Payments

In-depth

Opening Medicare to Americans aged 50 to 64 would cut their insurance costs, RAND finds

Opening Medicare to Americans aged 50 to 64 would cut their insurance costs, RAND finds

For a typical 50-year-old, buying into Medicare would cost about $2,500…

American Hospital Association, provider groups to sue over final rule

American Hospital Association, provider groups to sue over final rule

The rule will accelerate anti-competitive behavior among health insurers and stymie…

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

November 19, 2019 | Jeff Lagasse

Opening Medicare to Americans aged 50 to 64 would cut their insurance costs, RAND finds

November 18, 2019 | Susan Morse

American Hospital Association, provider groups to sue over final rule

November 15, 2019 | Susan Morse

CMS releases final and proposed rules on price transparency bound to get provider and payer pushback

October 31, 2019 | Jeff Lagasse

'Care cascades,' or unwarranted tests, show hidden costs

October 29, 2019 | Jeff Lagasse

Financial incentives plus information decrease patient preference for potentially wasteful diagnostic testing

October 28, 2019 | Susan Morse

Kaiser, Oscar, Blue Cross Blue Shield plans among big winners of cost sharing reduction payments

October 21, 2019 | Jeff Lagasse

Healthcare costs projected to rise 5% in 2020 as employers look to control costs

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Former Aetna CEO Mark Bertolini talks about insurers staying relevant

Former Aetna CEO Mark Bertolini talks about insurers staying relevant

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATED: List of 2020 Medicare Advantage star ratings

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

See the first star ratings for home health

See the first star ratings for home health

Data breaches to cost healthcare $4B by year's end

Data breaches to cost healthcare $4B by year's end

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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

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…

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…