Topics
Reimbursement
Readmissions may be reduced through effective skilled nursing facility-to-home transition strategies
Reducing readmissions via SNF transitions
Revenue Cycle Management
Blockchain prototype aims to speed revenue cycle transactions
Blockchain prototype could speed revenue cycle transactions
Strategic Planning
Sutter Health | Aetna adds Stanford Health Care to network
Sutter Health | Aetna adds Stanford Health Care
Capital Finance
Hospitals improve financial performance, but volumes are slipping
Report: Hospital volumes are slipping
Supply Chain
Nearly all hospital leaders say supply chain optimization improves margins, survey shows
98% say supply chain optimization boosts margins
Accounting & Financial Management
Community Health Systems sees major drop in net losses over 2017, reporting $328 million for Q4 2018
CHS reports major drop in net losses for Q4 2018
Budgeting
High healthcare use linked with lower prices, according to Robert Wood Johnson Foundation
High healthcare use linked with lower prices
Quality and Safety
When doctors address bad reviews, patient satisfaction can double
Addressing bad reviews can boost patient satisfaction
Billing and Collections
AMA, UnitedHealthcare team up on billing codes that address social determinants of health
AMA, UnitedHealth team on SDoH ICD-10 codes
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
For busy medical students, two-hour meditation study may be as beneficial as a longer course
Meditation may help reduce medical student burnout
Operations
Eliminating routine but low-value preoperative tests for cataract surgery patients associated with cost savings
Cost savings through eliminating low-value cataract tests
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Wording in medical student evaluations differ by gender and minority status, revealing potential bias
Gender, minority bias revealed in med student evals
Construction & Facilities Management
Northwell Health, NYC Health + Hospitals open new $47.7 million joint lab to help hospitals focus on emergency testing, cut costs
Northwell Health, NYC Health + Hospitals open new $47.7M joint lab
Compliance & Legal
Sutter Health pays $30 million to settle alleged overpayment of Medicare Advantage funds
Sutter Health pays $30M to settle MA overpayment
Policy and Legislation
GOP-led 'repeal and replace' ACA debate already impacting women's health, study finds
ACA repeal debate impacting women's 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
Cerner and naviHealth launch EHR-agnostic tool to support BPCI Advanced participants
Cerner, naviHealth, launch BPCI Advanced solution
Acute Care
University of Chicago Medicine study shows need to enhance patient rest, evaluate overnight interruptions for better patient experience
University of Chicago Medicine study shows how to help patients rest for improved experience
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
EmblemHealth works with physician group to deploy HealthReveal clinical AI tool within Epic EHR
EmblemHealth works with physician group to deploy HealthReveal clinical AI tool within Epic EHR
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 reduces exchange user fees, changes coupon policy for brand name drugs in 2020 final rule
CMS reduces exchange user fees, changes drug coupon policy in final rule
Patient Engagement
How the 'A' in 'AI' can stand for 'Assistive,' and what that means for providers and patients
Should 'AI' stand for 'Assistive Technology?'
Pharmacy
PBM execs say competition, biosimilars are solutions to lowering drug prices
PBMs say competition, more biosimilars are needed to lower drug prices
Population Health
Mandatory sugar labels could generate healthcare savings, improve health in a cost-effective way
Study: Sugar labels could save billions
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
Blue Cross NC $750,000 grant funds expansion of school-based telehealth
Blue Cross NC funds school-based telehealth
Mergers & Acquisitions
Hospital merger and acquisition volume in the first quarter was the lowest in nearly a decade
M&A volume in Q1 lowest in nearly 10 years
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Pharmacy

In-depth

CMS reduces exchange user fees, changes coupon policy for brand name drugs in 2020 final rule

CMS reduces exchange user fees, changes coupon policy for brand name drugs in 2020 final rule

Rule proposes no changes to practice of silver loading as insurers…

Health insurance tax, not rebates, greatest threat to affordability, UnitedHealth Group CEO says

Health insurance tax, not rebates, greatest threat to affordability, UnitedHealth Group CEO says

UnitedHealth has already converted, or is in the process of…

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…

Securing and Illuminating the Pharmaceutical Supply Chain

Securing and Illuminating the Pharmaceutical Supply Chain

Supply chain management has always been a key challenge for pharmaceutical companies and their trading…

Latest News

April 18, 2019 | Susan Morse

CMS reduces exchange user fees, changes coupon policy for brand name drugs in 2020 final rule

April 16, 2019 | Susan Morse

Health insurance tax, not rebates, greatest threat to affordability, UnitedHealth Group CEO says

April 16, 2019 | Susan Morse

Humana launches oncology model to reward integrated care

April 15, 2019 | Deirdre Fulton

Blue Cross NC $750,000 grant funds expansion of school-based telehealth

April 10, 2019 | Susan Morse

Walgreens and VillageMD partner on primary care

April 9, 2019 | Susan Morse

PBM execs say competition, biosimilars are solutions to lowering drug prices

April 4, 2019 | Susan Morse

Cigna and Express Scripts launch program to cap out-of-pocket cost for insulin at $25 per 30-day supply

VIEW ALL NEWS

MostPopular

Getting paid for virtual care services: Codes to know

Getting paid for virtual care services: Codes to know

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

CMS rule gives Medicare Advantage plans an edge over traditional Medicare

CMS rule gives Medicare Advantage plans an edge over traditional Medicare

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

Anthem accelerates start for PBM IngenioRX

Anthem accelerates start for PBM IngenioRX

Medicare Advantage steers Silver Tsunami into value-based care

Medicare Advantage steers Silver Tsunami into value-based care

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

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…

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.

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.