Topics
Reimbursement
Smoking cessation efforts may reduce avoidable hospital readmissions
Smoking linked to higher readmissions
Revenue Cycle Management
Revenue cycle, billing improvements trump lawsuits when it comes to collecting
Rev cycle, billing improvements boost collections
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
Half of healthcare leaders say artificial intelligence will yield positive return on investment in 3 years
Half of leaders say AI will yield ROI in 3 years
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
Profitability declined in August as volumes begin to soften, says Kaufman Hall
Report: Profitability down, volumes soft
Budgeting
Pressures of value-based care reforms trigger sharp increase in clinical outsourcing partnerships
Value-based care pressures driving outsourcing
Quality and Safety
Hospitals face rising risk of sophisticated cyberattacks
Hospitals face rising risk of cyberattacks
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
2018 cohort of newly-certified physician assistants is the youngest and largest yet
Largest and youngest group of PAs now certified
Operations
Some ICU admissions may be preventable, saving money and improving care
Preventing some ICU admissions can save money
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
Genetic testing company accused of Medicare fraud settles for $42.6 million
Medicare fraud: Company settles for $42.6M
Policy and Legislation
Federal requirements for sharing patient medical records pose challenges, opportunities
Many unfamiliar with law requiring access, interoperability
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
Coordinated care model leads to decreases in unscheduled, preventable hospitalizations
Coordinated care in OR decreases preventable hospitalizations
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
Medication adherence a big factor in Medicare Advantage star ratings
Medication adherence a big factor in MA star ratings
Patient Engagement
Online patient portal usage linked to higher rates of flu shots, blood pressure checks
Patient portals linked to more flu shots, blood pressure checks
Pharmacy
Expanding biosimilars market holds potential for significant savings to state Medicaid programs
Biosimilars: Saving money for state Medicaid programs
Population Health
Sentara Health partners on $100 million investment to improve housing in Virginia
Sentara Health partners to give $100M to improve housing
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
UnitedHealthcare app gives members on-demand access to telehealth services
UnitedHealthcare app gives members on-demand access to telehealth services
Mergers & Acquisitions
Federal court sides with CVS Health/Aetna on their merger
Federal court sides with CVS/Aetna
View more

Stark Law (Physician Self-Referral Law)

In-depth

HHS and CMS are offering safe harbor to Stark Law to promote value-based, coordinated care

HHS and CMS are offering safe harbor to Stark Law to promote value-based, coordinated care

Example of changes is allowing a hospital to donate free…

President Trump signs executive order to protect traditional Medicare and MA plans

President Trump signs executive order to protect traditional Medicare and MA plans

The order outlines sweeping policy and regulatory proposals including…

Whitepapers

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…

A New Approach to Comparative Analytics Drives Improvement Enterprise-wide

A New Approach to Comparative Analytics Drives Improvement Enterprise-wide

Today's healthcare environment requires a new means to get the right comparative…

Latest News

October 9, 2019 | Susan Morse

HHS and CMS are offering safe harbor to Stark Law to promote value-based, coordinated care

October 3, 2019 | Susan Morse

President Trump signs executive order to protect traditional Medicare and MA plans

December 21, 2018 | Susan Morse

CMS finalizes rule forcing ACOs to take on more risk

December 13, 2018 | Beth Jones Sanborn

Digital transformation demands a whole new level oversight to avoid healthcare fraud

September 26, 2018 | Beth Jones Sanborn

Community Health Systems' subsidiary to pay more than $260 million over alleged kickback, billing, inpatient admissions scheme

August 29, 2018 | Beth Jones Sanborn

NYU's free tuition move called precedent setting, will open doors for primary care, rural health

August 6, 2018 | Beth Jones Sanborn

Detroit hospital hit with $84.5 million settlement over false claims allegations

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MostPopular

Cigna expands its ACA footprint

Cigna expands its ACA footprint

BCBS of Illinois invests $1M in housing

BCBS of Illinois invests $1M in housing

Brand-name drug rebates reduced spending growth

Brand-name drug rebates reduced spending growth

Hospitals, insurers object to posting negotiated rates

Hospitals, insurers object to posting negotiated rates

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATED: List of 2020 Medicare Advantage star ratings

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…

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.

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

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.

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…