Topics
Reimbursement
Volume growth contributes to improved hospital margins in October, finds Kaufman Hall
Hospital margins up in October, driven by volume
Revenue Cycle Management
Referral process going digital as healthcare providers look to stem revenue leakage
Referral processes going digital
Strategic Planning
Partners HealthCare announces rebranding to Mass General Brigham
Partners to rebrand to Mass General Brigham
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
Shortage of specialists negatively impacting patients in rural areas
Specialist shortage hurting rural patients
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
AHIP, BCBS Association support lawsuit against health insurance tax for Medicaid managed care
AHIP, BCBS Association support health insurance tax lawsuit
Policy and Legislation
Mayor Pete Buttigieg unveils plan to reduce inequities in healthcare access
Mayor Pete releases plan to curb health inequities
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
How changing Affordable Care Act rules affected health insurance premium costs
Changing ACA rules affected premium costs
Patient Engagement
Employer-based health coverage remains strong, though concerns about affordability remain
Employer-based health coverage remains strong
Pharmacy
Suicide attempts and hospitals admissions linked to non-opioid drugs on the rise
Suicides, admissions linked to non-opioid drugs
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
CVS Health to acquire IlliniCare Health in agreement with Centene
CVS to acquire IlliniCare in Centene deal
View more

Stark Law (Physician Self-Referral Law)

In-depth

Premiums, deductibles eating up more of employees' incomes, finds Commonwealth Fund

Premiums, deductibles eating up more of employees' incomes, finds Commonwealth Fund

In 18 states, the average health plan deductible is now 5% or more of…

Maine hospitals lead in Leapfrog safety grades

Maine hospitals lead in Leapfrog safety grades

D and F graded hospitals carry nearly twice the risk of mortality of A-graded hospitals, with over 50,000 lives…

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 21, 2019 | Jeff Lagasse

Premiums, deductibles eating up more of employees' incomes, finds Commonwealth Fund

November 7, 2019 | Susan Morse

Maine hospitals lead in Leapfrog safety grades

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

VIEW ALL NEWS

MostPopular

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: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATED: List of 2020 Medicare Advantage star ratings

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

See the first star ratings for home health

See the first star ratings for home health

See how hospitals did in star ratings

See how hospitals did in 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

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…