U.S. Department of Health and Human Services (HHS)

Court rules against insurers in risk corridors payments

Jun 14 | Susan Morse

Appeals court rules against insurers' case for billions in risk corridors payments

Between 2014 and 2016, total payments fell short by more than $12 billion.

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Jun 06 | Susan Morse

President Trump seeks to reorganize Department of Health and Human Services

The move would give HHS a new name, potentially including the word welfare, and consolidate safety-net programs…

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Medicare Part D drug spending spikes 77%

Jun 05 | Beth Jones Sanborn

Medicare Part D drug spending spikes by 77%

Even after taking into account manufacturer rebates, spending still increased more than 60 percent and the ranks of beneficiaries paying $2,000…

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S&P: 340B cuts could further weaken struggling hospitals

Jun 04 | Beth Jones Sanborn

340B cuts sting struggling hospitals, hurt credit ratings, S&P says

Program is a crucial part of operations for hospitals that serve vulnerable populations because it offsets the high costs…

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Trumps wants drug companies to post prices in ads

May 11 | Susan Morse

President Trump wants drug companies to post prices in ads

Strategies include increased competition and negotiation with incentives to lower list prices and out-of-pocket costs, HHS Sec.…

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May 10 | Susan Morse

HHS head Azar requested less money than Congress gave the agency

Health and Human Services Secretary Alex Azar's proposal would cut funding to the CDC and NIH, focus on opioid epidemic…

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May 09 | Susan Morse

President Trump's rescission proposal would cut CMMI, CHIP

Funds targeted were appropriated but never spent.

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NH is 4th state approved for Medicaid expansion work requirement

May 08 | Susan Morse

New Hampshire becomes 4th state to receive Medicaid expansion work requirement waiver

Kentucky Indiana and Arkansas have also received ACA waivers for work requirements under policies…

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Medicaid expansion battles in Maine and Virginia

May 03 | Susan Morse

Medicaid expansion battles persist in Maine and Virginia

Both states are struggling over whether or not to broaden Medicaid programs to insure more citizens.

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May 02 | Susan Morse

HHS Secretary Alex Azar to Supreme Court: Time to rule on Medicare case that affects $4 billion

Lower court's decision about disproportionate share hospital payments undermines the…

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Featured Resources

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

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Top 10 healthcare issues to watch in 2016

CMS cancels mandatory bundles, reduces joint model participation

Docs must now explain 'observational' statuses

List: 769 hospitals fined for medical errors, infections

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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.

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. ...

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.

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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 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 report ...

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 ...

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