Topics
Reimbursement
CMS worked 'to keep hospital payments as steady as possible' in inpatient rule
CMS worked to keep hospital payments steady in inpatient rule
Revenue Cycle Management
30% of hospitals and health systems using revenue cycle automation require two or more vendors
30% of hospitals use multiple RCM vendors
Strategic Planning
Report: Healthcare leaders have an optimistic outlook beyond COVID-19
Report: Healthcare leaders have an optimistic outlook beyond COVID-19
Capital Finance
Healthcare M&As poised to come off extended pause
Healthcare M&As poised to come off extended pause
Supply Chain
Northwell sends relief to India as coronavirus cases overwhelm hospitals and the supply chain
Northwell sends relief to India as coronavirus cases overwhelm hospitals
Accounting & Financial Management
UnitedHealth Group posts $4.9 billion profit in the first quarter, beating expectations
UnitedHealth Group posts $4.9B profit in the Q1
Budgeting
Employers' health benefits costs expected to grow, but most won't take cost-saving measures
Employers' health benefits costs expected to increase in 2021
Quality and Safety
CDC committee reaffirms Johnson & Johnson vaccine recommendation
CDC panel reaffirms J&J vaccine recommendation
Billing and Collections
CMS issues billing codes for Eli Lilly's COVID-19 antibody treatment
CMS issues billing codes for Eli Lilly's COVID-19 antibody treatment
Claims Processing
Cerner makes moves into the life insurance game
Cerner makes moves into the life insurance game
Workforce
Demand is high for healthcare workers while labor numbers stagnate
Demand is high for healthcare workers while labor numbers stagnate
Operations
One million Americans have gotten covered during the special enrollment period
One million Americans have gotten covered during the SEP
Medical Devices
Wound dressings have a significant impact on total cost of care
Expensive wound dressings impact cost of care
Hospital/physician relations
AMA removes bust of founder from public display over racist past
AMA removes bust of 'racist' founder
Construction & Facilities Management
Michigan Medicine to resume construction on $920 million hospital
Michigan Medicine to resume construction on $920M hospital
Compliance & Legal
BCBS members receive notice of $2.7B antitrust settlement
BCBS members receive notice of $2.7B antitrust settlement
Policy and Legislation
Hospitals urge HHS to distribute billions that remain in the COVID-19 relief fund
Hospitals urge HHS to distribute billions that remain in relief fund
Community Benefit
Sanford Health begins $300 million initiative to improve rural healthcare access
Sanford Health begins $300 million initiative to improve rural access
Accountable Care
Healthcare organizations ask HHS to delay quality measure reporting for ACOs
Healthcare organizations ask HHS to delay ACO reporting requirements
Acute Care
Blood vessel damage, inflammation found in COVID-19 patients' brains, but no infection
COVID-19 patients show blood vessel damage, inflammation
Ambulatory Care
Oak Street Health opens three new clinics at Walmart supercenters in Texas
Oak Street Health opens new clinics at Walmart supercenters in Texas
Analytics
Mayo Clinic launches remote diagnostics platform, forms 2 new companies to support it
Mayo Clinic launches remote diagnostics platform, forms 2 new companies to support it
Business Intelligence
Cigna raises financial forecast for 2021 despite the ongoing COVID-19 pandemic
Cigna raises financial forecast for 2021
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
UnitedHealth launching post-discharge home program for group Medicare Advantage plans
UnitedHealth launching home program for group MA plans
Patient Engagement
Humana collaborating with providers to offer value-based care for those with original Medicare
Humana collaborating on VBC for original Medicare members
Pharmacy
FDA grants Pfizer authorization for COVID-19 vaccine for children ages 12 to 15 
FDA grants EUA for Pfizer's COVID-19 vaccine for 12-15-year-olds
Population Health
HHS awards $40 million in ARP funding to support emergency home visiting assistance
HHS awards $40M to support emergency home visiting assistance
Risk Management
FBI, HHS warn of 'increased and imminent' cyber threat to hospitals
FBI, HHS warn of 'increased and imminent' cyber threat to hospitals
Telehealth
Telehealth reimbursement parity spurs insurer concerns of overutilization
Telehealth reimbursement parity has insurers concerned about overutilization
Mergers & Acquisitions
Cigna won't receive $1.85 billion from the breakup with Anthem, court rules
Court: Cigna won't receive $1.85B from Anthem breakup
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Value-based purchasing

In-depth

CMS releases hospital quality star ratings

CMS releases hospital quality star ratings

Revised methodology for the rating system was finalized in the 2021 outpatient prospective payment system final…

Hospital payments increase 2.8% under CMS proposed rule

Hospital payments increase 2.8% under CMS proposed rule

One of the biggest proposals is the repeal of the mandate that hospitals disclose their privately…

Whitepapers

Improving the Patient Financial Experience Throughout the Patient Journey

Improving the Patient Financial Experience Throughout the Patient Journey

While many healthcare providers believe that improving the patient financial…

Is the Patient or Member Experience You're Delivering on Life Support? Lessons for Payers and Providers

Is the Patient or Member Experience You're Delivering on Life Support? Lessons for Payers and Providers

Customer experience is a crucial part of a health…

Latest News

April 28, 2021 | Susan Morse

CMS releases hospital quality star ratings

April 28, 2021 | Susan Morse

Hospital payments increase 2.8% under CMS proposed rule

April 12, 2021 | Jeff Lagasse

CMS proposes changes to skilled nursing facility prospective payment system

December 28, 2020 | Mallory Hackett

Highmark and Boehringer Ingelheim value-based arrangement yields cost savings for diabetes patients

December 22, 2020 | Mallory Hackett

CMS finalizes rule to promote value-based drug purchasing agreements

December 18, 2020 | Mallory Hackett

CMS creates direct contracting model to serve individuals dually eligible for Medicare and Medicaid

July 10, 2020 | Jeff Lagasse

Value-based payment penalties disproportionately impact safety net hospitals

VIEW ALL NEWS

MostPopular

BCBS members receive notice of $2.7B antitrust settlement

BCBS members receive notice of $2.7B antitrust settlement

Hospital costs for COVID-19 varies by age, length of stay

Hospital costs for COVID-19 varies by age, length of stay

Coronavirus likely escaped from a Wuhan lab, says former CDC director

Coronavirus likely escaped from a Wuhan lab, says former CDC director

Providers get greater payment for COVID-19 vaccines

Providers get greater payment for COVID-19 vaccines

Pharmacy giants share how to navigate vaccinations

Pharmacy giants share how to navigate vaccinations

CMS releases hospital quality star ratings

CMS releases hospital quality star ratings

HHS extends public health emergency to April

HHS extends public health emergency to April

News

Ending racism in healthcare often begins with medical education - and is the target of a new national project

Ending racism in healthcare often begins with medical education - and is the target of a new national project

Inequities can be found in every facet of the industry, but targeting medical students and residents can help stem the tide.

Healthcare organizations ask HHS to delay quality measure reporting for ACOs

Healthcare organizations ask HHS to delay quality measure reporting for ACOs

The American Hospital Association and American Medical Association are among the 11 organizations signing the letter.

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…

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…