Topics

Reimbursement

Private health plans pay providers at 241 percent of what Medicare would pay

Private health plans pay 241% of Medicare rate

Revenue Cycle Management

Astria Health blames revenue cycle contractor for bankruptcy

Astria Health files for bankruptcy, blames rev cycle contractor

Strategic Planning

Health systems diversify to grow their business

Capital Finance

Healthcare spending accelerated during the first quarter, whilep price growth climbed slightly

Spending accelerated in Q1, while price growth climbed

Supply Chain

Group purchasing organizations reduce supply costs by 13.1 percent

GPOs reduce supply costs by 13.1 percent

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

New clinical pathway for cancer patients leads to better outcomes, lower healthcare costs

New clinical pathway lowers healthcare costs

Quality and Safety

Quality standards framework can improve both clinical and financial performance in healthcare

How a healthcare quality workforce can better care, costs

Billing and Collections

Medical costs create hardships for more than half of Americans

Medical costs a hardship for most Americans

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

With medical groups employing more physicians, a leader with the right skill set is paramount

Finding the right medical group leader

Operations

UnitedHealthcare leads healthcare's 25 most valuable brands

UnitedHealthcare tops healthcare's most valuable brands

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, 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

Chinese nationals indicted for Anthem hack

Policy and Legislation

President Trump calls for an end to surprise medical bills

President Trump calls for an end to surprise billing

Community Benefit

Kaiser Permanente commits $1.65 million to California wildfire relief efforts

Accountable Care

UnitedHealthcare introduces new bundled payment program for maternity care

UnitedHealthcare unveils bundled payment program for maternity care

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

Focus on Precision Medicine

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 as 'Promoting Interoperability'

Medicare & Medicaid

Private insurers in California pay more than double what Medicare does for similar services

Private CA insurers pay more than double that of Medicare

Patient Engagement

Improving patient loyalty with holistic health support

Pharmacy

Precision medicine as a way to improve oncology care -- and potentially drive down drug costs

How precision medicine in oncology can lower costs

Population Health

Screenings for social determinants of health need to be tailored to clinics, BU finds

SDOH screenings need to be tailored for clinics

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

Text-based telemedicine: The next evolution?

Mergers & Acquisitions

Healthcare mergers and acquisitions require sensible data sharing strategies, and a solid analytics framework

Successful healthcare M&A requires a solid analytics framework

Staff

Healthcare Finance News Editorial

Henry Powderly, Editor-in-Chief

Contact info:
henry.powderly@himssmedia.com
207-274-3816

Beth Sanborn, Managing Editor

Contact info:
beth.sanborn@himssmedia.com
207-791-8740

Susan Morse, Associate Editor

Contact info:
susan.morse@himssmedia.com
207-791-8714

Jeff Lagasse, Associate Editor

Contact info:
jeff.lagasse@himssmedia.com
207-791-8733

Gus Venditto, VP Content and Product Development

Gus Venditto oversees content and product development for all HIMSS Media publications

Contact info:
gvenditto@himssmedia.com

Featured Resources

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.

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?

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.

MostPopular

Anthem accelerates start for PBM IngenioRX

IBM Watson Health lists top 15 health systems

Gender, minority bias revealed in med student evals

List: 769 hospitals fined for medical errors, infections

News

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 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.

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. ...

Whitepapers

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 ...

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.

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