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Reimbursement

More than half of rural hospitals could close under a public health option

Half of rural hospitals could close under public health option

Revenue Cycle Management

Rev cycle market worth $104B by 2025

Strategic Planning

Healthcare cybersecurity market poised for growth

Capital Finance

U.S. spends more on healthcare, but not on social services spending, study finds

Higher social spending linked to higher healthcare spending

Supply Chain

Optimizing the total performance of the supply chain

Accounting & Financial Management

Charity care spending among California hospitals is plunging

CA hospitals: Charity care plunging

Budgeting

Health systems allocate just 5-10% of total spending on primary care, despite benefits

Public and private payers underinvest in primary care

Quality and Safety

Medical devices pose cybersecurity and patient threat

Medical devices pose cybersecurity threat

Billing and Collections

Surprise medical bills in ER and inpatient settings are soaring, JAMA finds

Surprise medical bills are soaring

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

Up to 14% of internal medical residents have been bullied during training, Johns Hopkins found

14% of internal medicine residents have been bullied

Operations

Insurers' collective premium rate increases are less than 1% for 2020 ACA plans

ACA insurers request rate hikes of less than 1%

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

Cape Cod Healthcare building $180M patient tower, investing in EHR

CCHC building $180M patient tower

Compliance & Legal

Majority of providers fall short of compliance with HIPAA access requirements

HIPAA access: Most providers fall short

Policy and Legislation

HHS and FDA propose plan for importation of prescription drugs from other countries

HHS releases plan for importation of drugs from other countries

Community Benefit

Kaiser Permanente commits $1.65 million to California wildfire relief efforts

Accountable Care

Rural hospitals not using bundled payment models

Acute Care

Diverting avoidable emergency department visits could save healthcare $32 billion annually

Diverting avoidable ED visits could save $32B

Ambulatory Care

Medical schools, teaching hospitals account for 3% of US GDP, report shows

Med schools, teaching hospitals are 3% of GDP

Analytics

Innovaccer research shows how AI could improve cost of care models

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

CMS will delay updates to hospital star ratings until 2021

CMS delays hospital star ratings update until 2021

Patient Engagement

CashMD launches price transparency tool

Pharmacy

Drug price forecast projects 4.5 percent increase in hospital drug spending for 2020

4.5% increase predicted for hospital drug spending

Population Health

IPA, insurer launch innovative new partnership to manage social determinants of health

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

Non-hospital-based telehealth grew 1,400%

Mergers & Acquisitions

Tufts and Harvard Pilgrim to merge

News

Oct 12, 2011 |

PHI releases first direct-care workforce state data center

The Paraprofessional Healthcare Institute (PHI), a national nonprofit working to improve America's ...

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Featured Resources

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.

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.

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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

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 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 ...

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 ...

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