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Reimbursement

Benefit design, higher deductibles will increase bad debt for hospitals

Benefit design, higher deductibles to increase bad debt

Revenue Cycle Management

Referral process going digital as healthcare providers look to stem revenue leakage

Referral processes going digital

Strategic Planning

Haven rolls out health plan pilot for some employees

Haven rolls out health plan pilot

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

Nursing shortage collides with rising baby boomer population

Nursing shortage collides with rising need

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

OCR imposes a $2.15 million civil penalty against Jackson Health System for alleged HIPAA violations

Jackson Health pays $2.15M in civil penalty

Policy and Legislation

HIMSSCast: CMS price transparency rule, telehealth parity laws, and healthcare consumerism

HIMSSCast: CMS price transparency rule, telehealth parity laws, and healthcare consumerism

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

ACA open enrollment picks up in week 3, but is still a 13% drop over last year

ACA open enrollment picks up in week 3 but still lags over last year

Patient Engagement

Humana's Medicare Advantage value-based programs reduce healthcare costs by $3.5 billion, report shows

Humana's MA value-based programs reduce healthcare costs by $3.5B

Pharmacy

AHA and CVS Health are behind pharma bashing radio ads, says STAT report

AHA and CVS Health are behind pharma bashing radio ads, STAT says

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

Sanford Health, UnityPoint Health call off plans for $11 billion merger

Sanford, UnityPoint call off $11B merger

Top Stories

Study finds racial bias in Optum algorithm

Study finds racial bias in Optum algorithm

UPDATED LIST: Medicare Advantage star ratings for 2020 show more 4 star or higher plans

UPDATED: List of 2020 Medicare Advantage star ratings

Reducing wasteful spending in healthcare by curbing administrative complexity

Curbing administrative complexity to slash waste

PHI releases first direct-care workforce state data center

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 ...

Featured Resources

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MostPopular

Former Aetna CEO Mark Bertolini talks about insurers staying relevant

Optum: UnitedHealth's secret weapon

List: CMS 2019 Star ratings show Kaiser on top

UPDATED: List of 2020 Medicare Advantage star ratings

News

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.

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. ...

Whitepapers

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 report ...