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Topics

Reimbursement

Hospitals saw increased profitability as 2019 came to a close

Hospital profitability up in December

Revenue Cycle Management

Managed care, revenue cycle performance strategies are critical to increasing payer yield

Managed care, rev cycle strategies can boost payer yield

Strategic Planning

Forecasting the future of HL7 FHIR at HIMSS20

Forecasting the future of FHIR

Capital Finance

Investment in medical and health R&D not keeping up with needs of nation, report finds

Healthcare R&D investments lag disease burden

Supply Chain

COVID-19 coronavirus has potential to disrupt global API supply chains

Coronavirus may disrupt supply chains

Accounting & Financial Management

Ransomware attacks spike, costing healthcare organizations millions

Ransomware attacks costing healthcare millions

Budgeting

A dynamic healthcare budget process may trump traditional budgeting in terms of accuracy, flexibility

Benefits of a dynamic budgeting process

Quality and Safety

Thousands of uninsured kidney disease patients strain Texas emergency departments

Uninsured dialysis patients strain Texas ERs

Billing and Collections

One in 5 operations may lead to surprise bills, even when the surgeon and hospital are in-network

1 in 5 operations may lead to surprise bills

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

Temporary, 'locum tenens' physicians are filling gaps left by the physician shortage

Locum tenens physicians filling employment gaps

Operations

Healthcare spending is higher over 5 years, mostly due to a rise in prices, says new report

Healthcare spending is higher due to rise in prices

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

More than $2 billion in fraud recoveries collected from healthcare companies last year

Healthcare companies paid $2B-plus in fraud recoveries

Policy and Legislation

Appeals court upholds Trump Administration rule barring abortion referrals

Appeals court upholds Trump Administration rule barring abortion referrals

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

NAACOS urges CMMI to release more information on new payment model

NAACOS wants more information on new payment model

Acute Care

Critical care improvements may differ depending on a hospital's patient population

Patient population determines ICU improvements

Ambulatory Care

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

Med schools, teaching hospitals are 3% of GDP

Analytics

How analytics, SDOH insights are helping reduce ED use

How analytics, SDOH insights are helping reduce ED use

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

CMS offers proposed rule on Comprehensive Care for Joint Replacement Model

CMS offers proposed rule on CJR Model

Patient Engagement

When the health IT expert becomes the patient

When the health IT expert becomes the patient

Pharmacy

Oscar Health offers $3 a month drug prescriptions

Oscar Health offers $3 a month drug prescriptions

Population Health

HIMSSCast: Technology, policy and COVID-19

HIMSSCast: Technology, policy and COVID-19

Risk Management

Cybersecurity needs to be put in business terms

Cybersecurity needs to be put in business terms

Telehealth

Highmark launches technology-enabled opioid treatment program in West Virginia

Highmark launches teleaddiction program in West Virginia

Mergers & Acquisitions

Healthcare mergers and acquisitions continue to be active, with a positive outlook for the future

Healthcare M&A still active; outlook positive

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

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

UPDATED: List of 2020 Medicare Advantage star ratings

Optum: UnitedHealth's secret weapon

See how hospitals did in star ratings

List: 769 hospitals fined for medical errors, infections

News

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. ...

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.

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 ...