News | Healthcare Finance News

Topics

Reimbursement

AHIP and HFMA offer billing guidance for COVID-19 inpatient care at alternate sites

AHIP and HFMA offer billing guidance for COVID-19

Revenue Cycle Management

Primary care physician practices are adapting to financial realities of COVID-19

PCPs are adapting to financial realities of coronavirus

Strategic Planning

What hospitals and health systems can do to recover financially from COVID-19

COVID-19: How hospitals can recover

Capital Finance

Coronavirus is impacting the financial health of nonprofit hospitals, but CFOs have some options

How hospitals can mitigate the financial impact of coronavirus

Supply Chain

IBM launches blockchain network to bolster medical supply chain during COVID-19

IBM launches blockchain network to bolster medical supply chain during COVID-19

Accounting & Financial Management

HIMSSCast: The financial toll of COVID-19 for health systems

HIMSSCast: The financial toll of COVID-19

Budgeting

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

Benefits of a dynamic budgeting process

Quality and Safety

Prior authorization requirements have been eased during the COVID-19 pandemic, but frustrations remain

Frustrations remain even with relaxed PA requirements

Billing and Collections

Blue Shield of California is offering providers up to $200 million during COVID-19 crisis

Blue Shield of California offers providers $200M

Claims Processing

Humana is expediting claims processing and prior authorization during COVID-19 pandemic

Humana is expediting claims and prior authorization

Workforce

How EHR-integrated referral management practices can lower specialty care costs

How referral management can lower specialty care costs

Operations

CVS digital strategies due to COVID-19 helped drive strong first quarter

CVS digital strategies due to COVID-19 helped drive strong first quarter

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

Kaiser Permanente cancels plans for $900 million headquarters in Oakland

Kaiser Permanente cancels $900M headquarters

Compliance & Legal

Supreme Court rules for insurers in risk corridors case

Supreme Court rules for insurers in risk corridors

Policy and Legislation

Congress must tackle patient matching amid COVID-19, says Pew Charitable Trusts

Congress must tackle patient matching amid COVID-19, says Pew Charitable Trusts

Community Benefit

Cigna, New York Life create fund for grieving families

Cigna, New York Life create fund for grieving families

Accountable Care

More than half of ACOs likely to leave Medicare Shared Savings program

More than half of ACOs likely to leave MSSP

Acute Care

New antigen test for detecting COVID-19 could help triage patients during the pandemic

New antigen test for COVID-19 could help with triage

Ambulatory Care

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

Med schools, teaching hospitals are 3% of GDP

Analytics

How data is presented to clinicians can make work more efficient, bend the cost curve

How data is presented can bend the cost curve

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 promotes value-based insurance design in final payment notice for 2021

CMS promotes VBID in 2021 final payment notice

Patient Engagement

One in seven Americans would avoid care for suspected COVID-19 fearing cost of treatment

1 in 7 would avoid care for COVID-19 due to cost

Pharmacy

Repurposing existing drugs for COVID-19 offers a more rapid alternative to a vaccine

Repurposing drugs could act as vaccine alternative

Population Health

Humana is waiving costs for all primary care and behavioral health visits for MA members

Humana is waiving costs for primary and behavioral healthcare

Risk Management

Cybersecurity needs to be put in business terms

Cybersecurity needs to be put in business terms

Telehealth

HHS awards $20 million to increase telehealth access

HHS awards $20 million to increase telehealth access

Mergers & Acquisitions

Kaufman Hall acquires Change's Connected Analytics business

Kaufman Hall acquires Change's Connected Analytics business

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

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.

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?

MostPopular

Hospitals furlough staff, reduce physician salaries

CMS issues more changes to address pandemic

List: 769 hospitals fined for medical errors, infections

Optum: UnitedHealth's secret weapon

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

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 ...