Topics
Reimbursement
Volume growth contributes to improved hospital margins in October, finds Kaufman Hall
Hospital margins up in October, driven by volume
Revenue Cycle Management
Referral process going digital as healthcare providers look to stem revenue leakage
Referral processes going digital
Strategic Planning
Machine learning, AI, telemedicine and other technologies will pose data security risks, says Dr. John Halamka
New tech will create data security risks
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
Healthcare spending rises to $3.6 trillion in the U.S., driven partly by health insurance tax
Health spending rises to $3.6T
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
Job opportunities for physicians increase by 5% as demand surges, though worries about a shortage remain
Physician job opportunities increase 5%
Operations
Getting a handle on identity and access in healthcare isn't just a technology problem
Identity and access: Not just a tech problem
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
Ten former NFL players charged with alleged fraud of healthcare benefit program for retired players
Ten former NFL players charged with fraud
Policy and Legislation
Republican satisfaction with U.S. healthcare costs is on the upswing, finds Gallup
GOP satisfaction with health costs on upswing
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
Final days of ACA open enrollment show 10% drop in signups
ACA enrollment down 10% going into final days
Patient Engagement
Millennials, Gen Xers less satisfied with health plans, new survey shows
Younger consumers are less satisfied with health plans
Pharmacy
Suicide attempts and hospitals admissions linked to non-opioid drugs on the rise
Suicides, admissions linked to non-opioid drugs
Population Health
Majority of parents say socioeconomic factors negatively impact their families' health
Socioeconomic factors impact families' health
Risk Management
Cybersecurity needs to be put in business terms
Cybersecurity needs to be put in business terms
Telehealth
Roper St. Francis Healthcare launches multi-hospital tele-ICU initiative with Advanced ICU Care
Roper St. Francis launches multi-hospital tele-ICU initiative
Mergers & Acquisitions
CVS Health to acquire IlliniCare Health in agreement with Centene
CVS to acquire IlliniCare in Centene deal
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Accountable Care

Nov 27 | Jeff Lagasse
Emergent technologies are allowing consumers greater control and access to care
The shift happening in healthcare is similar to trends in personal wealth management, with beneficiaries…
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Nov 26 | Susan Morse
CMS Innovation Center is testing direct contracting model
This model is part of a strategy to use the redesign of primary care as a platform to drive broader healthcare delivery system…
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Nov 22 | Susan Morse
Humana's Medicare Advantage value-based programs reduce healthcare costs by $3.5 billion, report shows
Humana's revenue is projected to increase on 17% rise in MA membership and premium…
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Oct 30 | Susan Morse
CMS will pay $1.9 billion to hospitals in value-based payments for inpatient care
Over 55% of hospitals will receive higher Medicare payments under the Hospital Value-Based Purchasing…
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Oct 16 | Jeff Lagasse
Physician-led accountable care organizations outperform hospital-led counterparts
On average, physician-led ACOs produced almost 7 times the amount of Medicare savings per beneficiary than…
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Oct 15 | Susan Morse
Medication adherence a big factor in Medicare Advantage star ratings
The bonus pool size in 2018 was $6.3 billion, which goes to 4-star and above plans as $500 per member, per year.
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Oct 09 | Susan Morse
HHS and CMS are offering safe harbor to Stark Law to promote value-based, coordinated care
Example of changes is allowing a hospital to donate free cybersecurity software to each physician…
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Oct 09 | Jeff Lagasse
Coordinated care model leads to decreases in unscheduled, preventable hospitalizations
The Oregon model may promote more efficient use of resources, driven by primary care and financial…
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Oct 03 |
Medicare Shared Savings Program saves ACOs, Medicare money
ACOs saved Medicare $739 million last year after accounting for shared savings bonuses and collecting shared loss payments.
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Oct 02 | Nathan Eddy
Aledade touts cost saving successes of its ACOs
The company, founded by former National Coordinator for Health IT Dr. Farzad Mostashari, says advanced analytics are helping its accountable…
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