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Reimbursement
Hospital margins up in October, driven by volume
Revenue Cycle Management
Referral processes going digital
Strategic Planning
New tech will create data security risks
Capital Finance
To lease or to buy? The pros and cons
Supply Chain
Unnecessary supply chain spending reaches $26B
Accounting & Financial Management
Health spending rises to $3.6T
Budgeting
Unnecessary tests show hidden costs
Quality and Safety
Hospitals don't prioritize sickest transplant candidates
Billing and Collections
Poor digital billing associated with collections
Claims Processing
BCBS Institute, Solera, to pay organizations through outcomes-based claims
Workforce
Physician job opportunities increase 5%
Operations
Identity and access: Not just a tech problem
Medical Devices
Apple is developing custom health chips
Hospital/physician relations
Poor EHR training brings down provider satisfaction
Construction & Facilities Management
CCHC building $180M patient tower
Compliance & Legal
Ten former NFL players charged with fraud
Policy and Legislation
GOP satisfaction with health costs on upswing
Community Benefit
Advocate Aurora: $2.1B in charity care
Accountable Care
Physician-led ACOs outperform hospital ACOs
Acute Care
Pressure ulcers cost the health system $26.8B a year
Ambulatory Care
Med schools, teaching hospitals are 3% of GDP
Analytics
Anthem, MassChallenge HealthTech launching accelerator
Business Intelligence
HCCI: Price of healthcare is growing, utilization is dropping, price variations persist
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
CMS overhauls meaningful use as 'Promoting Interoperability'
Medicare & Medicaid
ACA enrollment down 10% going into final days
Patient Engagement
Younger consumers are less satisfied with health plans
Pharmacy
Suicides, admissions linked to non-opioid drugs
Population Health
Socioeconomic factors impact families' health
Risk Management
Cybersecurity needs to be put in business terms
Telehealth
Roper St. Francis launches multi-hospital tele-ICU initiative
Mergers & Acquisitions
CVS to acquire IlliniCare in Centene deal
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
Video
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UC Davis, TRISH researching effects of solar radiation on blood cell count
Slideshows
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List: Healthcare M&A in 2018
MAGAZINE
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September-October 2017
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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UC Davis, TRISH researching effects of solar radiation on blood cell count
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List: Healthcare M&A in 2018
MAGAZINE
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September-October 2017
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Reimbursement
Revenue Cycle Management
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Acute Care
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Compliance & Legal
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Hospital/physician relations
ICD-10 & Coding
Meaningful Use
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Population Health
Quality and Safety
Risk Management
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Top Stories
Study finds racial bias in Optum algorithm
UPDATED: List of 2020 Medicare Advantage star ratings
Curbing administrative complexity to slash waste
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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READ
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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READ
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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READ
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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READ
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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