Topics
Reimbursement
CMS delays start date of radiation oncology payment program after industry criticism
CMS delays start date of radiation oncology value-based payment program
Revenue Cycle Management
Hospital and health system financial leaders want automation tools for revenue cycle management
Financial leaders want automated tools for revenue cycle
Strategic Planning
Hackensack, RWJBarnabas and Horizon strategically partner to own Medicare Advantage insurer
Hackensack, RWJBarnabas and Horizon own new MA insurer
Capital Finance
Healthcare real estate remains attractive to investors despite COVID-19 pandemic
Healthcare real estate remains attractive to investors
Supply Chain
Healthcare industry is grappling with the emergence of counterfeit PPE in the COVID-19 battle
Healthcare is grappling with counterfeit PPE
Accounting & Financial Management
Healthcare executives fear for their organizations' viability without a COVID-19 vaccine
Executives fear for their hospitals' financial viability without a vaccine
Budgeting
Employers' health benefits costs expected to grow, but most won't take cost-saving measures
Employers' health benefits costs expected to increase in 2021
Quality and Safety
Hospitals in new or resurgent COVID-19 hotspots enact stricter visitation policies
Health systems tweak visitation policies in response to COVID-19
Billing and Collections
HFMA task force releases best practices for resolving patient medical bills
HFMA task force releases best practices for resolving patient medical bills
Claims Processing
Payers are working to meet deadline for interoperability mandate
Payers work to meet interoperability deadline
Workforce
Southwest Georgia Regional Medical Center closes after more than 70 years
Rural Georgia hospital closes after 70-plus years
Operations
COVID-19 pandemic driving increased focus on healthcare consumerism
Pandemic is driving focus on consumerism
Medical Devices
Faced with shortages, researchers combine heat and humidity to disinfect N95 masks
Heat and humidity effective at disinfecting N95 masks
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
$1.5B Children's Healthcare hospital to be named after donor, owner of the Atlanta Falcons
$1.5 Children's Healthcare hospital to be named for Falcons owner
Compliance & Legal
DOJ charges 86 defendants with $4.5 billion in telehealth fraud
DOJ charges 86 defendants with $45B in telehealth fraud
Policy and Legislation
Provider groups push back against Trump claims that doctors are inflating COVID-19 numbers
Providers contest Trump's COVID-19 claims
Community Benefit
CareFirst acquires University of Maryland's health plans and begins partnership
CareFirst acquires University of Maryland's health plans
Accountable Care
Health leaders question how, not if, value-based care should be implemented
Health leaders question how value-based care should be implemented
Acute Care
Prior health insurance coverage disruptions linked to issues with healthcare access for cancer patients
Health insurance disruptions linked to access issues
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Colorado HIEs have improved outcomes, costs for jails via speedy information access
HIEs in Colorado have lowered costs for inmate care
Business Intelligence
Northwell website patterns predict COVID-19 caseload
Northwell website patterns predict COVID-19 caseload
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
Medicare Advantage payment changes for 2022 are expected to increase revenue by 2.82%
MA payment changes for 2022 are expected to increase revenue by 2.82%
Patient Engagement
Improving healthcare literacy could save billions, improve outcomes
Improving healthcare literacy could save billions
Pharmacy
FDA approves first remdesivir treatment for COVID-19
FDA approves remdesivir treatment for COVID-19
Population Health
Tennessee hospital rates are up most in counties where mask-wearing is optional
Tennessee hospital rates up in non-mask-wearing counties
Risk Management
FBI, HHS warn of 'increased and imminent' cyber threat to hospitals
FBI, HHS warn of 'increased and imminent' cyber threat to hospitals
Telehealth
Telehealth claim lines remained significantly higher in August than previous years
Telehealth claim lines remained higher in August than previous years
Mergers & Acquisitions
Intermountain Healthcare to merge with Sanford Health in 2021
Intermountain Healthcare to merge with Sanford Health in 2021
View more

Ambulatory Care

In-depth

Ambulance rides often result in surprise bills

Ambulance rides often result in surprise bills

One patient got a $3,660 bill for a 4-mile ride. Another was charged $8,460 for a trip from one hospital that…

Unnecessary medical tests, treatments cost $200 billion annually, cause harm

Unnecessary medical tests, treatments cost $200 billion annually, cause harm

Overly aggressive care can hurt patients, generating mistakes and injuries believed…

Whitepapers

Powering the Member Experience: Why a Strong Data Strategy Matters

Powering the Member Experience: Why a Strong Data Strategy Matters

Like other savvy digital consumers, health plan members expect meaningful, flexible, and…

UnitedHealthcare: A Customer Story

UnitedHealthcare: A Customer Story

It is a complicated time for the healthcare industry. The vast number of players competing for space leaves consumers in a…

Latest News

October 23, 2020 | Mallory Hackett

Baptist Health uses digital technology for improved patient follow-through

October 22, 2020 | Mallory Hackett

Cigna renews partnership with Envision Healthcare to give in-network access in Florida

October 14, 2020 | Mallory Hackett

RWJBarnabas Health's most valuable resource during the pandemic? Its clinicians

October 7, 2020 | Jeff Lagasse

MGMA outlines guidance for providers restoring volumes during COVID-19 pandemic

October 6, 2020 | Jeff Lagasse

Americans want mental healthcare via telehealth, but data security worries remain

October 1, 2020 | Jeff Lagasse

Northwell website patterns predict COVID-19 caseload

September 29, 2020 | Jeff Lagasse

Universal Health Services hit with cyberattack that shuts down IT systems

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MostPopular

21 Medicare Advantage plans earn 5 stars in CMS release of star ratings

21 Medicare Advantage plans earn 5 stars in CMS release of star ratings

House passes $2.2 trillion COVID-19 relief bill

House passes $2.2 trillion COVID-19 relief bill

Average cost of COVID-19 hospitalizations is $34,662 to $45,683

Average cost of COVID-19 hospitalizations is $34,662 to $45,683

CMS will reimburse for 11 new telehealth services during the PHE

CMS will reimburse for 11 new telehealth services during the PHE

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATED: List of 2020 Medicare Advantage star ratings

28-year-old volunteer in AstraZeneca COVID-19 vaccine trial dies

28-year-old volunteer in AstraZeneca COVID-19 vaccine trial dies

Trump, Biden clash on future of ACA, COVID-19 handling

Trump, Biden clash on future of ACA, COVID-19 handling

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.

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. But with more patients weighing public hospital grades, experts, as well as a few…

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

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today's environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes - all laudable goals.

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…

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 that's already flowing through financial systems into…