Analytics

Jan 16 | Jeff Lagasse

Pricing disparities an issue as Trump's executive order on healthcare price transparency takes hold

The national disparity between gross charges for each procedure is significant with a 297%…

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Jan 14 | Susan Morse

KLAS report evaluates value-based care vendors

KLAS rated firms Evolent Health, Lumeris, Caravan Health, Conifer Health Solutions, Arcadia, Health Catalyst, HealthEC and Lightbeam.

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Jan 13 | Nathan Eddy

Too many providers are failing to meaningfully integrate data analytics

And that's costing the U.S. healthcare system in a big way, even in the era of value-based care, according to a…

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Jan 10 | Susan Morse

ACOs in the MSSP model head into future risk

The numbers for MSSP participation starting this month are an important measure of ACO willingness to take downside risk.

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Jan 09 | Jeff Lagasse

Significant underreporting in safety data found on Nursing Home Compare website

Just 57.5% of falls were accounted for in the Nursing Home Compare's Minimum Data Set, which is…

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Jan 08 | Susan Morse

Bright Health to expand Medicare Advantage market into California through purchase of Brand New Day

The expansion will bring the health plan's national footprint to a total of 34…

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Jan 07 | Susan Morse

Former Anthem executive Brad Smith named CMMI director

Smith co-founded Aspire Health, which Anthem acquired in 2018.

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Dec 17, 2019 | Nathan Eddy

Uptake of population health analytics on the increase - but gaps remain

A new KLAS report explores how pop health platforms are being used specifically for care management, and shows how…

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Dec 10, 2019 | Jeff Lagasse

Machine learning, AI, telemedicine and other technologies will pose data security risks, says Dr. John Halamka

While the shift is necessary, the transition period will likely see hackers…

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Dec 09, 2019 | Jeff Lagasse

Getting a handle on identity and access in healthcare isn't just a technology problem

The challenge organizations face is that each person needs one identity attached to them.

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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.

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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.

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 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. ...

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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 ...

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