Topics
Reimbursement
CMS to pay hospitals millions in site neutral payments for 2019
Hospitals to get millions in back payments for site neutral cuts
Revenue Cycle Management
Referral process going digital as healthcare providers look to stem revenue leakage
Referral processes going digital
Strategic Planning
Too many providers are failing to meaningfully integrate data analytics
Too many providers are failing to meaningfully integrate data analytics
Capital Finance
Investment in medical and health R&D not keeping up with needs of nation, report finds
Healthcare R&D investments lag disease burden
Supply Chain
Reducing medical device life cycle costs an effective way to trim healthcare costs around the margins
Reducing medical device life cycle costs
Accounting & Financial Management
Healthcare paperwork cost U.S. $812 billion in 2017, 4 times more per capita than Canada
Paperwork cost U.S. $812B in 2017
Budgeting
Children frequently receive unnecessary medical care regardless of insurance type
Children get unnecessary care despite insurance type
Quality and Safety
Significant underreporting in safety data found on Nursing Home Compare website
Underreporting of safety data found on Nursing Home Compare
Billing and Collections
Tacking surprise billing could reduce healthcare spending by $40 billion
Surprise billing: A $40B problem
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
Kate Goodrich, CMO for CMS, is leaving job for Humana
Kate Goodrich, CMO for CMS, is leaving for Humana
Operations
Study sheds light on executive pay in healthcare industry
Study sheds light on executive pay in healthcare
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
Of $3 billion DOJ recovered in fraud, $2.6 billion attributable to healthcare
Of $3B DOJ recovered in fraud, $2.6B attributable to healthcare
Policy and Legislation
Chief Data Officer Mona Siddiqui to depart HHS
Chief Data Officer Mona Siddiqui to depart HHS
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
ACOs in the MSSP model head into future risk
ACOs and the MSSP model head into 2020
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
Only 1 in 4 Medicare patients participate in cardiac rehabilitation
Medicare participation in cardiac rehab low
Patient Engagement
Older adults use online physician ratings, but view them cautiously, poll shows
Older adults are cautious about online doc reviews
Pharmacy
Fewer than half of California pharmacies provide correct drug disposal info
Most CA pharmacies give wrong drug disposal info
Population Health
KLAS report evaluates value-based care vendors
KLAS evaluates value-based care vendors
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
Revenue cycle outfit R1 acquires SaaS technology company SCI Solutions for $190 million
Rev cycle company R1 acquires SCI Solutions
View more

Community Benefit

In-depth

Racial and ethnic disparities remain consistent at Veterans Health Administration patient-centered medical homes

Racial and ethnic disparities remain consistent at Veterans Health Administration patient-centered medical homes

Other groups still lag behind whites when it…

Patients having trouble getting insurers to approve treatments

Patients having trouble getting insurers to approve treatments

In some cases, insurers interrupt treatments that are already underway. In others, they deny it…

Whitepapers

Case Study: Blue Cross Blue Shield of Nebraska

At-risk members or patients aren't necessarily those recovering from acute illness or catastrophic events. BCBS…

A Bridge from Fee for Service to Value-Based Care

The challenge of value-based payment is not just the level of revenue at risk, but the difficulty of balancing…

Latest News

January 3, 2020 | Jeff Lagasse

New Maine law says private health insurers must provide hearing aid benefits

December 18, 2019 | Jeff Lagasse

Healthy diet could save $50 billion in healthcare costs

December 6, 2019 | Jeff Lagasse

Patients intrigued by digital health services, but still value face-to-face interactions

November 22, 2019 | Jeff Lagasse

Majority of parents say socioeconomic factors negatively impact their families' health

November 20, 2019 | Susan Morse

Blue Cross Blue Shield launches Blue HPN network

November 5, 2019 | Max Sullivan

Providers and caregivers need better awareness of age-friendly care

October 18, 2019 | Jeff Lagasse

Majority of physicians fear another prescription drug crisis

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MostPopular

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATED: List of 2020 Medicare Advantage star ratings

See the first star ratings for home health

See the first star ratings for home health

Omnicare, CVS Health, accused of prescription drug fraud

Omnicare, CVS Health, accused of prescription drug fraud

Experts weigh in on price transparency rule

Experts weigh in on price transparency rule

Former Aetna CEO Mark Bertolini talks about insurers staying relevant

Former Aetna CEO Mark Bertolini talks about insurers staying relevant

News

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

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.

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…