Topics
Reimbursement
UnitedHealthcare, Envision, settle contract dispute
UnitedHealthcare, Envision, settle contract dispute
Revenue Cycle Management
Small percentage of uninsured patients generate most of hospitals' self-pay revenue
Hospitals' self-pay revenue comprised of small percentage of uninsured
Strategic Planning
Amazon could be making move to broaden scope of PillPack services with spate of new licenses
Amazon could be making move to broaden scope of PillPack
Capital Finance
Struggles will continue for nonprofit hospitals in 2019, Fitch says
Nonprofit hospital struggles to continue in 2019
Supply Chain
Top 25 healthcare supply chains in 2018, as ranked by Gartner
2018's top 25 supply chains
Accounting & Financial Management
Healthcare cost variations between regions attributed to price, usage
Price, usage lead to regional cost variation
Budgeting
Hospitals in one rural system have negative operating margins of $100 million a year, CEO says
Rural hospitals lose $100M a year, CEO says
Quality and Safety
Veterans' Affairs hospitals show quality equal to or greater than their private sector counterparts, data shows
VA hospitals notch high marks for quality
Billing and Collections
Billing and payment tech becoming more responsive, survey finds
Responsive billing methods coming to the fore
Claims Processing
Change, TIBCO use blockchain to build smart contract system for payers
Change, TIBCO build smart contract system for payers
Workforce
Nurses struggle with burnout, harassment and mental health issues, study finds
Nurses struggle with burnout, harassment
Operations
ACA enrollment drops by half a million
ACA enrollment down by half a million
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Physicians employed by hospitals and corporations more dissatisfied than independent doctors
Hospital-employed physicians less satisfied, burnout prevalent
Construction & Facilities Management
Mayo Clinic leads among the biggest hospital construction projects that kicked off in September
9 big healthcare construction projects that kicked off in September
Compliance & Legal
Digital transformation demands a whole new level oversight to avoid healthcare fraud
Digital tech a boost and boon for healthcare fraud
Policy and Legislation
AHIP, healthcare organizations, advocate for federal standard to prevent surprise medical bills
AHIP and others advocate to prevent surprise medical bills
Community Benefit
Kaiser Permanente commits $1.65 million to California wildfire relief efforts
Kaiser Permanente commits $1.65 million to California wildfire relief efforts
Accountable Care
MSSP ACOs saved more money than CMS reported, says National Association of ACOs
MSSP ACOs saved more money than CMS reported, NAAACO says
Acute Care
Emergency responders to California wildfire used a patient lookup system to harness volunteer providers
Cal EMSA's PULSE tool is heartbeat of field operations
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
With regulatory barriers falling, AI will see more clinical adoption in 2019
AI poised to permeate healthcare in 2019
Business Intelligence
National healthcare spending growth slowed in 2017, CMS says
Healthcare spending growth slowed in 2017
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
CMS extends enrollment deadline for consumers who are asked to leave a message
CMS extends enrollment deadline for consumers awaiting a callback
Patient Engagement
Hennepin Healthcare uses EHR data to identify patients at risk of homelessness
Hennepin uses EHR data to find patients at-risk of homelessness
Pharmacy
CVS Health's new guaranteed net pricing PBM returns 100% of rebates to clients
CVS Health's new PBM returns 100% of rebates to clients
Population Health
Social determinants of health pose challenges for most Americans, survey shows
Social determinants pose challenge for most
Risk Management
(UPDATED)Camp Fire in Northern California damages Adventist Health Feather River Hospital, patients evacuated
(UPDATED)Camp wildfire damages hospital, patients evacuated
Telehealth
What to know about the telehealth upsides of Medicare Advantage plans
How telehealth benefits by Medicare Advantage plans
Mergers & Acquisitions
Cigna, Express Scripts merger clears state hurdles
Cigna, Express Scripts merger clears state hurdles
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

December 14, 2018 | Jeff Lagasse

Veterans' Affairs hospitals show quality equal to or greater than their private sector counterparts, data shows

December 12, 2018 | Jeff Lagasse

Social determinants of health pose challenges for most Americans, survey shows

December 11, 2018 | Susan Morse

CMS extends enrollment deadline for consumers who are asked to leave a message

December 5, 2018 | Jeff Lagasse

Telemedicine use for treating substance use disorder remains low, despite unmet need

December 5, 2018 | Beth Jones Sanborn

Kaiser Permanente commits $1.65 million to California wildfire relief efforts

November 30, 2018 | Jeff Lagasse

Rates of hospitalization rising among homeless, study finds

November 26, 2018 | Beth Jones Sanborn

How Grady Health System used AI to reduce preventable readmissions

VIEW ALL NEWS

MostPopular

Physician compensation top concern for health orgs

Physician compensation top concern for health orgs

Hospital-employed physicians less satisfied, burnout prevalent

Hospital-employed physicians less satisfied, burnout prevalent

OIG: Hospitals illegally claimed $4M of GME

OIG: Hospitals illegally claimed $4M of GME

Cost-sharing 'insurance' offered through religious affiliation

Cost-sharing 'insurance' offered through religious affiliation

(UPDATED)Camp wildfire damages hospital, patients evacuated

(UPDATED)Camp wildfire damages hospital, patients evacuated

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

CVS, Aetna merger closes

CVS, Aetna merger closes

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

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…

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…

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.