Topics
Reimbursement
Moody's: CMS proposed changes to Medicare's outpatient prospective payment system could hurt hospitals
Moody's report: CMS outpatient service changes are bad for hospital margins
Revenue Cycle Management
Advice for struggling hospitals: Use financial distress forecasting to avoid closing down
Financial distress forecasting can help hospitals avoid closures
Strategic Planning
Why Amazon's employee clinic could reshape the primary care landscape
Amazon's employee clinic could reshape primary care
Capital Finance
Alphabet's $375 million investment in Oscar Health will expand insurer into Medicare Advantage
Alphabet invests $375M in Oscar Health
Supply Chain
Why it's time to revisit hospital supply chain contracts to start saving money
Expert tips for finding big savings in hospital supply chain
Accounting & Financial Management
Hospital profits in Massachusetts shriveling due to financial pressure
Massachusetts hospitals see profits shrinking
Budgeting
Sustainable cost control tops list of priorities for healthcare executives, Advisory Board study says
Advisory Board: Sustainable cost control is top priority for healthcare executives
Quality and Safety
10 best and worst states for healthcare based on cost and quality, as ranked by WalletHub
10 best and worst states for cost, quality
Billing and Collections
Automating claims would save healthcare more than $11 billion annually
Automated claims could save $11B
Claims Processing
Silver lining: Million dollar medical claims leap 87%
Silver lining: Million dollar medical claims leap 87%
Workforce
Wage gap between hospital executives and doctors is widening, study shows
Doctor, executive wage gap widening
Operations
New at HIMSS19: New focused communities help personalize Global Conference
New at HIMSS19: New focused communities help personalize Global Conference
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Hospitals are losing money on employed physicians: Here's how to save the bottom line and your staff
How hospitals can boost ROI on employed physicians
Construction & Facilities Management
Intermountain Healthcare tops list of most expensive construction/expansion projects announced during last month
Intermountain, others pump cash into facilities
Compliance & Legal
DOJ, HHS continue war on Medicare fraud with formation of new regional fraud strike force
New Medicare fraud strike force formed for Newark/Philadelphia region
Policy and Legislation
FDA approves EpiPen generic drug
FDA approves generic EpiPen
Community Benefit
Northwell starts food insecurity program to address social determinants of health
Northwell addresses social determinants in new food program
Accountable Care
CMS overhauls Medicare ACO program by limiting upside risk to only two years
CMS overhauls Medicare ACO program
Acute Care
Where acute care hospitals can find cost-savings in palliative care
Palliative care can yield cost-savings in acute care settings
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Healthcare analytics market to hit $31 billion by 2022
Analytics market may reach $31 billion
Business Intelligence
Andy Anderson takes reins of Combined Medical Group featuring two large New Jersey health systems
Anderson is new CEO of NJ's Combined Medical Group
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 streamlines Medicaid waiver processes for states and decreases approval wait times
CMS streamlines state Medicaid waiver processes
Patient Engagement
New plan kicks off to help consumers pick a health system during open enrollment
Picking providers at open enrollment to reduce costs
Pharmacy
Vizient forecasts nearly 5 percent hike in pharmaceutical prices for 2019, but also potential downward trend in spending
Vizient forecasts nearly 5% hike in pharmaceutical prices for 2019
Population Health
Social determinants of health gain traction as UnitedHealthcare and Intermountain build new programs
Intermountain, UnitedHealthcare build new social determinants program
Risk Management
Medical practices can make it harder for employees to embezzle money with these basic steps
Basic steps to protect a practice against employee embezzlement
Telehealth
CVS MinuteClinic rolls out telehealth app with Teladoc
CVS MinuteClinic rolls out telehealth app with Teladoc
Mergers & Acquisitions
Cigna CEO reaffirms merger with Express Scripts
Cigna CEO reaffirms Express Scripts merger
View more

Compliance & Legal

In-depth

Landmark $115 million settlement reached in Anthem data breach suit, consumers could feel sting

Landmark $115 million settlement reached in Anthem data breach suit, consumers could feel sting

Per agreement, lawyer fees will soak up a third of the $115…

CMS lightens the reporting load for Medicare Advantage, Part D, changes how star ratings are calculated

CMS lightens the reporting load for Medicare Advantage, Part D, changes how star ratings are calculated

Proposed rule would update star rating methodology, save…

Whitepapers

Quality Payment Program Year 2: An Overview of the Proposed Rule

Quality Payment Program Year 2: An Overview of the Proposed Rule

Are there changes from the first year? What is in year two? What else do you need to know?…

Choosing the Best Health Risk Assessment

Choosing the Best Health Risk Assessment

An HRA lays a foundation for a good employee wellness program, personalized prevention plan, or population health…

Latest News

August 14, 2018 | Susan Morse

UnitedHealthcare is evaluating options after losing lawsuit over risk adjustment payments

August 14, 2018 | Beth Jones Sanborn

DOJ, HHS continue war on Medicare fraud with formation of new regional fraud strike force

August 7, 2018 | Susan Morse

Humana files suit against 37 drug makers accusing them of price fixing

August 6, 2018 | Beth Jones Sanborn

Detroit hospital hit with $84.5 million settlement over false claims allegations

August 2, 2018 | Susan Morse

California insurance commissioner urges Department of Justice to block CVS Health, Aetna merger

July 31, 2018 | Beth Jones Sanborn

Former MetroHealth COO, interim CEO convicted in elaborate maze of kickback, fraud schemes

July 27, 2018 | Beth Jones Sanborn

Majority of Americans believe Trump is sabotaging ACA, Kaiser poll shows

VIEW ALL NEWS

MostPopular

CMS Administrator Seema Verma calls on an end to physician fax machines by 2020

CMS Administrator Seema Verma calls on an end to physician fax machines by 2020

CMS overhauls Medicare ACO program

CMS overhauls Medicare ACO program

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

Cost-sharing 'insurance' offered through religious affiliation

Cost-sharing 'insurance' offered through religious affiliation

Amazon's latest disruption move: Primary care clinic for employees

Amazon's latest disruption move: Primary care clinic for employees

Aetna SVP: Time to ask consumers what they want

Aetna SVP: Time to ask consumers what they want

Creating a better NICU experience pays off

Creating a better NICU experience pays off

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.

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…

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…

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…