Topics
Reimbursement
2019 Affordable Care Act rates make short-term health insurance plans more attractive
2019 ACA rates make short term insurance attractive
Revenue Cycle Management
Cost transformation is imperative, but hospital efforts are lagging behind, survey shows
Cost transformation imperative, but efforts lag
Strategic Planning
Health insurers say automation is needed for operational efficiency
Health insurers: Automation is needed
Capital Finance
Michigan Medicine nets $1.4 billion from massive university fundraising campaign
Michigan Medicine nets $1.4B from massive university fundraising campaign
Supply Chain
Hospitals spending $25 billion more on supply chain than they should, study finds
Hospitals spend $25B more than they should on supply chain
Accounting & Financial Management
Healthcare spending is growing along with prices, up 5% over 2017
Healthcare spending up 5% over 2017
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
Updated: CMS Star ratings for 2019 Medicare Advantage plans and Part D coverage show Kaiser on top (see list)
List: CMS 2019 Star ratings show Kaiser on top
Billing and Collections
Want consumers to pay medical bills faster? Deliver a better patient experience
Bad patient experience can cause consumers to delay payments
Claims Processing
Silver lining: Million dollar medical claims leap 87%
Silver lining: Million dollar medical claims leap 87%
Workforce
Salaries of hospital executives nearly doubled, while physicians see more modest increases
Hospital execs' salaries outpace physician pay
Operations
Medicare Advantage growth drives UnitedHealth's strong earnings
MA plans drive UnitedHealth's strong earnings
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
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
Anthem pays $16 million in record HIPAA settlement for data breach
Anthem pays $16M in record HIPAA settlement
Policy and Legislation
Repeal of ACA on Republican agenda after midterms
Repeal of ACA on GOP agenda after midterms
Community Benefit
Health and Human Services Department to dole out $293 million to boost primary care in high-need areas
HHS to dole out $293 million to boost primary care in high-need areas
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
Urgent care visits increase as emergency room visits fall, study finds
Urgent care visits rise, emergency room visits fall
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Hospitals and health systems should develop strong relationships with urgent and retail clinics
Consumerism requires hospitals to partner with retail clinics
Business Intelligence
6 deep-dive symposiums at HIMSS Global Conference
6 deep-dive symposiums at HIMSS Global Conference
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
BPCI Advanced model attracts 'robust' interest of almost 1,300 providers
BPCI Advanced attracts close to 1,300 providers
Patient Engagement
Most Medicare beneficiaries think Medicare won't be available for their children, HealthMine finds
Most Medicare beneficiaries don't think it will stick around
Pharmacy
Drug companies are being required to post list prices in television ads
Drug companies are being required to post list prices in TV ads
Population Health
Artificial intelligence gaining trust for cancer diagnosis and treatment, study finds
AI, genetic testing for cancer gains trust
Risk Management
Cybersecurity strategy: Hackers have one, do you?
Cybersecurity strategy: Hackers have one, do you?
Telehealth
Doctor on Demand expands through Walmart collaboration
Doctor on Demand expands through Walmart collaboration
Mergers & Acquisitions
Hospital merger and acquisition activity slows down in the third quarter but large-scale transactions continue
Hospital M&A activity slows a bit in third quarter
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

October 16, 2018 | Susan Morse

Anthem pays $16 million in record HIPAA settlement for data breach

October 15, 2018 | Jeff Lagasse

Americans are still confused about healthcare law, survey finds

October 15, 2018 | Susan Morse

Aetna to pay $640,000 civil fine, on top of $17 million, to settle envelope breach

October 9, 2018 | Jessica Davis

Hospitals are roadblocks to patient EHR data requests, despite HIPAA

September 27, 2018 | Susan Morse

Aetna is divesting its Medicare Part D plans to WellCare

September 26, 2018 | Beth Jones Sanborn

Community Health Systems' subsidiary to pay more than $260 million over alleged kickback, billing, inpatient admissions scheme

September 26, 2018 | Jeff Lagasse

Healthcare employee misuse and theft of pills totaled $164 million this year

VIEW ALL NEWS

MostPopular

Aetna, CVS Health need to divest Part D plans, DOJ says

Aetna, CVS Health need to divest Part D plans, DOJ says

Aetna CEO to resign post-merger with CVS Health

Aetna CEO to resign post-merger with CVS Health

CMS: New innovative payment models coming

CMS: New innovative payment models coming

CMS nixes "excessively burdensome" Medicare requirements

CMS nixes "excessively burdensome" Medicare requirements

Nurse practitioners ease physician shortage? Not so fast

Nurse practitioners ease physician shortage? Not so fast

List: 2018 health plan star ratings

List: 2018 health plan star ratings

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

News

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.

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…