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
340B found to have minimal effect on pricing, countering notion that it's a driver of healthcare spending
340B: Minimal effect on pricing?
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
Mergers slowed in 2018 as hospitals turn to deals more strategic than financial in nature
Hospital mergers slowed in 2018
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

January 10, 2020 | Susan Morse

Of $3 billion DOJ recovered in fraud, $2.6 billion attributable to healthcare

January 8, 2020 | Jeff Lagasse

Department of Justice claims Community Health Network fraudulently billed Medicare

January 8, 2020 | Jeff Lagasse

Price transparency rule could lead to narrower networks, experts say

January 7, 2020 | Jeff Lagasse

Owner of Los Angeles rehab center pleads guilty to $175 million healthcare fraud

January 3, 2020 | Jeff Lagasse

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

January 3, 2020 | Max Sullivan

Federal watchdog cracks down on inflated Medicare payments

January 2, 2020 | Jeff Lagasse

HHS issues new vaping enforcement policy targeting e-cigarettes with kid-friendly flavors

VIEW ALL NEWS

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

Omnicare, CVS Health, accused of prescription drug fraud

Omnicare, CVS Health, accused of prescription drug fraud

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

Experts weigh in on price transparency rule

Experts weigh in on price transparency rule

See how hospitals did in star ratings

See how hospitals did in star ratings

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

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.

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…