Topics
Reimbursement
Hospitals saw increased profitability as 2019 came to a close
Hospital profitability up in December
Revenue Cycle Management
HIMSS20 Revenue Cycle Optimization Forum puts the focus on patient-centric solutions
HIMSS20 Revenue Cycle forum focuses on patient-centric solutions
Strategic Planning
Humana partners on $600 million investment in senior primary care
Humana partners on $600M investment in senior primary care
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
Department of Health and Human Services launches Foundry for American Biotechnology
HHS launches Foundry for American Biotechnology
Accounting & Financial Management
Ransomware attacks spike, costing healthcare organizations millions
Ransomware attacks costing healthcare millions
Budgeting
A dynamic healthcare budget process may trump traditional budgeting in terms of accuracy, flexibility
Benefits of a dynamic budgeting process
Quality and Safety
Californians increasingly concerned about access to mental healthcare and rising cost of care
Californians concerned about mental healthcare, costs
Billing and Collections
One in 5 operations may lead to surprise bills, even when the surgeon and hospital are in-network
1 in 5 operations may lead to surprise bills
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
Nurses at higher risk of suicide than general population, national study confirms
Nurses at higher risk of suicide
Operations
Healthcare spending is higher over 5 years, mostly due to a rise in prices, says new report
Healthcare spending is higher due to rise in prices
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
Payer payment integrity audits are a financial burden to providers
Payment integrity audits cost providers
Policy and Legislation
How runaway healthcare costs are a threat to older adults -- and what to do about it
Rising health costs a threat to older adults
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
Critical care improvements may differ depending on a hospital's patient population
Patient population determines ICU improvements
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
How analytics, SDOH insights are helping reduce ED use
How analytics, SDOH insights are helping reduce ED use
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
CMS develops specific billing code for coronavirus test
CMS develops billing code for coronavirus test
Patient Engagement
When the health IT expert becomes the patient
When the health IT expert becomes the patient
Pharmacy
Oncology and neurology treatments lead wave of new drugs in 2020
Oncology and neurology treatments lead wave of new drugs in 2020
Population Health
ACOs are struggling to integrate social services with medical care, findings show
ACOs struggling to integrate SDOH
Risk Management
Cybersecurity needs to be put in business terms
Cybersecurity needs to be put in business terms
Telehealth
Tufts Health Plan expands telehealth amid Harvard Pilgrim merger
Tufts Health Plan expands telehealth amid Harvard Pilgrim merger
Mergers & Acquisitions
Healthcare mergers and acquisitions continue to be active, with a positive outlook for the future
Healthcare M&A still active; outlook positive
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 28, 2020 | Dave Muoio, Mobihealth News

Allscripts' Practice Fusion admits to illegal kickbacks from opioid maker, agrees to $145M settlement

January 28, 2020 | Susan Morse

Payer payment integrity audits are a financial burden to providers

January 24, 2020 | Susan Morse

California in violation for requiring insurers to offer abortion coverage

January 23, 2020 | Jeff Lagasse

Cardinal Health recalls millions of surgical gowns due to sterility concerns

January 21, 2020 | Jeff Lagasse

Fewer than half of US clinical trials have complied with the law on reporting results despite new regulations

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

VIEW ALL NEWS

MostPopular

UPDATE: WHO again stops short of declaring global health emergency over coronavirus

UPDATE: WHO again stops short of declaring global health emergency over coronavirus

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATED: List of 2020 Medicare Advantage star ratings

See how hospitals did in star ratings

See how hospitals did in star ratings

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

See the first star ratings for home health

See the first star ratings for home health

Tufts Health Plan expands telehealth amid Harvard Pilgrim merger

Tufts Health Plan expands telehealth amid Harvard Pilgrim merger

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…

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.