Topics
Reimbursement
Volume growth contributes to improved hospital margins in October, finds Kaufman Hall
Hospital margins up in October, driven by volume
Revenue Cycle Management
Referral process going digital as healthcare providers look to stem revenue leakage
Referral processes going digital
Strategic Planning
Machine learning, AI, telemedicine and other technologies will pose data security risks, says Dr. John Halamka
New tech will create data security risks
Capital Finance
Healthcare real estate: The pros and cons of buying versus leasing
To lease or to buy? The pros and cons
Supply Chain
Unnecessary healthcare supply chain spending reaches almost $26 billion; savings opportunities remain
Unnecessary supply chain spending reaches $26B
Accounting & Financial Management
Healthcare spending rises to $3.6 trillion in the U.S., driven partly by health insurance tax
Health spending rises to $3.6T
Budgeting
'Care cascades,' or unwarranted tests, show hidden costs
Unnecessary tests show hidden costs
Quality and Safety
Hospitals given latitude to select transplant candidates don't prioritize sickest patients
Hospitals don't prioritize sickest transplant candidates
Billing and Collections
Poor digital billing process associated with uncollected payments
Poor digital billing associated with collections
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
Job opportunities for physicians increase by 5% as demand surges, though worries about a shortage remain
Physician job opportunities increase 5%
Operations
Getting a handle on identity and access in healthcare isn't just a technology problem
Identity and access: Not just a tech problem
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
Ten former NFL players charged with alleged fraud of healthcare benefit program for retired players
Ten former NFL players charged with fraud
Policy and Legislation
Republican satisfaction with U.S. healthcare costs is on the upswing, finds Gallup
GOP satisfaction with health costs on upswing
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
Physician-led accountable care organizations outperform hospital-led counterparts
Physician-led ACOs outperform hospital ACOs
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
Final days of ACA open enrollment show 10% drop in signups
ACA enrollment down 10% going into final days
Patient Engagement
Millennials, Gen Xers less satisfied with health plans, new survey shows
Younger consumers are less satisfied with health plans
Pharmacy
Suicide attempts and hospitals admissions linked to non-opioid drugs on the rise
Suicides, admissions linked to non-opioid drugs
Population Health
Majority of parents say socioeconomic factors negatively impact their families' health
Socioeconomic factors impact families' health
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
CVS Health to acquire IlliniCare Health in agreement with Centene
CVS to acquire IlliniCare in Centene deal
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Compliance & Legal

Dec 12 | Susan Morse
Ten former NFL players charged with alleged fraud of healthcare benefit program for retired players
Cigna detected and reported the alleged fraud, in which the former players allegedly…
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Dec 10 | Susan Morse
Supreme Court hears case over $12 billion insurers say they are owed in risk corridor payments
In a move insurers considered a bait and switch, Congress limited the funding available to…
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Dec 04 | Susan Morse
AHIP, BCBS Association support lawsuit against health insurance tax for Medicaid managed care
The tax is scheduled to go into effect in 2020.
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Dec 02 | Susan Morse
Affordable Care Act open enrollment figures jump in Week 4
With less than two weeks to enroll, both the number of new and renewing consumers increased this year over last.
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Oct 31 | Jeff Lagasse
Telehealth laws, especially for behavioral health, are increasing access despite remaining legislative barriers
Adoption of telehealth for mental health services is increasing, highlighting…
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Oct 25 | Jeff Lagasse
OCR imposes a $2.15 million civil penalty against Jackson Health System for alleged HIPAA violations
Two JHS employees allegedly accessed patient information without a clear job-related…
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Oct 25 | Susan Morse
Ownership of data is a heated debate
By law, patients own their own data, but access and understanding what's in the record is not user friendly.
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Oct 22 | Susan Morse
Humana charges Teva, 36 other pharma companies, with generic price fixing
Their modus operandi was to avoid competition that would normally result in significant price erosion and savings…
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Oct 21 | Jeff Lagasse
Pharmaceutical companies reach $260 million settlement in opioid case before trial begins
The four companies settled with the two Ohio counties that had brought the lawsuit, avoiding what…
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Sutter Health headquarters in Sacramento, California.
Oct 17 | Jeff Lagasse
Sutter Health avoids trial, settles antitrust case with California Attorney General
Sutter said no antitrust violations occurred, citing market competition in the area it served, but the…
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