Operations

Operations

Apr 23 | Susan Morse

CMS proposes to pay for transformative IT

The change would ramp up add-on payments to hospitals that implement new tech and increase the wage index for rural and other qualifying hospitals.

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Apr 23 | Susan Morse

CMS Administrator Seema Verma promotes state waivers to Affordable Care Act

Pre-existing coverage remains protected, though a new type of high risk pool approach could better tailor coverage…

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Apr 22 | Susan Morse

Centers for Medicare and Medicaid Services unveils five primary care payment model options

The Primary Care First payment model will provide payment to practices through a simplified total…

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Apr 22 | Susan Morse

CMS proposes $887 million increase for skilled nursing facilities

SNFs will be scored on a measure of potentially preventable hospital readmissions and on two new quality measures for…

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Apr 22 | Jeff Lagasse

The nation's 15 top health systems, as ranked by IBM Watson Health

This year's hospitals had better risk-adjusted outcomes, better patient satisfaction and a lower average cost per…

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Apr 19 | Jeff Lagasse

Wording in medical student evaluations differ by gender, minority status, revealing potential bias

Evaluators often used personal descriptors to describe a student's performance, and…

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Apr 18 | Susan Morse

CMS reduces exchange user fees, changes coupon policy for brand name drugs in 2020 final rule

Rule proposes no changes to practice of silver loading as insurers start to set rates for 2020.

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Apr 18 | Jeff Lagasse

Hospital merger and acquisition volume in the first quarter was the lowest in nearly a decade

It was the fourth straight quarter in which M&A was lower than the annual quarterly average.

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Apr 18 | Jeff Lagasse

Eliminating routine but low-value preoperative tests for cataract surgery patients associated with cost savings

One medical center found savings of $67,241 over three years by foregoing…

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Apr 17 | Jeff Lagasse

For busy medical students, two-hour meditation study may be as beneficial as a longer course

Medical students are at disproportionately high risk for depression and anxiety, and mindfulness…

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Featured Resources

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

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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 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 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. ...

Whitepapers

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 ...

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 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 report ...

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