Operations

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 12 | Susan Morse

Rival surprise billing plan unveiled by Ways and Means

The American Hospital Association is against an earlier proposal because disputes would be settled through lower reimbursement…

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Dec 11 | Jeff Lagasse

Telehealth laws and regulations in 2019 have set the stage for increased access and use

As the care delivery platform becomes more legitimate and accepted, governments, payers and providers…

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Dec 11 | Susan Morse

Trade deal takes away pharma's biologic exclusivity and promotes drug competition

Intellectual property protections are needed for the ongoing discovery of drug treatments, PhRMA says.

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Dec 11 | Jeff Lagasse

Job opportunities for physicians increase by 5% as demand surges, though worries about a shortage remain

Physician compensation has also increased, and in New Orleans, pay growth hit 10%.

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Dec 10 |

Millennials, Gen Xers less satisfied with health plans, new survey shows

Incentive for healthy behaviors was the biggest demand from those who took the survey, with 46% saying it was missing…

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Dec 09 | Jeff Lagasse

Getting a handle on identity and access in healthcare isn't just a technology problem

The challenge organizations face is that each person needs one identity attached to them.

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Anahi Santiago of Christiana Care Health System, Omar Khawaja of HM Health Solutions, Denise Anderson of H-ISAC and Brian Selfridge of Meditology Services discuss risk management during HIMSS' Healthcare Security Forum in Boston.

Dec 09 | Susan Morse

Cybersecurity needs to be put in business terms

IT security is a legacy word, says Brian Selfridge: "This isn't cybersecurity, this is risk."

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Dec 09 | Susan Morse

Final days of ACA open enrollment show 10% drop in signups

Open enrollment is ongoing as the Fifth Circuit Court of Appeals is expected to soon rule whether the ACA is constitutional.

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Dec 05 | Jeff Lagasse

Employer-based health coverage remains strong, though concerns about affordability remain

Mental health benefits have also become important for employers, recognizing that it has an effect…

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Featured Resources

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?

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.

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News

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 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 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

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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