Pharmacy

Pharmacy

Nov 20, 2018 | Beth Jones Sanborn

Mercy Hospital shooting claims lives of four, including one physician, a pharmacy resident and a police officer

Incident began as a domestic dispute in the hospital parking lot that…

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Nov 09, 2018 | Jeff Lagasse

Healthcare cost variations between regions attributed to price, usage

Colorado has the highest prices in the six regions studied, while Maryland came in well below the average.

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Nov 08, 2018 | Susan Morse

Humana rides high in third quarter on Medicare Advantage revenue and membership growth

Other insurers, such as Cigna and Anthem, also reported gains in their MA businesses during the third…

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Nov 08, 2018 | Beth Jones Sanborn

Opioid abuse treatment buprenorphine integrated into New York City Health + Hospitals primary care clinics

NYC H+H emergency departments are also implementing new treating procedures for…

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Nov 07, 2018 | Beth Jones Sanborn

Hospitals: Take these four steps now and you could significantly decrease maternal mortality

The four actionable areas described by the authors can be applied and modified for virtually any…

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Nov 06, 2018 | Susan Morse

CVS expects deal with Aetna to close by Thanksgiving

CVS profits in Q3 decreased 5.8 percent to $2.4 billion, driven by a $64 million increase in acquisition-related transaction and…

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Nov 02, 2018 | Susan Morse

Cigna expects growth in its Medicare Advantage business for 2019

Income for 2018 is projected to grow by 31 to 33 percent; Deal with Express Scripts to close by end of year.

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Nov 02, 2018 | Susan Morse

CMS finalizes site neutral payment rule

Due to the opioid crisis, CMS is removing questions regarding pain communication from the hospital patient experience survey.

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Nov 01, 2018 | Susan Morse

CMS final rule delays coding reforms that affect physician payment

Physician fee schedule and quality payment rule also makes updates to interoperability, telehealth and prescription drug…

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Oct 31, 2018 | Susan Morse

Anthem's 29 percent earnings increase boosted by MA market

Future growth and savings will come from Medicare Advantage, Medicaid and PBM IngenioRx.

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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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Anthem accelerates start for PBM IngenioRX

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News

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 ...

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 ...

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.

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