Topics
Reimbursement
More than half of rural hospitals could close under a public health option
Half of rural hospitals could close under public health option
Revenue Cycle Management
Healthcare revenue cycle management market projected to be worth $104 billion by 2025
Rev cycle market worth $104B by 2025
Strategic Planning
Healthcare cybersecurity market poised for growth over the coming years
Healthcare cybersecurity market poised for growth
Capital Finance
U.S. spends more on healthcare, but not on social services spending, study finds
Higher social spending linked to higher healthcare spending
Supply Chain
Optimizing the total performance of a healthcare supply chain means data and clinical integration
Optimizing the total performance of the supply chain
Accounting & Financial Management
Charity care spending among California hospitals is plunging
CA hospitals: Charity care plunging
Budgeting
Health systems allocate just 5-10% of total spending on primary care, despite benefits
Public and private payers underinvest in primary care
Quality and Safety
Medical devices pose cybersecurity and patient threat
Medical devices pose cybersecurity threat
Billing and Collections
Surprise medical bills in ER and inpatient settings are soaring, JAMA finds
Surprise medical bills are soaring
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
Up to 14% of internal medical residents have been bullied during training, Johns Hopkins found
14% of internal medicine residents have been bullied
Operations
Insurers' collective premium rate increases are less than 1% for 2020 ACA plans
ACA insurers request rate hikes of less than 1%
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Wording in medical student evaluations differ by gender, minority status, revealing potential bias
Gender, minority bias revealed in med student evals
Construction & Facilities Management
Kaiser Permanente plunking down $900 million on new Oakland headquarters
Kaiser Permanente building $900M HQ in Oakland
Compliance & Legal
Majority of providers fall short of compliance with HIPAA access requirements
HIPAA access: Most providers fall short
Policy and Legislation
HHS and FDA propose plan for importation of prescription drugs from other countries
HHS releases plan for importation of drugs from other countries
Community Benefit
Kaiser Permanente commits $1.65 million to California wildfire relief efforts
Kaiser Permanente commits $1.65 million to California wildfire relief efforts
Accountable Care
Rural hospitals not using bundled payment models, data shows
Rural hospitals not using bundled payment models
Acute Care
Diverting avoidable emergency department visits could save healthcare $32 billion annually
Diverting avoidable ED visits could save $32B
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Innovaccer research shows how AI could improve cost of care models
Innovaccer research shows how AI could improve cost of care models
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 to display the star ratings for Affordable Care Act exchange plans
CMS will display star ratings for ACA plans
Patient Engagement
CashMD launches price transparency tool
CashMD launches price transparency tool
Pharmacy
Pharmacy benefit managers keep less than 1% percent of rebates for Medicare Part D drugs, GAO says
PBMs keep less than 1% of rebates for Part D drugs, GAO says
Population Health
IPA, insurer launch innovative new partnership to manage social determinants of health
IPA, insurer launch innovative new partnership to manage social determinants of health
Risk Management
Hospital employees are clicking on phishing emails, and that's a problem, JAMA study shows
JAMA: Hospital employees are clicking on phishing emails
Telehealth
Use of non-hospital-based provider-to-patient telehealth grew nearly 1,400%
Non-hospital-based telehealth grew 1,400%
Mergers & Acquisitions
Tufts and Harvard Pilgrim to merge, creating large nonprofit insurer
Tufts and Harvard Pilgrim to merge
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Pharmacy

Jan 29 | Jeff Lagasse
Physicians ask Senate Finance Committee to address kickbacks, other factors driving up drug costs
The AAPS recommended a number of specific solutions, including ending the safe harbor to the…
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Jan 25 | Susan Morse
Optum sues former executive for working for competitor company run by Atul Gawande
David Smith said he expects his new role to involve in-depth research on the delivery and costs of…
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Jan 24 | Beth Jones Sanborn
Walgreens settles False Claims suits for $270 million
Two cases emerged from whistleblower claims about improper billing related to discounted drug prices and insulin pens.
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Jan 24 | Jeff Lagasse
Disclosing drug prices won't drive down costs, JAMA says
Even if it's passed into law, proposed legislation to force price disclosures is unlikely to create the kind of competition that…
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Jan 23 | Jeff Lagasse
More than half of consumers lack confidence in their ability to properly take new medications as directed
Spending for retail prescription drugs reached $333.4 billion in 2017, and those…
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Jan 22 | Jeff Lagasse
Payments to physicians may increase opioid prescribing, study shows
The Medicare population is estimated to have the highest and fastest growing prevalence of opioid use disorder in the U.S.
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Jan 18 | Susan Morse
CVS Caremark, Walmart reach agreement to continue in-network coverage
CVS Caremark, Walmart disagreed over reimbursement rates in the commercial and managed Medicaid pharmacy network.
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Jan 18 | Beth Jones Sanborn
Rising drug costs are gut punch to hospital budgets, triggering staff and service cuts, other changes
Average total spend per hospital admission rose 18.5 percent between FYs 2015 and 2017,…
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Jan 18 | Susan Morse
CMS considers ending silver-loading in 2020 proposed payment rule
Agency instead offers insurers a reduction in user fees for participating in the Affordable Care Act market.
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Jan 17 | Susan Morse
Decision support can guide clinicians to prescribe lower cost alternatives
Minor differences in co-payments sometimes mask exponential differences between similar generic formulations.
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