Policy and Legislation

Sodium targets, glucose monitors can cut costs

Apr 13 | Jeff Lagasse

New ways to cut healthcare costs: Sodium targets and glucose monitors

While the findings of two new research studies are unrelated, each is noteworthy in the opportunity presented to help…

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Apr 12 | Beth Jones Sanborn

What Paul Ryan's retirement from Congress means for Medicaid reform

House Speaker was a long-running opponent to the Affordable Care Act and his departure raises questions about how…

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Apr 12 | Jeff Lagasse

FDA approves first AI tool for detecting retinopathy, NIH shows machine learning success in imaging

New technologies bring the promise of earlier detection and automation, both with an eye…

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VA's EHR drives federal health IT market growth to $8.5B

Apr 11 | Jessica Davis

VA drives federal health IT market growth to $8.5 billion, fueled by its EHR

Spending on the Affordable Care Act marketplaces has decreased, as Veterans Affairs has ramped up IT…

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CMS rule to limit essential health benefits

Apr 10 | Susan Morse

Breaking down the final rule: CMS gives states ability to limit essential benefits

The Centers for Medicare and Medicaid Services published the final rule late Monday and it is aimed at…

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Alex Azar names Adam Boehler to head CMMI

Apr 09 | Susan Morse

HHS Secretary Alex Azar appoints Adam Boehler as director of CMMI

Former Landmark Health CEO will likely follow through on Seema Verma's initiative to take the innovation center in a…

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Maryland experiment falls short of financial goals

Apr 04 | Jeff Lagasse

Maryland experiment to shift services away from hospitals falls short of goals, reports say

Paying hospitals a fixed global budget reduced their prices but individual physicians continued to…

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Final ACA enrollment report shows 3% drop

Apr 03 | Susan Morse

Final Affordable Care Act open enrollment report shows 3 percent drop over last year

The number remained high even as the agency cut costs for the most cost effective and successful open…

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Experts wary of private providers wading into veteran care

Apr 02 | Susan Morse

Experts wary of providers wading into political, clinical challenge of caring for veterans

VA facilities understand the needs of the population while the private healthcare system could…

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Mar 29 | Susan Morse

AHIP asks CMS to change Medicare Advantage payment formula

The Centers for Medicare and Medicaid Services should update its county benchmark calculation in the 2019 final notice being…

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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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Top 10 healthcare issues to watch in 2016

CMS cancels mandatory bundles, reduces joint model participation

Docs must now explain 'observational' statuses

List: 769 hospitals fined for medical errors, infections

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.

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. ...

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.

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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 ...

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 ...

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