Topics
Reimbursement
CMS: Innovative new payment models are coming -- and some will be mandatory
CMS: New innovative payment models coming
Revenue Cycle Management
Change Healthcare puts blockhain claims processing tech on Amazon Web Services
AWS, Change apply blockchain to claims processing
Strategic Planning
Hurricane Florence: Lessons from hospitals that survived recent natural disasters
As Hurricane Florence comes, lessons from other disasters
Capital Finance
Healthcare spending in the U.S. sends damaging ripple effect across other major sectors, households, Moody's report says
Healthcare spending could cripple major sectors of U.S. economy, Moody's report says
Supply Chain
Hospital supply chain directors brace for impact from Trump tariff threats
Hospital supply chain leaders brace for Trump tariff threat impact
Accounting & Financial Management
Hospital profits in Massachusetts shriveling due to financial pressure
Massachusetts hospitals see profits shrinking
Budgeting
Sustainable cost control tops list of priorities for healthcare executives, Advisory Board study says
Advisory Board: Sustainable cost control is top priority for healthcare executives
Quality and Safety
Veterans Affairs report shows VA hospitals making strides in quality
VA says quality is improving
Billing and Collections
More than half of Americans have been surprised by a medical bill, survey shows
57 percent of Americans have been surprised by medical bill
Claims Processing
Silver lining: Million dollar medical claims leap 87%
Silver lining: Million dollar medical claims leap 87%
Workforce
Social determinants are threatening patient outcomes, burnout is a scourge but opioid scripts are down, physicians say
Social determinants threaten population health but patient relationships buoy physicians
Operations
Scribes ease physician administrative burden and boost patient experience, JAMA study says
JAMA: Scribes ease EHR workload and improve patient experience
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Hospitals are losing money on employed physicians: Here's how to save the bottom line and your staff
How hospitals can boost ROI on employed physicians
Construction & Facilities Management
Here are the biggest hospital construction projects that kicked off in August
Biggest constructions projects of August
Compliance & Legal
American Hospital Association suing HHS over delay in implementing drug pricing rule for 340B
AHA, others, suing HHS over 340B delay
Policy and Legislation
HHS doles out more than $1 billion in grants to various HHS orgs to fight opioid epidemic
HHS doles out more than $1 billion in grants to fight opioid epidemic
Community Benefit
University Hospitals scores $200,000 award to broaden implementation of new technology to combat opioid abuse
University Hospitals scores $200K to expand anti-opioid abuse technology
Accountable Care
MSSP ACOs saved more money than CMS reported, says National Association of ACOs
MSSP ACOs saved more money than CMS reported, NAAACO says
Acute Care
Urgent care visits increase as emergency room visits fall, study finds
Urgent care visits rise, emergency room visits fall
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
EHR investments slowing down as hospitals cite high costs, study finds
EHR investments slowing down
Business Intelligence
Andy Anderson takes reins of Combined Medical Group featuring two large New Jersey health systems
Anderson is new CEO of NJ's Combined Medical Group
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 removes Medicare requirements identified as unnecessary, obsolete or excessively burdensome
CMS nixes "excessively burdensome" Medicare requirements
Patient Engagement
Low consumer health fluency could lead to billions in tax savings on table during open enrollment
Low financial fluency could leave tax savings on table
Pharmacy
Pharmacy benefit managers operate with lack of transparency, expert finds
PBMs lack transparency, experts say
Population Health
Provider workforce gap will only grow with 'Silver Tsunami'
Provider workforce gap will grow with 'Silver Tsunami'
Risk Management
Patient safety demands more robust testing of EHR usability, says Pew
Patient safety demands more robust testing of EHR usability, says Pew
Telehealth
CVS MinuteClinic rolls out telehealth app with Teladoc
CVS MinuteClinic rolls out telehealth app with Teladoc
Mergers & Acquisitions
DOJ wants Aetna, CVS Health to divest Part D plans before merger approval
Aetna, CVS Health need to divest Part D plans, DOJ says
View more

Reimbursement

In-depth

HIMSS18 revenue cycle recap: Patient-centric approach takes communication, flexibility and motivated staff

HIMSS18 revenue cycle recap: Patient-centric approach takes communication, flexibility and motivated staff

A new philosophy is emerging around the hospital…

What the Amazon, Berkshire Hathaway, JPMorgan deal means for payers

What the Amazon, Berkshire Hathaway, JPMorgan deal means for payers

The potential ability to lower the cost and target insured employees in a personalized,…

Whitepapers

Consumer Trust Remains High Despite Costs, Missing Services

Consumer Trust Remains High Despite Costs, Missing Services

The findings from this report, based on interviews conducted in May 2018 with over 2,500 primary…

Value-Based Payments: Getting from Here to There

Value-Based Payments: Getting from Here to There

Recognizing the need to transition from a traditional fee-for-service model, see how a not-for-profit health…

Latest News

September 20, 2018 | Susan Morse

CMS: Innovative new payment models are coming -- and some will be mandatory

September 19, 2018 | Jeff Lagasse

For-profit hospitals correlated with higher readmission rates, study finds

September 18, 2018 | Susan Morse

Change Healthcare puts blockhain claims processing tech on Amazon Web Services

September 11, 2018 | Susan Morse

American Hospital Association suing HHS over delay in implementing drug pricing rule for 340B

September 11, 2018 | Susan Morse

MSSP ACOs saved more money than CMS reported, says National Association of ACOs

September 10, 2018 | Susan Morse

ACA about-face: Insurers keeping premium increases lower than last year, RWJF and AP studies find

September 10, 2018 | Susan Morse

UnitedHealthcare wins court case over Medicare Advantage overpayment rule

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MostPopular

CMS nixes "excessively burdensome" Medicare requirements

CMS nixes "excessively burdensome" Medicare requirements

Aetna, CVS Health need to divest Part D plans, DOJ says

Aetna, CVS Health need to divest Part D plans, DOJ says

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

Cost-sharing 'insurance' offered through religious affiliation

Cost-sharing 'insurance' offered through religious affiliation

UnitedHealth wins case over Medicare Advantage overpayment rule

UnitedHealth wins case over Medicare Advantage overpayment rule

Jack Stoddard named COO of Amazon's new healthcare company

Jack Stoddard named COO of Amazon's new healthcare company

CVS Health and Aetna or Amazon, Berkshire and JPMorgan: A timeline to disruption

CVS Health and Aetna or Amazon, Berkshire and JPMorgan: A timeline to disruption

News

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

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. But with more patients weighing public hospital grades, experts, as well as a few…

Healthcare mergers and acquisitions in 2016: Running list

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

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.

Whitepapers

Clinical Quality Measures 101

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…

Credible, Defensible Estimates

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.

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

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 that's already flowing through financial systems into…