Topics
Reimbursement
Private health plans pay providers at 241 percent of what Medicare would pay
Private health plans pay 241% of Medicare rate
Revenue Cycle Management
Astria Health blames revenue cycle contractor for bankruptcy
Astria Health files for bankruptcy, blames rev cycle contractor
Strategic Planning
Health systems diversify to grow their business
Health systems diversify to grow their business
Capital Finance
Healthcare spending accelerated during the first quarter, whilep price growth climbed slightly
Spending accelerated in Q1, while price growth climbed
Supply Chain
Group purchasing organizations reduce supply costs by 13.1 percent
GPOs reduce supply costs by 13.1 percent
Accounting & Financial Management
Community Health Systems sees major drop in net losses over 2017, reporting $328 million for Q4 2018
CHS reports major drop in net losses for Q4 2018
Budgeting
New clinical pathway for cancer patients leads to better outcomes, lower healthcare costs
New clinical pathway lowers healthcare costs
Quality and Safety
Quality standards framework can improve both clinical and financial performance in healthcare
How a healthcare quality workforce can better care, costs
Billing and Collections
Medical costs create hardships for more than half of Americans
Medical costs a hardship for most Americans
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
With medical groups employing more physicians, a leader with the right skill set is paramount
Finding the right medical group leader
Operations
UnitedHealthcare leads healthcare's 25 most valuable brands
UnitedHealthcare tops healthcare's most valuable brands
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
Northwell Health, NYC Health + Hospitals open new $47.7 million joint lab to help hospitals focus on emergency testing, cut costs
Northwell Health, NYC Health + Hospitals open new $47.7M joint lab
Compliance & Legal
Chinese nationals indicted for Anthem hack from 2014
Chinese nationals indicted for Anthem hack
Policy and Legislation
President Trump calls for an end to surprise medical bills
President Trump calls for an end to surprise billing
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
UnitedHealthcare introduces new bundled payment program for maternity care
UnitedHealthcare unveils bundled payment program for maternity care
Acute Care
University of Chicago Medicine study shows need to enhance patient rest, evaluate overnight interruptions for better patient experience
University of Chicago Medicine study shows how to help patients rest for improved experience
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Focus on Precision Medicine
Focus on Precision Medicine
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
Private insurers in California pay more than double what Medicare does for similar services
Private CA insurers pay more than double that of Medicare
Patient Engagement
Vast majority of patients would show more loyalty to providers if they had access to holistic health and wellbeing support
Improving patient loyalty with holistic health support
Pharmacy
Precision medicine as a way to improve oncology care -- and potentially drive down drug costs
How precision medicine in oncology can lower costs
Population Health
Screenings for social determinants of health need to be tailored to clinics, BU finds
SDOH screenings need to be tailored for clinics
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
With telehealth still evolving as a care delivery model, text-based care may offer the best quality for some patients
Text-based telemedicine: The next evolution?
Mergers & Acquisitions
Healthcare mergers and acquisitions require sensible data sharing strategies, and a solid analytics framework
Successful healthcare M&A requires a solid analytics framework
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

May 22, 2019 | Susan Morse

Not-for-profit hospitals are financially resilient due to strong management, S&P Global Ratings says.

May 20, 2019 | Jeff Lagasse

Private insurers in California pay more than double what Medicare does for similar services

May 20, 2019 | Susan Morse

Part D plans required to give drug pricing information through electronic prescribing or EHR

May 16, 2019 | Jeff Lagasse

Quality standards framework can improve both clinical and financial performance in healthcare

May 15, 2019 | Jeff Lagasse

With medical groups employing more physicians, a leader with the right skill set is paramount

May 15, 2019 | Jeff Lagasse

Millennial healthcare preferences are a departure from the status quo

May 14, 2019 | Jeff Lagasse

Certain hospitals turn away ambulances when the patient is more likely to be poor, study shows

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Anthem accelerates start for PBM IngenioRX

Anthem accelerates start for PBM IngenioRX

IBM Watson Health lists top 15 health systems

IBM Watson Health lists top 15 health systems

Gender, minority bias revealed in med student evals

Gender, minority bias revealed in med student evals

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

Hospitals investing to create revenue streams

Hospitals investing to create revenue streams

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

See the first star ratings for home health

See the first star ratings for home health

News

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.

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…

Whitepapers

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…

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…