Topics
Reimbursement
UnitedHealthcare to start covering medical implant for sleep apnea
UHC to start covering medical implant for sleep apnea
Revenue Cycle Management
Hospital CEOs focus on revenue growth over cost containment, according to new survey
CEOs are focused on revenue over cost
Strategic Planning
U.S. Attorney Cynthia Ridgeway will take strategic job with Anthem
U.S. Attorney Cynthia Ridgeway to take job with Anthem
Capital Finance
Precision medicine: Barriers to investment
Precision medicine: Barriers to investment
Supply Chain
Group purchasing organizations reduce supply costs by 13.1 percent
GPOs reduce supply costs by 13.1 percent
Accounting & Financial Management
Finding unconventional sources of capital in the face of revenue pressures
Finding hidden sources of capital
Budgeting
New clinical pathway for cancer patients leads to better outcomes, lower healthcare costs
New clinical pathway lowers healthcare costs
Quality and Safety
Majority of U.S. hospitals not meeting surgical safety standards
Most hospitals not meeting surgical safety standards
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
Health insurers must get creative with benefits to fill critical vacancies
Insurers must get creative to fill critical vacancies
Operations
David Callender is new president and CEO of Memorial Hermann Health
David Callender is new president, CEO of Memorial Hermann
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
Affordable Care Act heads to appeals court on Tuesday
ACA heads to appeals court on Tuesday
Policy and Legislation
Insurers applaud end of Cadillac tax
Insurers praise end of Cadillac tax
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
CMS has 2019 Medicare ACO class
CMS has 2019 Medicare ACO class
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
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
New CMS resources help states waive ACA requirements
New CMS resources help states waive ACA requirements
Patient Engagement
Age, race disparities found in the use of hospital patient portals
Age disparities found in patient portal use
Pharmacy
Trump administration withdraws drug rebate rule
Trump administration withdraws drug rebate rule
Population Health
Social determinants of health data can be difficult to collect and share, but it's imperative to success
SDOH data hard to share, but necessary
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
Telemedicine market expected to account for more than $38 billion by 2029
Telemedicine worth $38 billion by 2029
Mergers & Acquisitions
Court decision expected soon in CVS\Aetna merger
Court to hand up a decision soon in CVS\Aetna merger
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

July 20, 2019 | Susan Morse

Court decision expected soon in CVS\Aetna merger

July 19, 2019 | Jeff Lagasse

CMS has 2019 Medicare ACO class

July 19, 2019 | Susan Morse

Health insurers must get creative with benefits to fill critical vacancies

July 17, 2019 | Jeff Lagasse

Medicare's bundled payment model did not change skilled nursing facilities' discharge patterns

July 15, 2019 | Susan Morse

The number of clinicians participating in advanced APMs increased

July 12, 2019 | Mark Klimek

UnitedHealthcare to start covering medical implant for sleep apnea

July 12, 2019 | Susan Morse

CMS proposes 1.3% pay increase for home health but is ending prepayment of services

VIEW ALL NEWS

MostPopular

Anthem accelerates start for PBM IngenioRx

Anthem accelerates start for PBM IngenioRx

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

See the first star ratings for home health

See the first star ratings for home health

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

Value-based care requires payer and provider collaboration

Value-based care requires payer and provider collaboration

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

UnitedHealthcare's new CEO is Dirk McMahon

UnitedHealthcare's new CEO is Dirk McMahon

News

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…

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.

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…