Topics
Reimbursement
Overcoming barriers to value-based care adoption requires wise use of technology
Using tech to overcome VBC challenges
Revenue Cycle Management
Referral process going digital as healthcare providers look to stem revenue leakage
Referral processes going digital
Strategic Planning
Haven rolls out health plan pilot for some employees
Haven rolls out health plan pilot
Capital Finance
Healthcare real estate: The pros and cons of buying versus leasing
To lease or to buy? The pros and cons
Supply Chain
Unnecessary healthcare supply chain spending reaches almost $26 billion; savings opportunities remain
Unnecessary supply chain spending reaches $26B
Accounting & Financial Management
Reducing wasteful spending in healthcare by curbing administrative complexity
Curbing administrative complexity to slash waste
Budgeting
'Care cascades,' or unwarranted tests, show hidden costs
Unnecessary tests show hidden costs
Quality and Safety
Hospitals given latitude to select transplant candidates don't prioritize sickest patients
Hospitals don't prioritize sickest transplant candidates
Billing and Collections
Poor digital billing process associated with uncollected payments
Poor digital billing associated with collections
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
Montefiore Medicine names Philip Ozuah new CEO
Montefiore Medicine names Philip Ozuah new CEO
Operations
Optum CEO Andrew Witty is named president of UnitedHealth Group
Optum CEO Andrew Witty named president of UnitedHealth Group
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Quality of initial training makes a big difference in EHR satisfaction, KLAS report finds
Poor EHR training brings down provider satisfaction
Construction & Facilities Management
Cape Cod Healthcare building $180M patient tower, investing in EHR
CCHC building $180M patient tower
Compliance & Legal
OCR imposes a $2.15 million civil penalty against Jackson Health System for alleged HIPAA violations
Jackson Health pays $2.15M in civil penalty
Policy and Legislation
American Hospital Association, provider groups to sue over final rule
AHA, other hospital groups to sue over final rule
Community Benefit
Advocate Aurora Health contributed $2.1 billion to community charitable care and services in 2018
Advocate Aurora: $2.1B in charity care
Accountable Care
Physician-led accountable care organizations outperform hospital-led counterparts
Physician-led ACOs outperform hospital ACOs
Acute Care
Pressure ulcers cost the health system $26.8 billion a year
Pressure ulcers cost the health system $26.8B a year
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
Anthem, MassChallenge HealthTech to collaborate on accelerator launch
Anthem, MassChallenge HealthTech launching accelerator
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
Open enrollment: 83% selecting Medicare Advantage choose plans with $0 premiums
83% choose MA plans with $0 premiums
Patient Engagement
Former Aetna CEO Mark Bertolini talks about CVS, the Amazon experience and how insurers stay relevant
Former Aetna CEO Mark Bertolini talks about insurers staying relevant
Pharmacy
PillPack launches Amazon Pharmacy branding
PillPack launches Amazon Pharmacy branding
Population Health
Treatments for leading cause of blindness generate $0.9 to $3 billion in patient, economic benefit
Blindness treatments generate $1B to $3B
Risk Management
Study finds racial bias in Optum algorithm
Study finds racial bias in Optum algorithm
Telehealth
School-based telehealth program reduces ED visits by pediatric asthma patients
School-based telehealth reduced ED visits
Mergers & Acquisitions
Sanford Health, UnityPoint Health call off plans for $11 billion merger
Sanford, UnityPoint call off $11B 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

November 14, 2019 | Susan Morse

CMS cracks down on regulatory loopholes and state schemes in Medicaid payments

November 11, 2019 | Jeff Lagasse

Overcoming barriers to value-based care adoption requires wise use of technology

November 7, 2019 | Susan Morse

CMS delays rule requiring hospitals to post negotiated prices

November 5, 2019 | Jeff Lagasse

Overall drop in admissions may partially explain reductions in the Hospital Readmissions Reduction Program

November 2, 2019 | Susan Morse

CMS releases final site neutral and other payment rules

November 1, 2019 | Jeff Lagasse

Elizabeth Warren releases plan to pay for Medicare For All, says middle class won't pay more

November 1, 2019 | Jeff Lagasse

Health insurance confusion is growing in America, finds annual survey

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MostPopular

Former Aetna CEO Mark Bertolini talks about insurers staying relevant

Former Aetna CEO Mark Bertolini talks about insurers staying relevant

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

UPDATED: List of 2020 Medicare Advantage star ratings

UPDATED: List of 2020 Medicare Advantage star ratings

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

Data breaches to cost healthcare $4B by year's end

Data breaches to cost healthcare $4B by year's end

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.

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.

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

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…