Topics
Reimbursement
UnitedHealthcare, Envision, settle contract dispute
UnitedHealthcare, Envision, settle contract dispute
Revenue Cycle Management
Small percentage of uninsured patients generate most of hospitals' self-pay revenue
Hospitals' self-pay revenue comprised of small percentage of uninsured
Strategic Planning
Amazon could be making move to broaden scope of PillPack services with spate of new licenses
Amazon could be making move to broaden scope of PillPack
Capital Finance
Struggles will continue for nonprofit hospitals in 2019, Fitch says
Nonprofit hospital struggles to continue in 2019
Supply Chain
Top 25 healthcare supply chains in 2018, as ranked by Gartner
2018's top 25 supply chains
Accounting & Financial Management
Healthcare cost variations between regions attributed to price, usage
Price, usage lead to regional cost variation
Budgeting
Hospitals in one rural system have negative operating margins of $100 million a year, CEO says
Rural hospitals lose $100M a year, CEO says
Quality and Safety
Veterans' Affairs hospitals show quality equal to or greater than their private sector counterparts, data shows
VA hospitals notch high marks for quality
Billing and Collections
Billing and payment tech becoming more responsive, survey finds
Responsive billing methods coming to the fore
Claims Processing
Change, TIBCO use blockchain to build smart contract system for payers
Change, TIBCO build smart contract system for payers
Workforce
Nurses struggle with burnout, harassment and mental health issues, study finds
Nurses struggle with burnout, harassment
Operations
ACA enrollment drops by half a million
ACA enrollment down by half a million
Medical Devices
Apple is developing custom health information tracking chips
Apple is developing custom health chips
Hospital/physician relations
Physicians employed by hospitals and corporations more dissatisfied than independent doctors
Hospital-employed physicians less satisfied, burnout prevalent
Construction & Facilities Management
Mayo Clinic leads among the biggest hospital construction projects that kicked off in September
9 big healthcare construction projects that kicked off in September
Compliance & Legal
Digital transformation demands a whole new level oversight to avoid healthcare fraud
Digital tech a boost and boon for healthcare fraud
Policy and Legislation
AHIP, healthcare organizations, advocate for federal standard to prevent surprise medical bills
AHIP and others advocate to prevent surprise medical bills
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
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
Emergency responders to California wildfire used a patient lookup system to harness volunteer providers
Cal EMSA's PULSE tool is heartbeat of field operations
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
With regulatory barriers falling, AI will see more clinical adoption in 2019
AI poised to permeate healthcare in 2019
Business Intelligence
National healthcare spending growth slowed in 2017, CMS says
Healthcare spending growth slowed in 2017
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 extends enrollment deadline for consumers who are asked to leave a message
CMS extends enrollment deadline for consumers awaiting a callback
Patient Engagement
Hennepin Healthcare uses EHR data to identify patients at risk of homelessness
Hennepin uses EHR data to find patients at-risk of homelessness
Pharmacy
CVS Health's new guaranteed net pricing PBM returns 100% of rebates to clients
CVS Health's new PBM returns 100% of rebates to clients
Population Health
Social determinants of health pose challenges for most Americans, survey shows
Social determinants pose challenge for most
Risk Management
(UPDATED)Camp Fire in Northern California damages Adventist Health Feather River Hospital, patients evacuated
(UPDATED)Camp wildfire damages hospital, patients evacuated
Telehealth
What to know about the telehealth upsides of Medicare Advantage plans
How telehealth benefits by Medicare Advantage plans
Mergers & Acquisitions
Cigna, Express Scripts merger clears state hurdles
Cigna, Express Scripts merger clears state hurdles
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

December 14, 2018 | Jeff Lagasse

Small percentage of uninsured patients generate most of hospitals' self-pay revenue

December 14, 2018 | Susan Morse

What to know about the telehealth upsides of Medicare Advantage plans

December 12, 2018 | Susan Morse

UnitedHealthcare, Envision, settle contract dispute

December 11, 2018 | Susan Morse

AHIP, healthcare organizations, advocate for federal standard to prevent surprise medical bills

December 10, 2018 | Susan Morse

CMS finalizes rule on risk adjustment for 2018

December 7, 2018 | Jeff Lagasse

Billing and payment tech becoming more responsive, survey finds

December 6, 2018 | Jeff Lagasse

Struggles will continue for nonprofit hospitals in 2019, Fitch says

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MostPopular

Physician compensation top concern for health orgs

Physician compensation top concern for health orgs

Hospital-employed physicians less satisfied, burnout prevalent

Hospital-employed physicians less satisfied, burnout prevalent

OIG: Hospitals illegally claimed $4M of GME

OIG: Hospitals illegally claimed $4M of GME

Cost-sharing 'insurance' offered through religious affiliation

Cost-sharing 'insurance' offered through religious affiliation

(UPDATED)Camp wildfire damages hospital, patients evacuated

(UPDATED)Camp wildfire damages hospital, patients evacuated

List: CMS 2019 Star ratings show Kaiser on top

List: CMS 2019 Star ratings show Kaiser on top

CVS, Aetna merger closes

CVS, Aetna merger closes

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…