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

Risk Management

In-depth

Mount Sinai: Racial disparities 'manifest in morbidities' among patients

Mount Sinai: Racial disparities 'manifest in morbidities' among patients

Wide variations in hospital performances can have a major financial impact on patients,…

How Sutter Health, MD Anderson and a stand-alone clinic survived natural disasters

How Sutter Health, MD Anderson and a stand-alone clinic survived natural disasters

Communication, planning and the right technologies are key when wildfires and…

Whitepapers

Improve and Secure Healthcare Delivery with Digital Identity

Improve and Secure Healthcare Delivery with Digital Identity

This informative whitepaper offers details about a platform offering a solid identity and access…

Modern IT: Reducing Costs & Achieving Member Satisfaction Market Survey Report

Modern IT: Reducing Costs & Achieving Member Satisfaction Market Survey Report

Today's market requires health plans to transform everything related to their…

Latest News

June 3, 2019 | Susan Morse

Value-based care: Is it working?

April 29, 2019 | Jeff Lagasse

Healthcare risk leaders may be forced to adapt to tidal wave of new risks

April 19, 2019 | Susan Morse

Cerner and naviHealth launch EHR-agnostic tool to support BPCI Advanced participants

April 15, 2019 | Susan Morse

Sutter Health pays $30 million to settle alleged overpayment of Medicare Advantage funds

March 15, 2019 | Beth Jones Sanborn

Hospital employees are clicking on phishing emails, and that's a problem, JAMA study shows

March 4, 2019 | Beth Jones Sanborn

Rush University Medical Center reveals data breach that may have compromised information of 45,000 patients

February 26, 2019 | Beth Jones Sanborn

UConn Health, UW Medicine reveal major cyber incidents affecting more than 1 million patients

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.

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

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.

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…

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…