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Reimbursement

Insurers will cover testing of coronavirus, AHIP says

Insurers to cover coronavirus testing

Revenue Cycle Management

Managed care, revenue cycle performance strategies are critical to increasing payer yield

Managed care, rev cycle strategies can boost payer yield

Strategic Planning

Forecasting the future of FHIR

Capital Finance

Investment in medical and health R&D not keeping up with needs of nation, report finds

Healthcare R&D investments lag disease burden

Supply Chain

Healthcare vendor data breaches prove costly, necessitating automation and process changes to curb costs

Vendor data breaches costly, require organizational change

Accounting & Financial Management

Ransomware attacks spike, costing healthcare organizations millions

Ransomware attacks costing healthcare millions

Budgeting

Benefits of a dynamic budgeting process

Quality and Safety

Coronavirus fight: $8 billion spending package, $35 million from HHS

COVID-19 fight: $8B from Congress and $35M from HHS

Billing and Collections

One in 5 operations may lead to surprise bills, even when the surgeon and hospital are in-network

1 in 5 operations may lead to surprise bills

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

Moral distress among physicians caring for older adults a persistent strain of burnout

Moral distress affecting physician burnout

Operations

Coronavirus forces cancellation of HIMSS20

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

Michigan doc charged in $120 million healthcare fraud, money laundering scheme

Michigan doc charged in $120M fraud scheme

Policy and Legislation

Supreme Court to hear Affordable Care Act case next term

Supreme Court to hear ACA case

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

NAACOS urges CMMI to release more information on new payment model

NAACOS wants more information on new payment model

Acute Care

Critical care improvements may differ depending on a hospital's patient population

Patient population determines ICU improvements

Ambulatory Care

Medical schools, teaching hospitals account for 3% of US GDP, report shows

Med schools, teaching hospitals are 3% of GDP

Analytics

How analytics, SDOH insights are helping reduce ED use

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 as 'Promoting Interoperability'

Medicare & Medicaid

CMS selects 205 applicants for new Emergency Triage, Treat and Transport Model

CMS selects 205 applicants for new emergency model

Patient Engagement

BCBS Kansas City partners for two IT engagement solutions

Pharmacy

Drug prices rose three times faster than inflation over the last decade, even after discounts

Drug prices rise 3x faster than inflation

Population Health

Dartmouth-Hitchcock Health says COVID-19 coronavirus is contained in New Hampshire

DH-H: COVID-19 in NH is contained

Risk Management

Cybersecurity needs to be put in business terms

Telehealth

Telehealth is improving obstetric outcomes

Mergers & Acquisitions

FTC challenges PA health system merger

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Featured Resources

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

MostPopular

Insurers are abruptly terminating physician contracts

List: 769 hospitals fined for medical errors, infections

Optum: UnitedHealth's secret weapon

UPDATED: List of 2020 Medicare Advantage star ratings

News

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 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 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. ...

Whitepapers

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 ...

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