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Reimbursement
Healthcare groups prod Congress to stop CMS' payment cuts
Revenue Cycle Management
The transactional revenue cycle no longer works: Here's what does
Strategic Planning
Q&A with Geisinger CEO and president Dr. Jaewon Ryu
Capital Finance
Cash shortages plague hospitals
Supply Chain
HIMSSCast: Embrace technology to replace the mundane tasks
Accounting & Financial Management
Optum growth fuels strong quarter for UnitedHealth Group
Budgeting
Insurers likely to pay $1.1 billion in rebates this fall
Quality and Safety
U.S. News revises 'Best Hospitals' methodology in wake of backlash
Billing and Collections
Paying for care creates mental, financial concerns
Claims Processing
94% of physicians report care delays due to prior authorization, AMA says
Workforce
AMA pushes to end noncompete clauses
Operations
Sola launches in growing self-funded health plan market
Medical Devices
Humana teams with DME orgs on home care
Hospital/physician relations
Physicians would rather leave than work for Envision, doctor says
Construction & Facilities Management
Providence announces $712M expansion in southern California
Compliance & Legal
Florida men plead guilty to $67 million Medicare fraud scheme
Policy and Legislation
CMS expanding Medicare Diabetes Prevention Program
Community Benefit
AMA and others launch collective call for health equity
Accountable Care
CMS is testing new primary care model
Acute Care
A cyberattack is partly to blame for St. Margaret's Health closing all operations
Ambulatory Care
Hospitals face direct competition from the 'retailization' of healthcare
Analytics
Top Stories: Patient information exposed in PharMerica breach
Business Intelligence
Healthcare job cuts increase 97% from 2022
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
CMS overhauls meaningful use as 'Promoting Interoperability'
Medicare & Medicaid
Significant differences uncovered between MA, FFS enrollees
Patient Engagement
Commercial health plan member satisfaction declining
Pharmacy
Pharmacy leaders meet with White House on Rx drug benefits
Population Health
One in four adults skip wellness appointments, regular checkups
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Telehealth linked to fewer in-person follow-up visits
Mergers & Acquisitions
M&A activity returning to pre-pandemic levels
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Collaboration spurs medical device innovation
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Top Stories
NAHC sues Medicare to preserve home health service benefit
Hospitals to get $9 billion in proposed remedy to 340B ruling
Ex-Optum Everycare CEO to helm Confluent Health
Opinions
Sep 17, 2015 | Meera Sundram
Insight: Follow these tips to strengthen your HEDIS strategy
As HEDIS scores have become increasingly important to the bottom line, many plans are getting great ...
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Sep 17, 2015 | Dawn Crump
Insight: The case for revisiting denial rates
When organizations fail to include recovery audit contractors and other governmental auditor denials within their ...
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READ
Sep 16, 2015 | Priscilla Holland
Switching to the Healthcare EFT Standard: 4 Ways to Ease the Transition
Thanks to the implementation of the Healthcare EFT Standard effective Jan. 1, 2014, which ...
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READ
Aug 31, 2015 | David Rice
Be proactive, not reactive, in protecting healthcare data
This form of identity theft is extremely costly to the victim as well the company that gets hacked.
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READ
Aug 28, 2015 |
Considerations for capital spending to maximize returns
Evaluating capital expenditures is more complicated under a system focused on value, which seeks to eliminate ...
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Aug 17, 2015 | Carl Natale
What to expect from coding productivity after ICD-10 implementation
There are steps that medical practices can take to preserve medical coder productivity even in ...
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Aug 06, 2015 | Healthcare Finance Staff
CEO pay ratio rule, inequality debate could pressure healthcare
Though still a major source of middle class jobs, healthcare companies, including consolidating ...
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Aug 03, 2015 | Paul Levy
When CEO pay is tied to hospital rankings
The rankings are designed to advise patients with complex medical conditions, they are not an indication about the general ...
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Jul 31, 2015 | Healthcare Finance Staff
Praluent is not like Sovaldi
A few reasons why the want-to-be cholesterol blockbuster Praluent will not be as much of a "budget buster" as the ...
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Jul 29, 2015 | Healthcare Finance Staff
The less you know about health insurance, the harder it is to choose the right plan
Picking the right insurance plans for your budget and health needs is ...
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