Topics
Reimbursement
Healthcare groups prod Congress to stop CMS' payment cuts
Healthcare groups prod Congress to stop CMS' payment cuts
Revenue Cycle Management
The transactional revenue cycle no longer works: Here's what does
The transactional revenue cycle no longer works: Here's what does
Strategic Planning
Q&A with Geisinger CEO and president Dr. Jaewon Ryu, who will be CEO of the new Risant Health
Q&A with Geisinger CEO and president Dr. Jaewon Ryu
Capital Finance
Cash shortages plague hospitals but there are signs of improvement ahead
Cash shortages plague hospitals
Supply Chain
HIMSSCast: Embrace technology to replace the mundane tasks
HIMSSCast: Embrace technology to replace the mundane tasks
Accounting & Financial Management
Optum growth fuels strong quarter for UnitedHealth Group
Optum growth fuels strong quarter for UnitedHealth Group
Budgeting
Insurers likely to pay $1.1 billion in rebates this fall
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
U.S. News revises 'Best Hospitals' methodology in wake of backlash
Billing and Collections
Paying for healthcare creates mental and financial health concerns
Paying for care creates mental, financial concerns
Claims Processing
94% of physicians report care delays due to prior authorization, AMA says
94% of physicians report care delays due to prior authorization, AMA says
Workforce
AMA pushes to end noncompete clauses in physician contracts
AMA pushes to end noncompete clauses
Operations
Sola launches in growing employer self-funded health plan market
Sola launches in growing self-funded health plan market
Medical Devices
Humana teams with durable medical equipment organizations on home care
Humana teams with DME orgs on home care
Hospital/physician relations
Physicians would rather leave than work for Envision, doctor says
Physicians would rather leave than work for Envision, doctor says
Construction & Facilities Management
Providence announces $712 million expansion in southern California 
Providence announces $712M expansion in southern California 
Compliance & Legal
Florida men plead guilty to $67 million Medicare fraud scheme
Florida men plead guilty to $67 million Medicare fraud scheme
Policy and Legislation
CMS expanding Medicare Diabetes Prevention Program
CMS expanding Medicare Diabetes Prevention Program
Community Benefit
AMA and others launch collective call for health equity in Rise to Health
AMA and others launch collective call for health equity
Accountable Care
CMS is testing new primary care model
CMS is testing new primary care model
Acute Care
A cyberattack is partly to blame for St. Margaret's Health closing all operations
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
Hospitals face direct competition from the 'retailization' of healthcare
Analytics
Top Stories: Patient information exposed in PharMerica breach
Top Stories: Patient information exposed in PharMerica breach
Business Intelligence
Healthcare job cuts increase 97% from 2022
Healthcare job cuts increase 97% from 2022
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
Significant differences uncovered between MA, FFS enrollees
Significant differences uncovered between MA, FFS enrollees
Patient Engagement
Commercial health plan member satisfaction declining in key areas
Commercial health plan member satisfaction declining
Pharmacy
Pharmacy leaders meet with White House on Medicare prescription drug benefits
Pharmacy leaders meet with White House on Rx drug benefits
Population Health
One in four skip wellness appointments, regular checkups
One in four adults skip wellness appointments, regular checkups
Risk Management
UPMC for You partners to offer Medicaid redetermination coverage in laundromats
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Telehealth linked to fewer in-person follow-up visits
Telehealth linked to fewer in-person follow-up visits
Mergers & Acquisitions
M&A activity returning to pre-pandemic levels
M&A activity returning to pre-pandemic levels
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Opinions

Jul 29, 2015 | Healthcare Finance Staff
Making sense of new risk adjustment filtering logic
CMS recently released the long awaited risk adjustment filtering logic for the Medicare Advantage Encounter Data ...
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Can you pick the right ICD-10 family?
Jul 27, 2015 | Carl Natale
Can you pick the right ICD-10 family?
Let's just say it's better to get the diagnosis code right instead of counting on a yet to be defined definition of ...
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The culture of patient experience
Jul 25, 2015 | Austin Kirkland
The culture of patient experience
For providers to thrive under healthcare payment and delivery model reform, the patient experience must align with the patient ...
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Jul 20, 2015 | Healthcare Finance Staff
For ACA plan buyers, it's not the price, it's the price spread
There's good news and bad news in this forecast by Avalere Health of average premium ...
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Jul 15, 2015 | Healthcare Finance Staff
The four biggest 'hidden' costs for health payers
With millions of Americans joining the ranks of those with health insurance under the Affordable Care ...
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Jul 15, 2015 | Healthcare Finance Staff
CMS hip and knee bundle a harbinger, not ultimate solution
Medicare turns 50 years old this month and has recently given a nicely wrapped present to advocates for ...
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Jul 14, 2015 | Healthcare Finance Staff
Time to break the rules of population health
Population health brought evidence-based medicine to the family doctor's office, vastly improving the overall ...
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Jul 09, 2015 | Healthcare Finance Staff
The specialty conundrum: Caps may raise costs, not lower them
It used to require hundreds of thousands of patients taking a drug to make it blockbuster. But ...
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Jul 09, 2015 | Healthcare Finance Staff
High administrative costs a symptom, not driver of high healthcare costs
Administrative bloat may not be the main cost-driver, but the chronic disease problem ...
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A 4-point check-up for your revenue cycle management
Jul 09, 2015 | James Larson and Nancy Henry
A 4-point check-up for your revenue cycle management
There are a few ways that practice managers and providers can easily perform a profitability check-up against ...
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