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Reimbursement
J&J backs down from its planned 340B rebate model
Revenue Cycle Management
Mary Washington Healthcare latest to outsource revenue cycle
Strategic Planning
Four health systems form Longitude Health
Capital Finance
HIMSSCast: Is private equity the bad guy in healthcare?
Supply Chain
Feds shore up supply chain in wake of hurricanes
Accounting & Financial Management
Elevance stock slides on lower forecast
Budgeting
Health system operating margins declined in August
Quality and Safety
U.S. healthcare system ranks last in equity, access
Billing and Collections
CFPB warns of illegal tactics by medical debt collectors
Claims Processing
Johns Hopkins Health Plans announces multi-payer portal
Workforce
Feds grant $100M to grow healthcare workforce
Operations
UMC Health System hit with IT outage linked to ransomware
Medical Devices
Healthcare chatbots may promote racist misinformation
Hospital/physician relations
Hospitals, physicians submit opposing views to FTC ruling
Construction & Facilities Management
Christus to see $25M expansion at Texas hospital
Compliance & Legal
BCBS reaches $2.8 billion settlement agreement
Policy and Legislation
HHS investing $75 million in rural healthcare infrastructure
Community Benefit
Report: Hospitals' charity care falling behind tax breaks
Accountable Care
ACO REACH changes not positive, says participant
Acute Care
SDOH, tech key to advancing value-based care
Ambulatory Care
Walmart is closing clinics and virtual care
Analytics
Interoperability in healthcare moving forward despite challenges
Business Intelligence
CVS Health mulls potential breakup
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
Financial disincentives for providers who commit information blocking
Medicare & Medicaid
Medicaid to cover traditional Tribal community healthcare
Patient Engagement
KFF: Patients see narrow networks in ACA marketplace plans
Pharmacy
Insurer challenges PBM model to lower cost of Humira biosimilar
Population Health
Reproductive care, including abortion, facing challenges
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Patients who pay cost-sharing less likely to seek virtual care
Mergers & Acquisitions
In M&A deals, seller size by revenue is above historical norms
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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AI is transformative around research
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Top Stories
See the list: 7 plans, compared to 38 last year, receive 5 stars in the MA Star Ratings
BCBS reaches $2.8 billion settlement agreement
UnitedHealth's Q3 earnings show impact of Change cyberattack
News
Nov 25, 2015 | Chris Nerney
Healthcare providers wait for rude-awakening after ICD-10
While CMS said it was "pleased to report that claims are processing normally," it's worth ...
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Oct 07, 2015 | Chris Nerney
Overwhelming support for outsourcing revenue cycle management in healthcare
Uncertainty over which vendors offer the best revenue cycle management platform for them ...
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Sep 28, 2015 | Chris Nerney
Denials still a major worry as ICD-10 deadline approaches
An August survey by Navicure/Porter Research shows that an "overwhelming majority of ...
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Aug 27, 2015 | Chris Nerney
5 steps for shifting to value-based reimbursement in healthcare
For many healthcare providers, this shift from fee-for-service payments requires a number of ...
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Aug 19, 2015 | Chris Nerney
Blue Cross and Blue Shield of Illinois adds three accountable care organizations
Blue Cross and Blue Shield of Illinois has developed accountable care organizations ...
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Aug 12, 2015 | Chris Nerney
CMS reiterates that it won't reject ICD-10 claims ... sorta
As part of CMS's ICD-10 transition outreach, the agency will appoint an ombudsman to help ...
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Aug 10, 2015 | Chris Nerney
Keeping watch for revenue cycle leakage, what to know
On the financial side, revenue leakage can be caused by a number of factors, including late filings, missing ...
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Jul 27, 2015 | Chris Nerney
Medicaid managed care plans see revenues double, but not all turn a profit, study finds
Total Medicaid revenues for these MCOs soared 103 percent to $110.6 billion ...
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Jul 23, 2015 | Chris Nerney
Bulk of healthcare not prepared for value-based payments, KPMG survey says
Most U.S. healthcare providers are simply unprepared to convert to new payment models, ...
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Nov 20, 2014 | Chris Nerney
Providers slow to enact risk-based reimbursement model
The change from a fee-for-service healthcare model to a value-based approach might be inevitable, but that ...
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