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Reimbursement
Hospitals confront mounting reimbursement challenges
Revenue Cycle Management
Moody's upgrades healthcare outlook from negative to stable
Strategic Planning
Walgreens to lay off 5% of corporate workforce
Capital Finance
Default is the only option for some healthcare companies, Moody's says.
Supply Chain
HIMSSCast: Embrace technology to replace the mundane tasks
Accounting & Financial Management
Highmark Health reports $20.3B in revenue so far in 2023
Budgeting
Insurers likely to pay $1.1 billion in rebates this fall
Quality and Safety
Free COVID-19 tests being distributed to schools nationwide
Billing and Collections
HIMSSCast: Cedar collaborates with Google Cloud on AI
Claims Processing
94% of physicians report care delays due to prior authorization, 91ÊÓÆµ says
Workforce
Nurse practitioner workforce grows 8.5%
Operations
Advocate Health appoints new chief financial officerÌý
Medical Devices
Healthcare chatbots may promote racist misinformation
Hospital/physician relations
Physicians would rather leave than work for Envision, doctor says
Construction & Facilities Management
Northwell Health invests $350 million into pediatric mental health
Compliance & Legal
Feds settle with St. Joseph's over alleged HIPAA violation
Policy and Legislation
Senate Finance Committee targets PBM reform in new legislation
Community Benefit
Senators press IRS on nonprofit hospitals' tax exemptions
Accountable Care
Three quarters of ACOs in direct contracting model earned savings
Acute Care
CDC reports uptick in COVID-19 hospitalizations and deaths
Ambulatory Care
St. Luke's partners with TytoCare for virtual primary care at home
Analytics
Data breach hits Blue Shield of California vendor
Business Intelligence
CVS overhauls pharmacy reimbursement with CostVantage
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Meaningful Use
CMS overhauls meaningful use as 'Promoting Interoperability'
Medicare & Medicaid
Hospitals want CMS to correct MA plan policies on coverage
Patient Engagement
Black, Hispanic patients experiencing insults in healthcare settings
Pharmacy
CVS launches new Healthspire brand
Population Health
UnitedHealth: Chronic conditions becoming more prevalent
Risk Management
UPMC for You offers Medicaid redetermination coverage in laundromats
Telehealth
Walgreens to launch direct virtual care to consumers
Mergers & Acquisitions
Ascension Saint Thomas and Lifepoint Health announce joint venture
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
Video
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Google's generative AI technology
Slideshows
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List: Healthcare M&A in 2018
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List: Healthcare M&A in 2018
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Top Stories
91ÊÓÆµ: AI needs governance policies prior to adoption
Insurers Cigna and Humana reportedly in talks to merge
UnitedHealth's MA growth below expectations
Opinions
Dec 23, 2015 | Healthcare Finance Staff
Payers must change dynamic with providers to survive in the post-Affordable Care Act world
Finding the path to success in the post-Affordable Care Act world of ...
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Dec 22, 2015 | Healthcare Finance Staff
Affordable Care Act rate stabilization program results should guide strategy for 2016
Earlier this year, the Centers for Medicare and Medicaid Services released the ...
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READ
Nov 03, 2015 | Healthcare Finance Staff
Plans should be prepared for the difference between operational and financial success
In the first part of this series, we looked at a transformative year in ...
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READ
Nov 03, 2015 | Healthcare Finance Staff
Engaging providers means aligning their goals with that of the consumer
In our last column, we took a look at how U.S. health plans operate in a world of rising ...
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READ
Nov 03, 2015 | Healthcare Finance Staff
Transforming provider relationships is key to engaging consumers
U.S. health plans today operate in a world of rising expectations. They must work to contain rising ...
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READ
Oct 18, 2015 | Priscilla Holland
4 myths about the healthcare EFT standard, debunked
While it's been in effect since January 2014, the Healthcare EFT Standard via ACH is still a source of ...
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READ
Oct 18, 2015 | Jay Spence
Healthcare finance leaders as chief storytellers
In support of strategy formulation, finance plays a vital role in helping other leaders to understand the ...
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READ
Oct 15, 2015 | Healthcare Finance Staff
RAPS, EDPS and risk adjustment: the health plan perfect storm
Commercial and government programs have witnessed a busy year -- most notably with the first year of ...
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READ
Sep 25, 2015 | Healthcare Finance Staff
All signs point to value-based care: Are you ready?
With the current shift to value-based reimbursement, providers are facing noteworthy changes as healthcare ...
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READ
Sep 17, 2015 | Healthcare Finance Staff
Setbacks and successes: What we've learned from the first year of commercial risk adjustment
Qualified health plans completed their first year of commercial ...
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