By Diane Janowiak – In today’s quality-driven, outcomes-focused landscape, it is important for healthcare organizations to strike the proper balance between driving better patient outcomes and enhancing efficiencies while still controlling overhead costs.
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Latest news being reported on payers and the health insurance industry including news from CVS Health Corporation, Humana, Anthem Inc., Blue Cross and Blue Shield, Cigna, Oscar Health, AHIP, Insurance Quotes and more.
By David W. Johnson – Healthcare’s Administrative “Sludge” Is Worse than You Think – Given its scale, it’s not surprising that healthcare is rife with positive and negative externalities. Covid vaccinations, for example, reduce infection risk for those who have not received shots.
By Rick Stevens – 2020 threw its share of curveballs at healthcare revenue cycle leaders. From drops in patient volumes to rises in self-pay receivables, new tactics and strategies were essential to stay in the game.
By Lucy Zielinski – The new CMS 2021 Physician Fee Schedule went into effect on January 1, 2021. Most of the final rule consists of expected policy refinements, but the regulations do include some significant changes that will impact medical practice productivity, strategy and revenue.
Latest news being reported on payers and the health insurance industry including news from CVS Health, CareSource, Oscar Health, Excellus Health, Anthem Inc., Blue Cross Blue Shield, UnitedHealth Group, Humana, IBM Watson Health, Cigna and more.
By Deirdre Ruttle – Today’s patients owe more for their healthcare than ever before. Steady increases in health plan premiums and high deductible plans lead to ever-growing patient financial responsibility.
By Jordan Rau – In America’s health care system, dominated by hospital chain leviathans, New Hanover Regional Medical Center in Wilmington, North Carolina, is an anomaly. It is a publicly owned hospital that boasts good care at lower prices than most and still flourishes financially.
By Sanjay Seth MD – Negotiating value-based reimbursement is a complex process for healthcare providers. Organizations need to consider the specific population covered under the contract, the particular reimbursement model used, and which quality and utilization measures will be tracked.