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By Healthcare Finance Staff | 11:33 am | September 11, 2013
With profligate use of CT and MRI scans widely blamed for increased healthcare spending, a new report shows that pairing automated prior authorization with evidence-based guidelines can ensure such tests are only used when necessary, improving patient safety while reducing medical costs by perhaps 40 percent.
By Kelsey Brimmer | 11:05 am | September 11, 2013
The efforts of a number of hospitals across the country to improve the health of their patient populations by promoting healthy foods are a benefit to the hospitals themselves and their communities.
By Anthony Brino | 10:58 am | September 11, 2013
The Affordable Care Act's medical loss ratio regulation appears to be achieving its goals of reducing insurers' administrative costs and tempering profits.
By Healthcare Finance Staff | 03:04 pm | September 10, 2013
Three healthcare executives shared the success factors that can propel shared savings and accountable care organizations and the pitfalls that can sink them, even as these value-based models are still in their infancy.
By Kelsey Brimmer | 11:40 am | September 10, 2013
U.S. nonprofit hospitals' financial performance in fiscal year 2012 wasn't strong, and the outlook for FY 2013 doesn't appear to be much better.
By Healthcare Finance Staff | 11:25 am | September 10, 2013
One of the first Affordable Care Act policies to take effect, the insurance medical loss ratio, has taken a bite out of profits in individual market businesses, but with less dramatic impacts to group health plans.
By Healthcare Finance Staff | 10:35 am | September 10, 2013
While public confusion over the Affordable Care Act continues, according to a recent Kaiser Family Foundation survey, Americans tend to trust some sources of information more than others -- including clinicians still grappling with the law's ramifications.
By Rodney J. Moore | 10:33 am | September 10, 2013
Clinical trials are important to the development of new drugs, medical devices and procedures, but budgets for these trials are under increasing pressure.
By Healthcare Finance Staff | 10:02 am | September 10, 2013
Nurse practitioners say efforts to expand primary care to millions of Americans under the health law are hampered by insurance industry practices that limit or exclude their participation.
By Kevin Fuller | 09:32 am | September 10, 2013
Whether misdiagnosis results in patient harm, wasted resources or malpractice lawsuits, it is a major concern for hospitals.