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While conventional wisdom holds that it should be more challenging for doctors to bill private insurers, the results show that billing Medicaid is a bigger challenge.
The integrated provider-payer network is expected to grow as Lumeris builds a network of physicians and hospitals outside of the BayCare system.
Generational divides surface between millennials, Generation Xers and baby boomers in how they engage with healthcare providers.
While the MSSP overall was a net cost to CMS in 2016, there is evidence that individual ACO performance may improve with experience.
CMS is also increasing the percent of encounter data in risk scores, a move opposed by stakeholders.
The typical manner in which hospital leaders construct their budgets is by clinical and ancillary departments, which proves prohibitive when making room for innovation.
Inability to coordinate nurses on the front line with the needs of the hospital is a recipe for creating burnout, which directly affects hospital finance.
Plaintiffs are three John Does associated with the Ohio HIV Drug Assistance Program.
Hospitals are now using healthcare analytics for tasks such as managing the number of employees working a particular shift, and predicting how many patients may be hospitalized.
AG's suit said Sutter Health is only allowing "all or nothing" contract negotiations with insurers, boosting out-of-network charges.