Reimbursement

With one year left, it's time to chart your map to the new code set. And given that so many payers and providers are lagging behind recommended timelines, these tactics will help you get organized.

More and more insurers are getting on to the smartphone and mobile health wave, trying to both attract tech-savvy members and try out new wellness ideas.

Healthcare systems have used value analysis for years but the practice is gaining renewed attention as reimbursement pressures continue rising.

Here's a tangled web: It appears that some of the federal government's profit-loss payments to insurers are at once obligated and prohibited.

Linda Burt, vice president and chief financial officer at Nebraska Methodist Health System in Omaha, Neb., sat down with Healthcare Finance News to discuss the primary ways in which hospital CFOs use analytics, and how data -- if assessed properly -- can reduce risk.

United Healthcare's shopping spree continues, as it acquires a Texas company with practice management, revenue cycle, physician referral management and other ambulatory-focused technology.

The traditional health insurance business model is on the verge of a cataclysmic shift toward individual consumers. While that will require moving away from the old IT running within many payers, it also makes now a great time for reinvention, venture capitalists argue, if not the only opportunity.

Rural, critical access hospitals are being left out of some of the biggest shifts in American healthcare initiated by the ACA, leaving some rural healthcare leaders worried about being marginalized and that they could be left behind as reforms spread.

Health insurer spending on treatment for painkiller dependence is on the rise, and proving to be one of several tools needed to curb the epidemic of opioid addiction.

Health insurers are betting on value-based payments, broadly defined, but providers still seem skittish.