Reimbursement

Reference pricing is a great cost-saving idea and I'd like to see more of it. But it’s a pretty poor argument for the superiority of the free market in healthcare.

Areas in which a few health insurers are concentrated can put independent physicians or small practices at a disadvantage because they don't have the muscle to negotiate from a strong position with the dominant payers, the American Medical Association said in a report.

One of the most difficult goals of health reform is price transparency -- and one of the biggest uncertainties is whether more transparency will necessarily lead to higher value.

Now that the health insurance exchanges and other parts of the Affordable Care Act are being rolled out, providers, payers and other organizations are eyeing what it will take to keep making progress in 2014 and beyond around health reform.

Gov. Dannel Malloy said the rollout of Obamacare in Connecticut has been a success -- but it would be a bigger success if the federal health marketplace weren't doing so badly.

Two regulations in particular had the attention of hospitals this year: the two-midnight rule and the final rule on disproportionate share hospital payments from Medicaid.

Business pressures are forcing hospital CFOs to re-evaluate their revenue cycle management solutions, according to research done in 2013 by Black Book Rankings and HIMSS Analytics.

March is Women’s History Month, so in that spirit: What are your thoughts on being a 
female CEO in the healthcare industry?

Looking back at 2013, what has been the impact on the hospital industry of sequestration and the recent government shutdown? How are hospitals coping with the uncertainty coming out of Washington?

While a handful of states said they would not expand Medicaid under the Affordable Care Act, all state Medicaid programs are experiencing some transformation.