Revenue Cycle Management
Despite the marketing buzz carried by terms like "population health" and "integration," experts say this kind of regionalization works best with partnerships between providers and commercial payers.
The ICD-10 transition could affect every department at a healthcare system. That means success will depend on organized project management and planning.
Colorado-based Catholic Health Initiatives saw its credit rating cut this week when Standard & Poor’s dropped it from a A+ to an A over first quarter losses.
The economic and professional appeal of DPC has caused it to spread to at least 24 states. Scalable models are being developed and increasingly attract investor dollars.
UnitedHealthcare and the University of Texas MD Anderson Cancer Center are piloting an episode of care, or bundled, payment model for patients being treated with head and neck cancers, a collaboration they describe as among the first to use bundled payments in a large, comprehensive oncology center.
Earlier this month, CMS published a final rule that expands the circumstances under which it may deny or revoke the Medicare enrollment of entities and individuals on program integrity grounds. Here are the details.
One of the nation's largest health systems is struggling with its new health insurance business, leading to the first financial loss in 15 years, and adding to other uncertainties.
Consumers shopping on the health insurance marketplaces will find many plans with out-of-pocket spending limits that are lower than the maximums allowed under the health law, according to an analysis by Avalere Health.
The end of the year is an important time for a medical practice to review its 2014 financials and prepare for the 2015 tax season. Set your practice up for financial success in 2015 with these year-end tips.
CMS appears to recognize the significant challenges that many ACOs have faced in the Medicare Shared Savings Program, and has proposed a number of changes to the financial performance tracks for ACOs participating in the program.