Pursuing innovation in the revenue cycle to transform operations
A roundtable of healthcare revenue cycle leaders discusses the importance of embracing innovation, including new and emerging technologies, to combat shrinking margins and navigate new payment models and the ever-changing regulatory environment.
The challenges and opportunities in pursuing a patient-centric financial experience
A roundtable of healthcare revenue cycle leaders examines the pressing need to keep patients at the center of revenue cycle activities to increase yield and patient satisfaction while lowering administrative costs.
The price of innovation: 3 steps for managing specialty drug costs
Health plans can help control the cost of specialty drugs by communicating with providers about appropriate treatments, integrating coordination of pharmacy and medical benefits and implementing fixed-price models.
The most pressing ethical issues in healthcare
Healthcare leaders say these ethical concerns are top of mind today.
Analysis: What healthcare providers need to know about short-term limited-duration health insurance products going into 2020
Healthcare providers need to be aware they will likely encounter an increase in the number of patients who have purchased short-term health insurance, with its limited benefits, that will be available on the healthcare exchange in 2020.
Analysis: CMS proposed rule could provide price data to inform physician referrals
While the proposed health plan price transparency rule will likely be challenged, if it survives those challenges, it will be far more impactful on health spending than the negotiated charge-posting requirement.
M&A trend: More acquisitions of small or ‘distressed’ hospitals
Hospital M&A deals in 2019 have included increasing shares of financially distressed and smaller hospitals.
Congress is still expected to pass a surprise-bill measure this year
Congress is likely to enact surprise-bill legislation in the waning days of 2019, according to policy advisers.
Strategy, technology and tactics for sustainable performance improvement
Results of a recent survey, in which hospital and health system leaders described areas where their organizations have the greatest need for performance improvement, point to four key strategic areas of focus for these leaders.
Analysis: How traditional healthcare providers can compete with innovators and progressive incumbents
Providing high-quality and cost-efficient services is the first step traditional healthcare providers must take to stave off business disruption by new entrants and progressive incumbents into the market.