Healthcare Finance News

William Arsn


COVID-19 threatening long-term financial sustainability of senior living facilities

If such facilities can’t bring in new residents, their business model essentially collapses.


Revenue Cycle Management

Managed care, revenue cycle performance strategies are critical to increasing payer yield

Understanding contract loopholes, and being self-advocates during negotiations, can help community hospitals increase their collections.


Strategic Planning

Forecasting the future of HL7 FHIR at HIMSS20

In Orlando, health IT professionals will get an update on what FHIR currently can and can’t do – and what to expect from it going forward.


Capital Finance

Coronavirus is impacting the financial health of nonprofit hospitals, but CFOs have some options

Revenue is tanking, while expenses are going up, as organizations prepare for big surges in coronavirus cases.


Supply Chain

COVID-19: Ventilators are in short supply, but so are medications for ventilator patients.

If the current pandemic continues much longer, acquiring needed ventilator medications will present long-term challenges for patient care.



A dynamic healthcare budget process may trump traditional budgeting in terms of accuracy, flexibility

With a labor-intensive budgeting process that provided little business value, OSF Healthcare decided it was time to be more flexible.


Quality and Safety

Life support physicians offer guidance in the context of resource-scarce COVID-19 treatment

When demand outpaces the ability to provide ECMO therapies, physicians should be prepared to determine when and if to offer such support.


Billing and Collections

Blue Shield of California is offering providers up to $200 million during COVID-19 crisis

Nonprofit insurer is working with two financial-services partners to provide financing guarantees, advance payments and restructuring of contracts.


Claims Processing

Humana is expediting claims processing and prior authorization during COVID-19 pandemic

Prior authorization requirements have hindered freeing up hospital beds due to delays in getting inpatients to post-acute care.



Some COVID-19 patients still have coronavirus after symptoms disappear, possibly endangering health workers

The message is clear: Nurses and physicians should treat asymptomatic patients as carefully as symptomatic patients.



UnitedHealth Group's Andrew Witty to join WHO vaccine efforts

Witty will take a take a leave of absence with an expected return as Optum CEO by the end of the year.


Medical Devices

Apple is developing custom health information tracking chips

The custom sensor would measure information from the body beyond heart rate, report says.


Compliance & Legal

DOJ accuses Anthem of fraud in risk adjustment payments for its Medicare Advantage plans

Anthem claims the DOJ has violated the law in holding Medicare Advantage plans to payment standards that are not applied to regular Medicare.


Policy and Legislation

HHS announces ventilator contracts, immunotherapy development for COVID-19 patients

The five new ventilator contracts are expected to ramp up production, while immunotherapy development could help in coronavirus treatment.


Community Benefit

Advocate Aurora Health contributed $2.1 billion to community charitable care and services in 2018

The nonprofit health system has sponsored numerous programs and services that help address social determinants of health.


Accountable Care

More than half of ACOs likely to leave Medicare Shared Savings program

NAACOS and others want CMS to hold harmless providers participating in alternative payment models from performance-related penalties for 2020.


Acute Care

Health systems can use new, old technology to help address COVID-19 coronavirus pandemic

While new technologies are being deployed, health systems can use existing resources to help combat the coronavirus’s spread.


Ambulatory Care

Medical schools, teaching hospitals account for 3{5667a53774e7bc9e4190cccc01624aae270829869c681dac1da167613dca7d05} of US GDP, report shows

The institutions that were studied added more than $562 billion in value to the nation’s economy in 2017, including direct and indirect economic impact.



How data is presented to clinicians can make work more efficient, bend the cost curve

Integrating cost and clinical-decision-support information reduced medication errors and burnout prevalence at Houston Methodist.


Business Intelligence

While the price of healthcare is growing, utilization is dropping and price variations persist, report says

Report analyzed more than 1.8 billion commercial healthcare claims and data visualization to benchmark prices and use across 112 metropolitan areas from 2012 to 2016.


ICD-10 & Coding

Physician practices examine risk adjustment coding in wake of federal lawsuits

Doctors need to carefully and properly use the HCC codes, which indicate the expected costs for a patient.


Meaningful Use

CMS overhauls meaningful use EHR program, renames it 'Promoting Interoperability'

Administrator Seema Verma said changes to the program eliminate 25 measures and saves hospitals over 2 million hours of work and $75 million.


Medicare & Medicaid

Inpatient rehab facilities will get a 2.9{5667a53774e7bc9e4190cccc01624aae270829869c681dac1da167613dca7d05} pay increase in CMS proposed rule

To ease physician burden during COVID-19, non-physician practitioners will be able to perform documentation duties.


Patient Engagement

Healthcare has an opportunity to improve patient engagement for those with traumatic brain injuries

Patient Engagement efforts could go further to ensure that patients with cognitive challenges receive the care they need.



AHIP supports federal regulation of PBMs in Supreme Court case

Should states win their case to regulate how PBMs contract with pharmacies, plan costs will rise, AHIP says.


Risk Management

Cybersecurity needs to be put in business terms

IT security is a legacy word, says Brian Selfridge: “This isn’t cybersecurity, this is risk.”



Walgreens expands telehealth as COVID-19 demands social distancing

Walgreens Find Care now includes a COVID-19 risk assessment powered by Microsoft Healthcare Bot on Microsoft Azure.


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