Category: Healthcare Finance News

Lack of resources, staffing among barriers to implementing value-based care

Internal and external gaps in interoperability were the second most-cited barrier to VBC adoption, at 19.7%

DOJ breaks up alleged genetic testing fraud scheme estimated at $2.1 billion

The defendants ordered unnecessary tests that were reimbursed by Medicare, with laboratories sharing the profit, DOJ says.

Medicaid may be the driver to reducing costs

Medicaid serves the population most adversely impacted by the social determinants of health.

Affordable Care Act slashed the uninsured rate among people with diabetes

The dip in the uninsured rate was especially pronounced among those with low income.

Complex ethical issues can be a contributor to nurse burnout, says bioethicist

Moral distress results from managing the complex ethical issues in healthcare practice and patient care, and it can be draining for nurses.

Tech-enabled tool will give Sutter Health | Aetna members “concierge” services

Pilot member engagement project with Docent Health signals investment in consumer experience.

Tech-enabled tool will give Sutter Health | Aetna members “concierge” services

Pilot member engagement project with Docent Health signals investment in consumer experience.

Revenue cycle, billing improvements trump lawsuits when it comes to collecting

Making the process more palatable for consumers can help to avoid revenue leakage and lawsuits.

Kaiser Permanente, unions reach tentative contract agreement as planned strike is canceled

The agreement includes annual raises and a workforce development program to address looming staffing shortages.

Hospitals are fighting DSH payment cuts

America’s Essential Hospitals said it is working with lawmakers to stop $4 billion in cuts for 2020 from taking effect November 22.