Category: Healthcare Finance News

Screenings for social determinants of health need to be tailored to clinics, BU finds

The average health center only screened for 8 of the 16 domains in the pilot’s standardized screening.

New clinical pathway for cancer patients leads to better outcomes, lower healthcare costs

Cost savings for pathway patients was estimated on average to be more than $1,500 per patient.

Quality standards framework can improve both clinical and financial performance in healthcare

A consistent framework is needed to ensure healthcare quality workforces are efficient, effective, and delivering on ROI.

Chinese nationals indicted for Anthem hack from 2014

Anthem last year was required pay $16 million in the most costly HIPAA fine ever, for what remains the largest data breach for the industry.

CMS cracks down on spread pricing by pharmacy benefit managers

The spread amount must be included in the calculation of medical loss ratios that managed Medicaid and CHIP plans use to set premium rates, CMS says.

Leapfrog report finds risk of death nearly doubles for patients in hospitals graded ‘D’ or ‘F’

An estimated 160,000 lives are lost annually from avoidable medical errors, an improvement over 2016 which saw 205,000 avoidable deaths.

With medical groups employing more physicians, a leader with the right skill set is paramount

Any medical group requires a strong leader, and then most important qualities to look for are dependent on the needs of the organization.

Millennial healthcare preferences are a departure from the status quo

Millennials are more likely to be uninsured compared with the older generation, saying it’s too expensive.

Judge rules against CVS/Aetna in allowing witness testimony over merger agreement

Testimony is expected to center on the impact of the merger on pharmacy benefit management markets, judge says.

Precision medicine: Getting the data creates a challenge for physicians

Precision medicine tailors care, but it requires technology and interpreting genetic data, complexities that present a roadblock for physicians.