Category: Healthcare Finance News

Self-funded employers are playing an increasing role in taking on the status quo to lower costs

The insurance industry will remain but the traditional PPO is beginning to come to an end as costs are outstripping inflation and wages, CEO says.

Reducing wasteful spending in healthcare by curbing administrative complexity

Wasteful spending is an increasingly thorny problem in healthcare, especially with the industry comprising an ever-larger portion of GDP.

Kaiser, Oscar, Blue Cross Blue Shield plans among big winners of cost sharing reduction payments

In total, Affordable Care Act insurers in class action lawsuit will receive over $1.5 billion in damages from 2017 and 2018.

Operational efficiencies saved hospitals from further earnings decline

Mergers and acquisitions helped grow revenue but it’s taking health systems longer to realize expected synergies.

Study finds racial bias in Optum algorithm

Optum calls the study’s conclusions “misleading” as health systems use many data elements other than cost to select patients for clinical engagement.

Amazon makes its second digital health acquisition with Health Navigator

The five-year-old Illinois company offers digital health content middleware in the form of APIs used by Microsoft, MDLive and others.

OCR imposes a $2.15 million civil penalty against Jackson Health System for alleged HIPAA violations

Two JHS employees allegedly accessed patient information without a clear job-related purpose.

Ownership of data is a heated debate

By law, patients own their own data, but access and understanding what’s in the record is not user friendly.

Flat or declining patient volumes is top revenue concern, new survey shows

Hospitals should obtain more valuable data insights, set performance improvement goals and better engaging physicians, finds Kaufman Hall.

One-fifth of patients are prescribed opioids after cardiac device implantation surgery

Prescription opioids are a major contributor to the opioid epidemic and are linked to prescription opioid abuse, addiction and overdose deaths.