Category: Healthcare Finance News

Pediatric telemedicine visits may increase antibiotic overprescribing

Telemedicine use for acute issues among children have increased, but along with that is an apparent increase in antibiotic overprescribing.

Revenue cycle: Metrics to master, mistakes to avoid

Experts share advice about running a successful healthcare revenue cycle.

Revenue cycle: Metrics to master, mistakes to avoid

Experts share advice about running a successful healthcare revenue cycle.

Narrow networks in Medicare Advantage plans refuted in new study

Just 3 percent of plans were found to be narrow, with the share of broad networks increasing from 80.1 to 82.5 percent over four years, Health Affairs study shows.

Insurance coverage linked to access to hospital care in new JAMA study

Hospitals are not reimbursed for admitting uninsured patients and they receive lower payments for Medicaid.

Sutter Health|Aetna adds Stanford Health Care to network

The joint venture between provider and payer, which launched last year, has grown to about 50 plan sponsors across 15 counties.

Shorter stays in a skilled nursing facility tied to higher risk for readmission

Avoiding readmissions is one the top goals for providers who seek to avoid financial penalties linked to high rates.

Government subsidies may be key to containing hospital-borne infections

Patients and healthcare workers can spread infections from one hospital to another, even if some are more vigilant in controlling infections.

Cigna and Express Scripts launch program to cap out-of-pocket cost for insulin at $25 per 30-day supply

Cigna and Express Scripts clients will activate the new program for participating plans by moving covered insulin products to a lower copayment.

What the revenue cycle picture could look like by the end of the year: Predictions

Artificial intelligence, real-time payments and telehealth are all factors that could affect the revenue cycle picture over the next nine months.