Category: Healthcare Finance News

How artificial intelligence can be used to reduce costs and improve outcomes in total joint replacement surgery

Use of AI led to cost reductions including a 25 percent drop in hospital length of stay and 91 percent reduction in discharges to nursing facilities.

Analysis: Pulling back curtain on hospital prices adds new wrinkle in cost control

What has long been shrouded in darkness is now being thrown into the light.

MGMA: Majority of practices say cost of care outweighs Medicare reimbursements

Massive gaps leave practices more dependent on reimbursement from commercial payers and commercial contracts, raise the potential of shrinking number of Medicare patients accepted.

Optum sues former executive for working for competitor company run by Atul Gawande

David Smith said he expects his new role to involve in-depth research on the delivery and costs of healthcare for over 1 million lives.

Orthopedic surgery spending increased 44 percent since 2010

Volume increase is the main cost driver, as the number of such procedures has sharply risen across nearly all ages under 65.

Most hospitals would likely benefit from third-party liability insurance coverage, says ERI

TPL reimbursements can recoup as much as 100 percent of charges levied, double commercial rates and more than triple governmental plan rates.

HIMSS TV at HIMSS19: List of experts, thought leaders keeps growing!

Sentara healthcare CIO, CISO to share insights, expertise with HIMSS TV audience at the global conference in Orlando next week!

Walgreens settles False Claims suits for $270 million

Two cases emerged from whistleblower claims about improper billing related to discounted drug prices and insulin pens.

Disclosing drug prices won’t drive down costs, JAMA says

Even if its passed into law, proposed legislation to force frice disclosures is unlikely to create the kind of competition that affect prices.

38 hospitals sue HHS over site-neutral payment rule

Hospitals named in the suit include Vanderbilt Medical Center, Atrium Health, Rush University Medical Center, Ochsner Clinic Foundation and Montefiore Health System.