Category: Healthcare Finance News

Data overload: Doctors say patients come into office misinformed

Patients all too often read unreliable sources of medical information and assume the worst-case scenario.

Artificial intelligence helps insurers identify Medicare members who also qualify for Medicaid

Medicare Advantage insurers that miss enrolling dual-eligibles are losing out on an opportunity, according to Change Healthcare.

CMS continues to investigate information breach of more than 90,000 Healthcare.gov consumers

A number of insurance agents and brokers engaged in ‘excessive searching’ for applications stored in the health insurance marketplace, CMS says.

CMS expands mental health payment for residential services

CMS letter to state Medicaid directors outlines new federal waiver to get reimbursed for residential treatment services.

How nurses rate daily job difficulty plays key role in patient care

A nurse’s perception of the difficulty of the workday has a bearing on his or her ability to provide the best care possible, findings showed.

How St. Luke’s created a patient-centric revenue cycle to improve satisfaction and collections

Case study: Revised paper statements and new digital patient portal drove a 38% improvement in self-pay collections, a 21% reduction in cost-per-dollar collected and patient satisfaction rose from 28% to more than 50%.

Yelp reviews reveal strengths and weaknesses of emergency departments and urgent care

Yelp reviews could help bridge a knowledge gap, and also help providers hone in on new focus areas to improve patient care, study says.

CMS proposes changes to streamline managed Medicaid

Proposed changes include rate range flexibility and adding new delivery models such as telehealth.

Hospital CIOs report lack of confidence about their financial data

Financial trust was high for about half of the CIOs surveyed, but most said they want to make changes, especially in how the data is accessed.

Cigna adds two tech companies to its behavioral health program

The collaboration with Happify Health and iPrevail is being offered to employers starting in 2019.