Category: Healthcare Finance News

Court ruling gives Prime hospitals the right to sue Humana over Medicare Advantage contracts

Precedent-setting case will affect providers nationwide when they feel insurers have breached their contracts, according to attorney.

Court ruling gives Prime hospitals the right to sue Humana over Medicare Advantage contracts

Precedent-setting case will affect providers nationwide when they feel insurers have breached their contracts, according to attorney.

Medicaid expansion increased low-income patient access to kidney transplants, research shows

Kidney transplantation is more cost-effective and associated with better health outcomes than dialysis, the authors said.

Medicaid expansion increased low-income patient access to kidney transplants, research shows

Kidney transplantation is more cost-effective and associated with better health outcomes than dialysis, the authors said.

U.S. Bank, Optum360 partner on solution to streamline, boost revenue cycle management

Healthcare receivables management suite tackles traditional EDI conversion and better management of the claims payments.

U.S. Bank, Optum360 partner on solution to streamline, boost revenue cycle management

Healthcare receivables management suite tackles traditional EDI conversion and better management of the claims payments.

Health systems show greater emphasis on consumer-focused strategies, but progress is slow

Most initiatives generally lack a foundation of consumer insights and analytics, and favor traditional over innovative approaches.

Why it’s time for hospitals to make every employee a risk manager

Engaging everyone in a risk management mindset can transform a healthcare organization into a more successful and competitive entity.

Medicaid work requirements are leaving more Americans uninsured, Harvard study says

Researchers looked at 3 states with different policies and found a risk of low-income patients staying or becoming uninsured because of work requirements, health savings and premiums.

Hurricane Maria one year later: Puerto Rico insurance heads talk disaster recovery, lasting impact

MMM President Orlando Gonzalez and COO Manny Sanchez say the devastating storm illustrated how the payer has to continually innovate.