Category: Healthcare Finance News

Hospital profits in Massachusetts shriveling due to financial pressure

North Shore Medical Center in Salem.
Hit especially hard were Massachusetts’ community hospitals, with median operating margins plunging to 0.9 percent.

Employers drive healthcare change through direct contracting, ACOs, combatting opioid epidemic

From direct contracting between employers and providers to campaigns aimed at reducing the stigma around mental health issues, employers are doing it for themselves.

Humana completes sale of long-term care insurance policy business KMG, at a loss of $790 million

Insurer is investing in at-home and hospice organizations and is focusing on senior primary care through Walgreens partnership.

HHS Secretary Alex Azar warns drug makers to pay full Medicaid rebate amount

Some drug companies pay less than what they would otherwise owe by introducing a new drug formulation, HHS Secretary Alex Azar says.

Mayo Clinic appoints Florida CEO, Center for Innovation co-founder as new CEO

Farrugia has served as vice president of Mayo Clinic and CEO of Mayo Clinic in Florida since January 2015.

How artificial intelligence can save health insurers $7 billion, Accenture says

Automating core administrative functions equates to unlocking $15 million in operating income for every 100 full-time employees, the consultancy says.

Want to rid healthcare of fax machines? First, standardize prior authorization

Providers conduct 77 million prior authorizations a year, and getting payers and providers to use one standard could also save $6.84 per transaction.

Practice, hospital workplace culture needs flexibility, balance and better communication, physicians say

Flexible schedules and improved organizational communication were the top two issues listed in what would improve the practice culture, results showed.

CMS overhauls Medicare ACO program by limiting upside risk to only two years

CMS sign at HIMSS17.
Administrator Seema Verma says it’s time for ACOs to take on downside risk, in a proposal that would save Medicare $2.2 billion over 10 years.

Amazon’s disruption binge continues with potential opening of primary care clinic at Seattle headquarters

Amazon office building.
Amazon’s tidal wave through healthcare industry continues as company is in talks to open primary care pilot clinic for select employees with plans to broaden access next year.