Category: Modern Healthcare

Patient advocates’ role expands to meet healthcare’s increasingly complex demands

Once considered the arbiter of patient complaints, the role of the patient advocate has expanded as navigating the healthcare system has become increasingly complex.

340B hospitals breathing easier under Dem-controlled House

340B proponents feel Democratic control of the House may have pivoted the conversation toward adding reporting and transparency requirements and away from cutting reimbursement.

Week Ahead: Earnings season slowly kicks into gear

Following a successful third quarter, UnitedHealth Group will report its fourth-quarter earnings for 2018.

J.P. Morgan Healthcare Conference brings out the high prices

As 9,000-plus executives descended on San Francisco last week for the annual festival of finance known as the J.P. Morgan Healthcare Conference, things got a little intense, with steep prices all around.

Data Points: CHIP continues to grow, in enrollment and spending

Since it was enacted in 1997, the Children’s Health Insurance Program has been largely hailed as a success and enjoyed support from both sides of the political aisle. While it got caught up in partisan bickering in late 2017, CHIP was ultimately…

Prior authorization 
goes digital

Hoping to cut out some of the inefficiencies of prior authorization, payers and providers are trying digital versions of the process.

CDC: Flu season to be milder than last year

Approximately 84,000 people have been hospitalized so far this flu season, which experts say points to signs of a milder season compared to last year that saw more than 80,000 deaths.

ACOs ask for more time before taking on more risk

The CMS is giving new accountable care organizations one month to apply to a new program forcing them to take on more risk. But the providers say that deadline is far too short.

Hospitals overspend $39 billion a year on purchased services

Even though purchased services account for approximately 20% of a hospital’s total operating costs, it is often an overlooked sector.

Surgeons fear pelvic mesh lawsuits will spook patients

Doctors who specialize in female pelvic medicine say lawsuits by four states over products used to treat pelvic floor disorders might scare patients away from the best treatment options.