ICD-10 earthquake caused barely a shake

ICD-10 earthquake caused barely a shake

By Joseph Conn and Bob Herman  |  October 02, 2015

Health information technology cognoscenti predict most large hospitals and health systems, physician groups and health plans can handle the numerous, complex and very specific new codes. Any cramps will appear later as providers' cash flows get hit by delayed reimbursements.

Prolonged government shutdown would affect providers

By Beth Kutscher  |  September 26, 2015

The possibility of a government shutdown Thursday could have a ripple effect on healthcare providers but mostly if the shutdown is prolonged. Congress is in an eleventh-hour race to pass a spending bill or risk a second government shutdown.

Activist investor seeking sale of top air ambulance company

By Bob Herman  |  September 19, 2015

Voce Capital Management, a San Francisco-based hedge fund, has asked air ambulance company Air Methods Corp. to consider selling itself to a private equity firm and avoiding the transparency of being a public company.

Innovations: Using big data to optimize post-acute care

Innovations: Using big data to optimize post-acute care

By Beth Kutscher  |  September 05, 2015

Until recently, insurers and providers did not have good ways of measuring the cost-effectiveness of post-acute care providers, and patients lacked clarity on what to expect after they were discharged. NaviHealth is trying to change that.

Medicare readmission penalties create quality metrics stress

By Sabriya Rice  |  August 08, 2015

Four years into Medicare's drive to cut the number of patients who land back in the hospital within a few weeks of leaving, only a quarter of more than 3,400 hospitals avoided penalties, contributing to skepticism about the program and the array of metrics used to evaluate healthcare quality.

N.Y. exchange plans to see average 7.1% rate bump

By Bob Herman  |  August 08, 2015

Health insurance premiums on New York's state-run exchange will rise an average of 7.1% next year. But rates differ greatly by payer, plan type and region, highlighting the difficulties of relying on rough averages.

Blog: A good year for healthcare stocks all around

By Michael Sandler  |  July 31, 2015

Some hospital system executives are citing booming insurer stock prices as a clear market signal that consolidation will give payers the upper hand in future price negotiations with hospitals and other providers. But insurers are not the only ones seeing strong results.

Risk that 'nobody will have access to pediatric specialty care'

Risk that 'nobody will have access to pediatric specialty care'

By Modern Healthcare  |  July 18, 2015

Christopher Dawes, president and CEO of Lucile Packard Children's Hospital at Stanford, a 300-bed hospital in Palo Alto, Calif., discusses the issues raised by Medicaid expansion, narrow-network health plans and high prescription drug costs. He spoke with Modern Healthcare reporter Bob Herman.

Former opponents team up to cut drug costs

By Steven Ross Johnson  |  July 17, 2015

Biopharmaceutical companies have begun involving payers, physicians and patient advocacy groups in the early stages of drug development. The goal of partnering bottom line-driven drugmakers with frugal payers is to link the cost of care with patient health outcomes rather than the volume of...

CMS to release Medicaid managed-care rule

By Virgil Dickson  |  May 23, 2015

The CMS is about to release a sweeping proposed rule that could fuel a major expansion of Medicaid managed long-term care for elderly and disabled beneficiaries.

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