American Nurses Association President Pam Cipriano (one of Modern Healthcare's Top 25 Women in Healthcare) says nurses are well-positioned to improve healthcare quality and care coordination and take on new roles as more care moves out of hospitals.
Athenahealth COO Ed Park explains how the next generation of patient-centered information exchange will work and how his own company is pivoting into the hospital EHR market. Modern Healthcare interviewed Park during the 2015 HIMSS conference in Chicago.
Humana CEO Bruce Broussard says Medicare Advantage and the individual plans sold on the Affordable Care Act's insurance exchanges reflect a path the healthcare industry should be on: one that increasingly spurs competition and rewards quality and efficiency.
Jitin Asnaani, executive director of the CommonWell Health Alliance, says the vendor collective is giving members a low-cost way to allow customers to exchange healthcare data among software products.
Dr. Patrick Conway, CMO and acting principal deputy administrator at the CMS, says the Obama administration's push to transform the healthcare system is yielding real results, even as some providers have struggled as the agency tinkers with the frameworks and benchmarks of its new models.
Grant outlines the challenges that Lahey Health experienced as the system entered population health and details some of the system's early successes. Grant also explains how Lahey has moved toward risk-based contracts and why he believes his organization must make a rapid shift into full risk.
Henry Ford Health System CEO Nancy Schlichting explains why the Detroit-based integrated system is doing well even as hospital admissions fall.
Lofton explains CHI's latest moves as the health system assembles the pieces for integrated delivery networks and expands its insurance portfolio to gain expertise managing the health of populations—and the steps the system has taken to recover from financial losses in 2014.
In his new book, Dr. Atul Gawande explores the troublesome intersection of dying in America and the U.S. healthcare system. Faced with their own mortality, people often choose other priorities over living longer. But only if someone asks.
The medical device industry argues that risk-based payment models are pushing providers out of their traditional roles as advocates on behalf of patients for access to new technology and aligning them with insurers as gatekeepers on cost.
In an exclusive interview, Swedish explains the strategy behind Anthem's new joint venture with seven Southern California health systems, which will share risk with a new no-deductible, low-cost plan.
A team of clinical staffers at MedStar Health's National Center for Human Factors in Healthcare demonstrate how an error can easily occur with a cardiac defibrillator. The health system launched the center in 2010 to address safety issues associated with the deployment of new technology.
CMO Dr. Allen Nissenson explains why DaVita is struggling to integrate physician-group division HealthCare Partners. He also gives his take on Medicare's bundled payments for end-stage renal disease and the CMS Innovation Center's model for renal ACOs, called ESRD Seamless Care Organizations.
A pitching session modeled on the television show "Shark Tank" is one component of the Practice Change Leaders, a yearlong professional development program for geriatricians and others who care for older adults.
Value-based reimbursement now makes up some portion of the revenue stream for most providers. Within a few years it will exceed 50%. Experts question whether providers and insurers are truly prepared for the pace of change.
Dr. Emad Rizk is set to assume leadership of hospital revenue-management company Accretive Health on July 21. Modern Healthcare recently interviewed Rizk about the revolution afoot in healthcare payment, with providers on a fast and rocky path from fee-for-service to value- based models.
Teri Fontenot, president and CEO of Woman's Hospital in Baton Rouge, La., discusses the organization's new $350 million facility, the role of a maternal and neonatal hospital in managing population health and Louisiana's controversial new abortion law.
Health First President and CEO Steven Johnson says the business strategy moves toward building membership in the health plan while the hospital becomes a cost center.
Catholic Health Initiatives CEO Kevin Lofton explains the system's strategy for acquiring hospitals and health plans to build a critical mass in its markets and the resources and expertise to manage population health.
Consumers are demanding to know what healthcare costs, and providers are struggling to find a way to calculate and explain the numbers—as well as help patients understand what they're obligated to pay.
LifePoint Hospitals' operations CFO John Kerndl says the company successfully mined its patient data to identify patients who would qualify for subsidized coverage through one of the marketplaces. Half of them successfully enrolled in a plan.
Joe Fifer, president and CEO of the Healthcare Financial Management Association, previews the HFMA's effort to help healthcare systems rationalize their chargemasters, which are confusing consumers and confounding hospital executives called on to explain them.
Not long ago Cleveland safety net system MetroHealth was posting losses and cutting jobs. But, as CFO Craig Richmond explains, the organization finished 2013 with a $19 million surplus thanks to the state's Medicaid expansion and a concerted push to deliver care as a patient-centered medical home.
Blackwelder says expiring Obamacare provisions intended to boost primary care need more time to work. He also addresses the future of the specialty as disproportionate numbers of medical students continue to pursue more lucrative areas of medicine.
Neighborhoods around Henry Ford Hospital in Detroit are wracked by poverty, and the lack of access to pharmacies and healthy foods, as well as infrequent public transportation, make it more likely that patients who live there will be readmitted soon after they're discharged.
Dr. Robert Wah, who was inaugurated as AMA president June 10, reveals his plans for leading the nation's largest physician organization through what's sure to be a turbulent year for its members.