Where healthcare challenges find solutions

Payment

As providers and the government try to lower healthcare costs, much of the action rests on lower reimbursement. Meanwhile, patients increasingly are reaching into their own pockets to cover their healthcare costs. They want price transparency and convenient ways to pay their bills, and providers want to maintain healthy margins. Read more about how payment innovations affect the industry.

From the editor: Healthcare remains critical issue and Americans demand change

From the editor: Healthcare remains critical issue and Americans demand change

The 115th Congress on the State of Healthcare, a collection of commentaries from members of Congress, is intentionally timed close to the midterm elections this year. In just over a month, voters will take to the polls to decide whether the Senate and House will remain controlled by Republicans.

Data Points: CMS' quality improvement organizations had far reach in 2017

Data Points: CMS' quality improvement organizations had far reach in 2017

In 2017, the CMS' quality improvement organizations reported progress on a number of fronts in improving care for Medicare beneficiaries.

Data Points: Healthcare tops the polls as midterms loom

Data Points: Healthcare tops the polls as midterms loom

The all-important 2018 midterm elections are less than two months away. As special elections and primaries this summer have proven, healthcare continues to be a hot-button issue.

Webinar: How to Run a Successful Acute Rehab Program — Strategies to Improve Quality and Outcomes

Webinar: How to Run a Successful Acute Rehab Program — Strategies to Improve Quality and Outcomes

In today's rapidly evolving healthcare environment, running a successful acute rehab program is more challenging than ever. At the same time, as providers shift to value-based care, post-acute treatment is playing an increasingly important role in ensuring positive outcomes.

Data Points: Surprise! It's your out-of-network bill

Data Points: Surprise! It's your out-of-network bill

Surprise billing continues to be one of the most vexing problems facing the industry. Patients often don't know that the anesthesiologist or another provider are out-of-network when they go in for care. Then the surprise—usually shock—when the bill arrives.

Webinar: Better Outcomes and Lower Costs — It Starts at the Point of Care

Webinar: Better Outcomes and Lower Costs — It Starts at the Point of Care

Successful care delivery is about delivering efficient and effective care. Many health systems address these goals separately- teams that work on efficiency and other teams that work on clinical effectiveness. In reality, careful attention to clinical standards in care delivery is one of the most powerful levers to drive efficiency.

Data Points: Cracking down on Medicaid fraud

Data Points: Cracking down on Medicaid fraud

CMS Administrator Seema Verma last week said that her agency is working closely with states, the Government Accountability Office and HHS' Office of Inspector General to root out fraud in Medicaid.

In Depth: Hospitals tackling social determinants are setting the course for the industry

In Depth: Hospitals tackling social determinants are setting the course for the industry

More hospitals are looking at the role of social determinants of health as a way to improve patients' overall well-being. But there's little evidence of the returns hospitals get from their investments.

Data Points: Healthcare sharing ministries offer another insurance alternative

Data Points: Healthcare sharing ministries offer another insurance alternative

Healthcare sharing ministries are exactly what they sound like—plans that gather the resources of a group of people with common religious beliefs. And they've been growing at a rapid pace.

Data Points: Stand-alone EDs flock to affluent ZIP codes

Data Points: Stand-alone EDs flock to affluent ZIP codes

The past decade has seen a proliferation in the number of stand-alone emergency departments. But in some markets, the saturation is too much to handle.

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