By Pamela J. Gallagher – Healthcare organizations spend tens of millions on sophisticated data collection and storage, yet it is hard to define what data is worth to an organization. What is its true value? This depends entirely on how the organization uses it.
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By David Burda – I’d bet my family annual out-of-pocket maximum of $3,000 under my Blue Cross HMO that no other industry spends more on billing and collections than healthcare. Revenue cycle management, hospitals, health systems and medical practices spend billions a year to collect every dime they are owed.
By Anna Maria Barry-Jester – If you were growing up in Detroit in the 1970s or ’80s, chances are you knew the city’s Herman Kiefer public health complex by both sight and reputation. Opened at the turn of the century and later enhanced by renowned industrial architect Albert Kahn, the imposing brick complex was named after a local infectious disease doctor.
By David Burda – Unless you’ve been on a ventilator because you decided not to get a free vaccine from about anywhere that could have saved you from a deadly virus, you probably know that U.S. News and World Report just released it latest annual ranking of the best hospitals in the country.
Latest news being reported on payers and the health insurance industry including news from Friday Health Plans, HealthSparq, GetSetUp, UnitedHealthcare, Turquoise Health, CVS Health, Humana, Oscar Health, RxBenefits, and more.
By Matthew Albright – As healthcare costs continue to rise, surprise medical bills top the list of affordability concerns for a majority of Americans – two in three American adults worry about their ability to afford an unexpected medical bill, according to the Kaiser Family Foundation.
By John Schwartz – Our healthcare system has evolved based upon the need for a visit, planned or impromptu, to a medical provider. The inefficiencies, glut of utilization and exponentially rising costs that flow from it as funded by the long-standing “fee-for-service” payment methodology have been well chronicled to date.
By Devin Partida – One of risk classifications common applications relates to the insurance industry. Insurers consider the overall risk associated with a physician or practice and then conclude whether to offer coverage. Here are some other helpful specifics about these groupings.
By Bernard J. Wolfson – A federal price transparency rule that took effect this year was supposed to give patients, employers and insurers a clearer picture of the true cost of hospital care.