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Managed care for Medicaid patients in Kansas is running into some significant financial hurdles as the insurers administering the coverage rack up a $72.6 million more »

Patients covered under more than one health insurance payer may no longer cause squabbles in the accounting office thanks to the newly announced nationwide rollout more »

Vendors of clinical analytics and chronic disease management platforms are finding it a good time to be in business as investors jump at the chance more »

Young adults taking advantage of the Affordable Care Act (ACA) to stay on their parents’ health insurance until turning 26 are more than 2% less more »

As provider organizations of all sizes become more directly and more financially accountable for patient outcomes and clinical quality, they must also increasingly count on more »

Care quality and the transparency of financial and clinical data go hand in hand according to a majority of providers taking part in a poll more »

The healthcare industry is undergoing dramatic changes, including shifting market dynamics, stricter regulatory requirements, and a demanding, consumer-centric marketplace. In the middle of it all more »

One in ten emergency department visits are for conditions that do not require emergency services and could be better treated through primary or urgent care, more »

The widespread lack of healthcare data transparency is one of the most significant barriers preventing a meaningful transition to accountable care and a data-driven healthcare more »

Researchers at the University of North Carolina Chapel Hill have developed an interactive online tool to help healthcare organizations tackle one of the most insidious more »

Bundled payments for cancer treatments, which covered an entire “episode of care” for a single patient, resulted in a 34% reduction of overall medical costs, more »

Epic Systems doesn’t just have the hospital EHR market locked down – they’re a heavy favorite in the business intelligence arena, as well.  According to more »

Hospitals looking to ramp up their offensive tactics when it comes to patient engagement may soon have an interesting new tool at their disposal: a more »

While chief medical information officers (CMIOs) are generally satisfied with their role in fostering clinical analytics and overseeing health IT infrastructures in hospitals and health more »

A third of healthcare representatives polled by KPMG believe that value-based reimbursement arrangements will have a negative effect on the revenue cycle, with 12% anticipating more »

Eighty-four percent of financially insecure hospitals are putting off investments in population health management and clinical analytics infrastructure, says a new survey by Black Book more »

Patient engagement programs that lead to better population health management are among the few things physicians are looking forward to in 2014 amid a rather more »

You don’t have to be an avid coupon-clipper to know that getting rewards for taking small actions is a nice feeling.  The idea of earning more »

After taking similar actions in Rhode Island and Connecticut late last year, national insurer UnitedHealthcare plans to eliminate about 700 Massachusetts physicians from its Medicare more »

More than three-fourths of providers believe that a strong foundation of data analytics and health information governance is critical for the success of value-based payment more »

South Jersey-based AtlantiCare Health System has signed a strategic agreement with Pennsylvania heavyweight Geisinger Health System to explore new models of financial reimbursement, increase health more »

Personalized medicine?  Not if you want to make an extra $350 a month, WellPoint, Inc. is telling oncologists.  The insurer will be offering a financial more »

Healthcare organizations may be investing in clinical analytics, business intelligence solutions, revenue cycle management tools, and robust quality improvement programs, but all the technology in more »

With Kathleen Sebelius turning in her resignation as Secretary of the Department of Health and Human Services after a rocky year overseeing the launch of more »

When it comes to using health IT to make improvements within a healthcare organization, clinical analytics often steals the limelight.  Predictive risk scores, sepsis alarms, more »

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