Federal appeals court throws out rural hospital suit

Rural hospitals fighting what they perceive are unfair reimbursement formulas devised by the U.S. Department of Health and Human Services have lost a round in federal appeals court.

Senate set to vote on SGR bill amendments as CMS warns proposal is not enough

The Senate is expected today to take up several amendments to a bill that includes a provision to permanently repeal the Sustainable Growth Rate, a measure passed late last month by the House. However, a new report from the Centers for Medicare & Medicaid Services adds to the chorus of reservations in recent weeks about the agreement hailed as a rare bipartisan solution.

America's healthcare is often delivered with a mean streak

U.S. healthcare delivery is different from most of the rest of the world for a variety of reasons, but perhaps the most significant one is the fact that ours is often marbled with a mean streak....

Anthem pushes hospital labs to slash rates

Anthem Blue Cross in Indiana has pushed hospital-based laboratories in its provider network to dramatically cuts its negotiated rates or find themselves competing against much lower-priced providers.

Blue Shield's tax exemption loss could trigger cascade

It came as a bit of a shock when Blue Shield of California--not only one of the state's largest insurers but one of its largest not-for-profit organizations--lost its state tax exemption. But it begs the question--which healthcare entities may be next on the chopping block?


Hospitals relocate to improve financial fortune

Many hospitals that service poor communities seek a new solution to that problem--by moving to more prosperous parts of town, according to Kaiser Health News.

Ease up on patient collections to improve revenue cycle management

The financial pressures hospitals face will likely increase, which will in turn lead to lengthened revenue cycles. But there are many ways to ensure that those cycles end with satisfactory financial incomes, according to Becker's Hospital CFO.


New coalition pushes for greater price transparency

A coalition that includes lobbies for senior citizens, consumers and ambulatory surgical centers has teamed with Aetna and Novo Nordisk to push for greater price transparency.

Scripps Health CEO on how he turned around floundering hospital system

Chris Van Gorder, former police officer turned hospital system chief executive officer, believes that engagement with his employees is the best way to lead. 

'Unsustainable' drug prices put the squeeze on Medicaid, patients

There was no shortage of concern to go around about the "unsustainable" rise in prescription drug costs, but it is less clear what exactly can be done to stop it, according to a briefing from the Campaign for Sustainable Rx Pricing Thursday at the U.S. Capitol building.

How 4 states tackle healthcare cost measurement

A new report from the Milbank Memorial Fund examines healthcare cost measurement initiatives in four states and the policies driving them.

Urban Institute says spending trends on major downturn

Despite the recent alarms about healthcare costs creeping up again, a new and extensive study by the Urban Institute suggests that they will continue to remain low in the years to come, with the Affordable Care Act playing some yet-to-be fully defined role.

MedPAC suggests CMS scrap two-midnight rule

The Medicare Payment Advisory Commission recommends that the Centers for Medicare & Medicaid Services withdraw its proposed two-midnight rule, AHA News Now has reported.

Supply chain managers feel pressure from healthcare providers

Most healthcare executives say the supply chain is critical to their organizations success, according to a new Frost & Sullivan survey. 

SGR replacement bill draws fire

The bill pending in Congress that would repeal and replace the Sustainable Growth Rate payment formula for physicians is coming under fire for its ambiguity.

Hospital CEOs are becoming an endangered species

High-level execs often lose their jobs when hospitals merge, according to Crain's New York Business.

As laboratories remake themselves, will the healthcare industry capitalize?

When it comes to healthcare delivery, laboratories are in a tough spot. Whether hospital-based or standalone businesses, labs don't do much to stir the souls of healthcare finance executives....

PBGH expands bundled payment program with hospitals

The Pacific Business Group on Health has expanded a value-based purchasing program to include one of the priciest procedures that occurs in a hospital--spinal surgeries.


Two regional providers, two different ways to approach patient debt

One county, two hospital systems, two very different ways of collecting debt. That's the conclusion of USA Today, which examined patient debt lawsuits filed in Greene County, Missouri. It discovered that CoxHealth in Springfield and Mercy Health in Chesterfield--both not-for-profit providers--are worlds apart in aggressively pursuing patient debt. 

States that expanded Medicaid saved millions

The more than two dozen states that have expanded Medicaid eligibility under the Affordable Care Act are apparently reaping extensive financial gains from doing so, according to a new policy brief published by the Robert Wood Johnson Foundation on behalf of Manatt Health Solutions.