Operations & Business Management

Latest Headlines

Latest Headlines

'Sky is the limit' for health providers who use social media

Social media can be a minefield, but platforms such as  Facebook, LinkedIn, Instagram and Twitter can also provide physicians and other healthcare professionals with an array of previously unheard-of advantages and the ability to confer with other professionals--no matter where they are in the world. 

Value-based care: Will the industry ever be ready to ditch fee-for-service?

The Triple Aim. Bundled Payments. Accountable care organizations. FierceHealthcare has written countless articles about these initiatives to move the healthcare industry away from fee-to-service to...

AHIP: Out-of-network bills vary greatly nationwide

The amount providers bill consumers for out-of-network care varies greatly from state to state,  according to an analysis from America's Health Insurance Plans, findings the group says underscore the value of health plans' provider networks.   

ACLU sues Michigan health system over denying emergency care to pregnant women

The American Civil Liberties Union and the American Civil Liberties Union of Michigan have filed a lawsuit accusing a Catholic health system with more than 80 hospitals nationwide of denying appropriate emergency care to women suffering pregnancy complications. 

Three years into value-based purchasing, hospitals have little to show for it

Medicare's value-based purchasing program, under which hospitals are financially rewarded or penalized based on care outcomes, has not led to substantial improvements in care its first three years, according to a report from the Government Accountability Office.

Physician practice revenues rise under Affordable Care Act

Physician practices are enjoying a windfall from the Affordable Care Act, with many of them collecting a little more revenue since the reform law went into effect, according to a new issue brief from the Robert Wood Johnson Foundation.

UNC, Duke systems post big gains in operating profit

Despite the fact that North Carolina has yet to expand Medicaid eligibility under the Affordable Care Act, some of the state's biggest providers are posting record profits.

New Jersey providers mystified over Blues selection for new network

A big New Jersey insurer has created a tiered network from scratch that has excluded many of the state's biggest hospitals, leading executives to engage in behavior ranging from head-scratching to claims of religious discrimination.

Alaska safety-net providers sue over botched Medicaid software

A group of providers in Alaska is suing a subsidiary of the Xerox Corp., claiming the company botched an install of new Medicaid payment software, the  Alaska Daily News  has reported.

Hospital mergers can ultimately benefit patients by reducing disparities in outcomes

"Merger mania" is sweeping the nation as hospitals, insurance companies and other healthcare institutions merge together to help satisfy the mandates of the Affordable Care Act. While the conventional wisdom says that physicians and patients suffer when healthcare providers merge, one physician believes that when hospitals merge, patients actually benefit.