Operations & Business Management

Latest Headlines

Latest Headlines

University Hospitals, Anthem start ACO for Medicare Advantage patients

To better coordinate care and reduce healthcare costs by improving communication between providers and insurers, Cleveland, Ohio-based University Hospitals and Anthem Blue Cross and Blue Shield have launched an accountable care organization that will serve patients in the insurer's Medicare Advantage plan,  Crain's Cleveland Business  reports.

OIG: Delays, scheduling violations plague VA's private-care fix

More than a year after the Department of Veterans Affairs (VA) came under fire for care delays, a heavily-touted solution that would allow veterans to seek private healthcare suffers from similar problems, according to a new report from the VA Office of Inspector General.

The limitations of reference pricing

The California Public Employees Retirement System's (CalPERS)  knee-and-hip experiment-- which saved $5.5 million in two years by capping hip and knee replacement procedures--understands how consumers' knowledge of the price of care affects insurer and provider-focused initiatives

Aetna-Humana merger could coax Anthem, Cigna to make a deal

The merger announced Friday between Aetna and Humana will not only have major implications for the insurers and their members, but it also may change the game for two other insurance giants locked in contentious takeover talks.

Major health providers place limits on low-volume 'cowboy' surgeons to stop patient deaths

Health providers are cracking down on surgeons who put patients at risk by conducting surgical procedures that they don't usually perform.

How lump-sum payments could streamline emergency care

A redesign of the reimbursement model for hospital emergency departments and uncompensated care would provide incentives to improve emergency care and keep competition robust, argues Christopher Pope, Ph.D., senior advisor at the Gary and Mary West Health Policy Center, in a blog post from  Health Affairs.

How Maryland's all-payer system transforms traditional payment models

For the past 18 months, Maryland has been implementing an all-payer system that shifts away from the fee-for-service reimbursement model and instead focuses on capped payments and rewards to providers who deliver quality healthcare at lower costs.

RFID tracking slowly working its way into hospital inventory control

Supermarkets and your refrigerator tend to have the same issue in common: "Best If Used By" labels. If you don't get around to selling or consuming that yogurt or luncheon meat by a...

CMS proposes to trim outpatient payments in 2016

The Centers for Medicare & Medicaid Services (CMS) proposed a modest trim to payments to hospitals for outpatient services and to ambulatory care providers for the 2016 calendar year, as well as a slight revision to the two-midnight rule,  MedPage Today has reported.

Niam Yaraghi: Stage 2 of Meaningful Use has 'failed'

While there are many benefits of health IT, forcing providers to comply with Stage 2 of the Meaningful Use program has been a failure, according to Niam Yaraghi, a fellow at the Brooking Institution's Center for Technology Innovation.