Operations & Business Management

Latest Headlines

Latest Headlines

Consumer-driven healthcare could help empty hospital beds

The shift toward consumer-driven healthcare could wind up cutting the number of patients receiving care via the hospital inpatient setting by as much as 40 percent over the long term, according to a new report by the Oliver Wyman consulting firm.

CMS clarifies short-stay claims settlement offer

The Centers for Medicare & Medicaid Services has issued an update on its settlement process with providers regarding disputed short-term hospital claims

Enroll America updates model to find uninsured Americans

Enroll America--alongside Civis Analytics, a technology and research firm--recently updated its  model to find the uninsured Americans and where they live.

Highmark's medical home boosts patient care

Through its patient-centered medical home, Highmark has been able to improve patient care, including lowering emergency room and prescription drug use, according to data released by the Pittsburgh, Pennsylvania-based insurer.

MGMA speaker makes business case to innovate healthcare communication

The healthcare industry's recent focus on patient satisfaction and HCAHPS scores don't go deeply enough into repairing the core breakdowns in the way organizations help patients heal, according to M. Bridget Duffy, M.D., chief medical officer at Vocera Communications in San Francisco, who spoke at this week's Medical Group Management Association's annual conference.

Could AMA's increased pitch to feds on Meaningful Use backfire?

I think it's fair to say that for the American Medical Association (AMA), the gloves officially are off.

The patient-centered medical home: Keys to overcoming obstacles to success

The industry holds high hopes for the  patient-centered medical home  model, but some adopters have struggled to achieve its triple aim of improved care experience, improved population health and reduced cost of care.  FiercePracticeManagement  spoke with leaders of the PCMH movement to learn best practices to tip the scales in favor of success. 

Insurers figure out ways to cover pricey treatments

To help defray the high costs of certain treatments and prescription drugs, like hepatitis C drug Sovaldi, insurers are figuring out different ways to cover the drugs and services by limiting who can have access to them, reported  Kaiser Health News.

Aetna CEO: Mixed feelings leading into open enrollment

It's going to be a long time before insurers start seeing healthy consumers enroll in the health insurance exchanges, Aetna CEO Mark Bertolini said in an interview with CNBC.

Don't toss unused surgical supplies; donate them

Large U.S. hospitals throw away $15 million in sterile, unused surgical supplies annually that easily could be donated to hospitals and clinics in developing countries, a Johns Hopkins University study published online in the World Journal of Surgery found.