Mary Mosquera

The healthcare industry's transformation to value-based models has spurred retail pharmacies to expand their roles and traditional providers to partner with them.

Researchers have found that a value-based insurance design test increased medication adherence, but it failed to be cost neutral, suggesting that the business case for VBID may be more convincing over several years or with higher risk patients.

With technical renovations on the federal and many state exchanges firmly established, driving enrollment, especially among young adults, is the primary focus of the marketplaces as the March 31 deadline looms closer.

Bernard Tyson, Kaiser Permanente's new CEO and chairman, says he's not a rookie, but a leader continuously honing his skills. Healthcare Finance News talked to him about revenue cycle challenges, his view of leadership and the issues facing his organization.

Lawmakers took another step toward repealing the reviled sustainable growth rate formula that sets physician payment in the Medicare program, but they still haven't figured out how to pay for it.

The hospital company said the controversial “two-midnight” rule, which took effect during Q4, did have a negative impact on admissions metrics, but revenue per equivalent admission increased 4.8 percent on a same facility basis.

The way physicians are compensated now -- through a variety of methods -- may not align with the way incentives are structured in pay-for-value models.

Statistics released by CMS demonstrate that it is difficult to significantly lower spending and achieve shared savings, even for voluntary early adopters who are keen on healthcare reforms.

High membership utilization results in a rise in operating revenue.

The increasing incidence of chronic diseases, aging populations, emphasis on diagnosis and disease monitoring and more advanced testing technologies and practices are driving increased use of clinical lab services.