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The use of advanced analytics by payers can improve administrative and medical costs, provider satisfaction and member health.
A recent study published in JAMA suggests the gap in quality between critical access hospitals and non-critical access hospitals may not be as wide as originally thought.
The Centers for Medicare and Medicaid is revising its policy to include shared savings ACOs in its upcoming Comprehensive Primary Care Plus program.
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As value-based reimbursement becomes the norm, consumers demand better-quality care, and federal agencies put new regulations in place, provider executives are feeling the impact. And perhaps no leader feels the effects of these changes more so than the chief financial officer.
River Hospital in Alexandria Bay, New York, has unveiled plans to renovate the campus' main building and construct a new facility for integrated primary and behavioral care.
Net revenue from patients is dipping for some acute care hospitals in Pennsylvania compared to three years ago, while operating margins are climbing, according to a new report from the Pennsylvania Health Care Cost Containment Council.
In Ohio, Coordinated Health Mutual is in receivership due to its extensive financial losses in the exchange market under its InHealth Mutual brand, according to Lt. Gov. Mary Taylor, who is also Ohio Director of Insurance.
An analysis of more than 4,100 U.S. hospitals shows less than 40 percent have the recommended stewardship programs in place to guide the use of antibiotics for patient care.
Issues can arise when patient information isn't shared with family and friends, either because medical staff decide to withhold it or patients themselves choose to restrict who can receive information about their care.
While smaller community hospitals would have gotten more money, reports say Partners Healthcare, the state's largest hospital system, could have stood to lose hundreds of millions of dollars in insurance reimbursements.

