Topic:

Operations & Business Management

Latest Headlines

Latest Headlines

Palliative care coverage: Connecting the dots

FierceHealthPayer spoke with Torrie Fields (pictured), Cambia's program director for serious illness and palliative care. She describes the specifics behind Cambia's palliative care program, which began July 1 and is available to its more than 2 million members, and how it helps members have the difficult conversations around end-of-life care.

Cambia Health CEO Mark Ganz on the cutting edge of end-of-life care

To learn more about Cambia's palliative care program, which facilitates members' healthcare needs from wellness through completion of life, FierceHealthPayer spoke with Cambia CEO Mark Ganz in an exclusive interview.

Insurers must find the path to data mastery

As data takes on an increasingly important role in healthcare, insurers need to leverage their data as a strategic asset aligned with business goals, according to Insurance & Technology.

Former CMS head talks accountable care ROI

Both payers and providers can reap financial returns from ACO efforts, former Centers for Medicare & Medicaid Services Administrator and current Director of the Health Care Innovation and Value Initiative at the Brookings Institution Mark McClellan, M.D., Ph.D., told AAFP News.

Union battles, layoff threats make nurses the auto-workers of the 21st century

Just as car manufacturing defined industry in the 20th century, healthcare, which employes one in 10 workers, drives the 21st century, and today's nurses find themselves in the same position as their former auto worker counterparts, according to  The Economist.

One dead, two injured in Pennsylvania hospital shooting

A shooting at Mercy Fitzgerald Hospital campus in Yeadon, Pennsylvania Thursday left one mental health caseworker dead, a doctor wounded and the suspected shooter critically injured, the  Delaware County Daily Times  reported.

Young adults not as crucial to reform success

Opinions vary regarding the belief that enrolling  young adults may determine reform success. On one hand, experts believe that the number of young adult sign-ups and the male-to-female ratio will determine success. On the other hand, some say that having more young, healthy people purchasing healthcare is not as crucial as people think, according to an opinion piece published by  Philly.com.

Hospitals must address employee fraud reports with procedural fairness

As the government makes it easier for hospital employees to report fraud and quality issues, and as social media gives disgruntled employees an outlet to air dirty laundry, hospitals must work employees to make them feel comfortable addressing concerns internally,  Hospitals & Health Networks  reported.

Insurers worry ACA loophole could lead to unpaid premiums, bad debt

Thanks to a loophole in the Affordable Care Act regulations, insurers worry customers who purchased plans on the federal marketplace could evade paying their December premiums, reports Vox.

Why disruptive docs may not be so bad after all

Has the patient satisfaction movement gone too far? Maybe so, according to  Becker's Hospital Review,  which calls into question the zerio tolerance approach to disruptive doctors, who may actually be better physicians than their counterparts with good bedside manners.