Management

This page includes content on healthcare management, including health system, hospital, department and clinic business management and administration. Areas of focus are on cardiology and radiology department business administration. Subcategories covered in this section include healthcare economics, reimbursement, leadership, mergers and acquisitions, policy and regulations, practice management, quality, staffing, and supply chain.

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eHealth interventions could improve care quality but barriers to workflow persist

Electronic health (eHealth) interventions could improve care, but barriers related to workflow diminish its success, according to findings published May 1 in the Journal of Medical Internet Research.

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Former HHS chief Tom Price: Repealing individual mandate will harm ACA markets

Tom Price, MD, was a major supporter of repealing the Affordable Care Act (ACA), both in Congress and during his short tenure as President Donald Trump’s HHS Secretary. Since he left office, Republicans zeroed out the ACA penalty for not being insured, but Price said the move will increase premiums in the law’s health insurance exchanges.

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Uninsured rate on the rise—up 4M since 2016

Years of gains in insurance coverage since the Affordable Care Act (ACA) are beginning to reverse, according to a new report from the Commonwealth Fund which found 15.5 percent of working age adults are uninsured, an increase of about four million people since 2016.

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Molina won’t rule out return to certain ACA markets

Managed care and Affordable Care Act (ACA) exchange insurer Molina Healthcare said its first quarter profits “exceed expectations” after raising premiums for its marketplace plans by about 60 percent and isn’t ruling out returning to markets in Utah and Wisconsin, where it previously offered coverage.

Bonuses driving the upward trend in C-suite compensation

Median earned base-to-bonus ratio—measuring what proportion of compensation comes from incentives beyond base salary—rose for several job titles in 2017.

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Wearables could be the future in data collection in healthcare

Wearable technology collects a significant amount of patient data, but questions remain exactly how they can impact patient outcomes, according to a blog post by Laura Joszt on the American Journal of Managed Care website.

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Maine’s stalled Medicaid expansion heading to court

Maine became the first state to approve Medicaid expansion at the ballot box. Despite 59 percent of voters approved of expansion, Gov. Paul LePage has taken several steps which have stalled its implementation.

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Envision’s lawsuit against UnitedHealthcare dismissed

Envision had sued the insurer in March, alleging UnitedHealthcare “unilaterally” negotiated payment rates and failed to add Envision physicians to its network after the acquisition of AmSurg in 2016. UnitedHealthcare argued Envision’s emergency room billing practices were “egregious,” but also said the lawsuit itself was a violation of the arbitration provision in their contract.

Around the web

CMS finalized a significant policy change when it increased the Medicare payments hospitals receive for performing CCTA exams. What, exactly, does the update mean for cardiologists, billing specialists and other hospital employees?

Stryker, a global medtech company based out of Michigan, has kicked off 2025 with a bit of excitement. The company says Inari’s peripheral vascular portfolio is highly complementary to its own neurovascular portfolio.

RBMA President Peter Moffatt discusses declining reimbursement rates, recruiting challenges and the role of artificial intelligence in transforming the industry.