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.

CDC: ‘Nightmare bacteria’ hitting U.S. hospitals

In 2017, the Centers for Disease Control and Prevention (CDC) found 221 instances of “unusual resistance germs” which can cause infections untreatable by antibiotics and spread that resistance to other germs. This “nightmare bacteria,” as the CDC called it, means hospitals and other healthcare facilities need to take “early and aggressive” action whenever a single case is found within their walls.

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CMS: 11.8M enrolled on ACA exchanges but ‘more affordable options are needed’

In its final report on the 2018 open enrollment period on the Affordable Care Act (AC) exchanges, CMS said 11.8 million people selected or were re-enrolled in a plan. While the final tally combining enrollment from the federal and state exchanges represents a 3 percent decline from the prior year, supporters of the ACA painted it as a positive, considering cuts in outreach and advertising and the push to repeal the law by the Trump administration.

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High cost of billing complexity: Up to $54B in physician office revenue challenged every year

Every year, physician offices may deal with as much as $54 billion in revenue being challenged by insurers, with fee-for-service (FFS) Medicaid being “the most challenging type” of payer to bill, according to a study published in Health Affairs.

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ACA improved certain outcomes, increased utilization among previously uninsured

For people who qualify for subsidies to buy health coverage under the Affordable Care Act (ACA), the law led not only to expansions in the insured population but better access to care and more diagnoses of conditions like hypertension and high cholesterol.

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How Iowa’s new law gets around ACA insurance requirements

Iowa Gov. Kim Reynolds signed legislation into law to allow health plans that don’t comply with Affordable Care Act regulations with a new kind of strategy: Defining some insurance plans as something other than health insurance.

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Delivering meals to vulnerable patients may reduce ED visits

People who are “food insecure” and also have chronic conditions can be kept out of the hospital and the emergency department (ED) when meals are delivered to their homes—particularly meals that have been tailored to their needs by a dietitian.

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5 things to know about final Medicare Advantage, Part D rule for 2019

CMS has finalized its rule for 2019 rates for Medicare Advantage and Medicare Part D, giving insurers a bigger-than-expected rate increase while finalizing proposals on expanded supplemental benefits and efforts aimed at fighting opioid addiction.

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Doctors suing Atrium Health will be allowed to leave system

In a lawsuit aimed at allowing a physician practice to break away from the region’s dominant health system, physicians at the Mecklenburg Medical Group (MMG) have accused Charlotte’s Atrium Health of monopolistic practices that have been harmful to patients and go against its nonprofit mission. Atrium responded by saying the 92 doctors who want to leave will be allowed to do so.

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.