Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • Commitment Key to Successful Value-Based Reimbursement Adoption

    May 25, 2017 - It is time for healthcare providers to move past understanding the concept and start the value-based reimbursement adoption process. Otherwise, they may face profitability decreases from operating both fee-for-service and alternative payment models, cautioned David N. Gans, MSHA, FACMPE, MGMA Senior Fellow of Industry Affairs. “Value-based payment is a situation where you either will...

  • Surviving Solo with Independent Practice Association Support

    May 23, 2017 - Healthcare reform and market forces are driving more independent practice leaders to consolidate with larger hospitals or health systems. But an independent practice association, like Vermont’s HealthFirst, can help solo providers leverage the financial benefits of joining a larger healthcare organization without taking away their autonomy. “Sometimes independent physicians are...

  • How Clinicians Add Value to Healthcare Supply Chain Management

    May 19, 2017 - Engaging clinical staff is key to adding value to healthcare supply chain management, according to three supply chain leaders at MaineHealth, a recent ECRI Institute Healthcare Supply Chain Achievement award recipient. The healthcare network containing 11 hospitals, 350 physician practices, and various post-acute care facilities with over $500 million in annual supply chain spend prides itself...

  • Key Capabilities for Population-Based Alternative Payment Models

    May 16, 2017 - To succeed in population-based alternative payment models with two-sided financial risk, health systems should embrace assuming the role of the payer and work to get all staff on board with the model, suggested Jackie Selby, a healthcare and life sciences member at the consulting firm Epstein Becker & Green, PC. Population-based alternative payment models, such as capitation payments,...


Today's Top Stories

Commitment Key to Successful Value-Based Reimbursement Adoption

It is time for healthcare providers to move past understanding the concept and start the value-based reimbursement adoption process. Otherwise, they may face profitability decreases from operating both fee-for-service and alternative payment...

Data Analytics, Collaboration Critical to MACRA Implementation

Healthcare providers need to restructure many aspects of their organization for successful MACRA implementation, including data analytics capabilities, financial risk assumption, stakeholder partnerships, and patient engagement strategies, according...

2016 Medicaid, Medicare Improper Payments Over Regulatory Cap

A recent Office of the Inspector General (OIG) report revealed that the rates of Medicaid and Medicare improper payments in 2016 exceeded the legislative threshold of less than 10 percent. The improper payment rate for Medicare fee-for-service...

AHA Urges Rural, Post-Acute Care Medicare Reimbursement Reform

In a Congressional hearing on the current status of Medicare reimbursement systems, the American Hospital Association (AHA) urged lawmakers to focus on rural hospital and post-acute care payments. MACRA extended a number of key Medicare reimbursement...

Surviving Solo with Independent Practice Association Support

Healthcare reform and market forces are driving more independent practice leaders to consolidate with larger hospitals or health systems. But an independent practice association, like Vermont’s HealthFirst, can help solo providers leverage...

Medicare Cardiac, Ortho Bundled Payments Delayed Until 2018

CMS recently delayed the launch date of three mandatory Medicare cardiac and orthopedic bundled payment models and the Cardiac Rehabilitation Incentive Payment program from May 20, 2017, to Jan. 1, 2018. The final ruling from the federal agency...

Execs To Continue Value-Based Purchasing Despite Uncertainty

Despite a possible Affordable Care Act repeal, healthcare executives still plan to stay the course with value-based purchasing implementation and healthcare cost reduction initiatives, a recent BDC Advisors survey reported. Although the C-suite...

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