Revenue Cycle Management Healthcare News

Hospital financial performance off to a strong start

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Hospital financial performance has stayed strong through the beginning of the year, according to the latest data from healthcare consulting firm Kaufman Hall. The latest “National Hospital Flash...

Primary care delivery is similar across all Medicare patient mixes

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Care delivery, care coordination, and administrative challenges were similar across primary care physicians serving traditional Medicare patients and those serving Medicare Advantage patients, a...

Tax breaks higher than community investments for most non-profit hospitals

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More than 1,900 non-profit hospitals received more in tax breaks than they spent on community investments and financial assistance, according to an analysis from the Lown Institute. The Lown Institute...

Private payers initially deny nearly 15% of medical claims

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It may take some time to get paid for medical services, suggests a new survey of hospitals, health systems and post-acute care providers. Nearly 15 percent of medical claims submitted to private...

MSSP accountable care organizations share key priorities and challenges

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In the Medicare Shared Savings Program (MSSP), accountable care organizations (ACOs) prioritize annual wellness visits, care transitions, and clinician engagement, as Medicare Advantage growth causes...

CMS announces new ACO model focused on primary care

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CMS will test a new accountable care organization (ACO) model that focuses on primary care providers starting next year. A recent announcement states that CMS will launch a five-year voluntary ACO...

VisiQuate, MedeAnalytics top revenue cycle analytics rankings

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Many healthcare organizations use a third-party revenue cycle analytics solution in lieu of or next to their EHR system’s offering. A recent KLAS report found that leaders are most impressed by...

Hospital payment cap slashes prices in Ore.

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An effort to reduce healthcare spending in Oregon has successfully lowered hospital prices and variation, according to a recent study in Health Affairs. Oregon implemented a cap on hospital prices in...

Little progress made with hospital price transparency compliance

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Hospitals have made little progress with implementing federal price transparency requirements that took effect in 2021. The latest semi-annual “Hospital Price Transparency Report” from...

Lower reimbursement rates, denials behind razor-thin margins

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Hospitals and health systems are operating on razor-thin margins as reimbursement rates and denials create financial woes, a new survey indicates. The survey conducted by the Healthcare Financial...

$460B spending bill averts shutdown, some physician pay cuts

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Congress narrowly avoided a partial government shutdown, sending a $460 billion spending bill to the President’s desk over the weekend. The bipartisan deal, passed by the House 339-85 last...

Trauma center hospitals charged above-market prices for non-trauma care

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Hospitals designated as trauma centers charged higher prices for non-trauma inpatient admissions and emergency department visits compared to non-trauma center hospitals, a Health Affairs study...

Medical Debt Associated With Worse Population Health, Higher Mortality

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Medical debt was associated with worse population health, including poor physical and mental health and higher mortality rates, a study published in JAMA Network Open indicated. Medical debt can force...

PE Practice Ownership Raises Concerns About Competition

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It is well known that private equity (PE) firms have invested heavily in physician practices, but a new study sheds light on how these practice acquisitions could impact competition in many areas. The...

January Hospital Margins Dip, But Overall Finances Remain Stable

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Hospital margins in January were down slightly from December 2023, but finances are more stable compared to previous years, according to a report from Kaufman Hall. The latest edition of the National...

Non-Profit Health Systems Need Positive Margins

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Non-profit health systems receive a lot of scrutiny because of their tax status, with some critics accusing systems of valuing revenue over patient care. However, a new report from Deloitte makes the...

Consumer Advocacy Orgs Share How to Move Away From Fee-For-Service Payment

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As healthcare spending rises, shifting away from fee-for-service payment and delivery models that incentivize volume over value is imperative. Families USA and other consumer advocacy groups are urging...

Patient Collection Rate Falls to Nearly 48%

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Healthcare organizations are finding it harder to collect patient financial responsibility, a new analysis from Kodiak Solutions indicates. The analysis of patient financial transactions from over...

R1 RCM May Go Private After $5.8B Private Equity Offer

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R1 RCM has received an offer from private equity firm New Mountain Capital that would prompt the revenue cycle management vendor to go private, according to a regulatory filing. New Mountain Capital...

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