Revenue Cycle Management Healthcare News

Hospital Costs for Inpatient COVID-19 Treatment Rose 26% During Pandemic

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The costs of providing inpatient COVID-19 treatment increased by 26 percent over the first two years of the pandemic, according to a study published in JAMA Network Open. Through the end of 2022,...

Private Equity Acquisition Tied to More Hospital-Acquired Conditions

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Private equity acquisition of hospitals was associated with an increase in hospital-acquired conditions, including falls and central line-associated bloodstream infections, a study published in JAMA...

NY Healthcare Orgs Collab to Deliver Value-Based Hospice, Palliative Care

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Bassett Healthcare Network, a New York-based health system, has partnered with Helios Care to provide patients with value-based hospice and palliative care. Patients in five counties across Central...

Pros, Cons of End-to-End RCM Platform Adoption

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In the pursuit of an end-to-end revenue cycle management (RCM) platform, some providers have adopted technology from a single vendor. While there are several advantages of working with one vendor, a...

74% of Hospitals Use Some Revenue Cycle Automation

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Hospitals and health systems are increasingly using revenue cycle automation to streamline operations and improve efficiency. A recent survey of over 450 CFOs and revenue cycle leaders at US hospitals...

Understanding the Basics of Bundled Payments in Healthcare

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The shift to value-based care has driven public and private payers to redesign reimbursement models that stress accountability for care quality and healthcare costs. As the fee-for-service environment...

Medical Groups Faced High Expenses, Staffing Challenges in 2023

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Medical groups had a rocky 2023 as expenses outpaced revenue and staffing shortages continued, a survey from the American Medical Group Association (AMGA) revealed. The 2023 AMGA Medical Group...

Feds Finalizes $115 Participation, Other Fees for IDR Process

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The Departments of Health and Human Services, Labor, and the Treasury (the Departments) have updated the amount each party must pay to resolve surprise medical bills through the federal independent...

32% of Academic Physicians Plan to Leave Workforce, Fueled by Burnout

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One-third of academic physicians have at least a moderate intention to leave their facility in the next two years, driven by burnout and a lack of professional fulfillment, a study published in JAMA...

NC Attorney General Sues HCA After Quality of Care Complaints

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North Carolina Attorney General Josh Stein is suing HCA Healthcare for failing to comply with an asset purchase agreement it executed when it purchased Mission Health System in 2019. The case alleges...

CMS Model Aims to Improve Maternal Health Outcomes, Access to Care

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CMS has launched a new care delivery model to address maternal health outcomes and increase pregnancy and postpartum care access. The Transforming Maternal Health (TMaH) model will run for ten years...

CMS: Healthcare Spending Accelerated, Reaching $4.5T in 2022

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US healthcare spending picked back up last year, reaching a total of $4.5 trillion in 2022, according to the latest numbers from CMS. Healthcare spending growth accelerated, growing by 4.1 percent in...

House Bill Addresses Price Transparency, Site-Neutral Payment Policies

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The US House of Representatives has passed a bill to improve healthcare price transparency and establish site-neutral payment policies for drug administration. The Lower Costs, More Transparency Act...

R1 to Acquire Providence’s RCM Company Acclara

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R1 RCM Inc. recently announced plans to acquire the technology-driven revenue cycle management company Acclara from Providence. The revenue cycle management solutions vendor signed a definitive...

Providers See Fourfold Increase in External Payer Audits

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2023 has been a big year for healthcare revenue integrity, with teams managing about four times more external payer audits in the last year. The finding from the latest “MDaudit Annual Benchmark...

COVID-19 Surges Led to Fluctuating Occupancy Rates at Hospitals

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COVID-19 surges in 2020 led to increased occupancy in inpatient settings and intensive care units (ICUs) and declining surgical occupancy rates, creating unstable financial conditions for hospitals, a...

Care Quality, Physician Autonomy Lower at Corporate-Owned Practices

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Changes in physician practice ownership resulted in lower patient care quality and poorer patient-provider relationships, according to a survey from NORC at the University of Chicago, commissioned by...

Hospitals Concerned About Medicaid State-Directed Payment Changes

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Eight leading healthcare industry groups are urging CMS to abandon proposed restrictions on provider-based Medicaid funding sources, citing coverage and cost consequences if the proposals are...

Fewer Than 1 in 3 Consumers Pay Medical Bills Immediately

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Healthcare revenue cycle leaders may need to readjust their patient collection strategy to help consumers understand and pay their medical bills, a new survey suggests. The survey of over 1,000...

Hospitals See Margins Above Pandemic Levels in October

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Hospital financial performance improved in October, signaling continued stabilization in the wake of the COVID-19 pandemic, according to the latest “National Hospital Flash Report” from...