Most surgical healthcare professionals participating in the Merit-based Incentive Payment System (MIPS) earned bonus payments in 2021, with urologists seeing the highest adjustment, a study published...
The share of Medicare Part D claims eligible for discounts in the 340B drug pricing program increased from 1.7 percent to 9.6 percent between 2013 and 2020, a study published in JAMA Health Forum...
PeaceHealth, a Washington-based non-profit health system, has agreed to pay $4 million to 4,000 patients after it failed to disclose charity care policies before collecting payments.
The agreement...
Hospitals and health systems have seen a significant spike in claim denials as Medicare Advantage and commercial payers deny more of their reimbursement.
A new analysis of data from over 1,300...
Financial leaders at healthcare organizations are interested in using generative artificial intelligence (AI) to streamline revenue cycle operations, according to a survey from AKASA.
The survey...
Healthcare organizations are becoming more familiar with value-based care, but opportunities remain to improve and expand upon the care delivery model, according to a survey conducted by Sage Growth...
Commercial payments for inpatient stays associated with COVID-19 in 2020 were higher for health system-affiliated and high-quality hospitals, a study published in JAMA Health Forum found.
When the...
Regulatory burdens in healthcare, such as prior authorizations, surprise billing requirements, and audits and appeals, are taking resources away from patient care as practices face more...
Healthcare organizations need to understand financial performance to maintain access to high-quality, cost-efficient care — a level of care that is central to both the value-based care journey...
Although health professional shortage area (HPSA) designations aim to improve access to care by alleviating staffing challenges, a Health Affairs study found that most HPSA counties remained physician...
Revenue cycle leaders at top healthcare organizations are prioritizing automation, with autonomous coding and claims management at the top of their wish lists, a new KLAS report reveals.
KLAS surveyed...
More provider organizations are participating in value-based contracts outside Medicare, as three-quarters of respondents were under contracts with commercial and Medicare Advantage plans in 2022, a...
Healthcare affordability is significantly impacting low- and middle-income families, but healthcare financial strain is becoming a more widespread issue for US families, a new study published in Health...
Workforce challenges continue to dampen hospital financial performance as labor expenses remain high, according to the latest “National Hospital Flash Report” from healthcare consulting...
After major credit bureaus stopped reporting medical debt collections less than a year old and less than $500, consumers saw improvements in their credit scores, according to data from the Urban...
Hospital Outpatient Prospective Payment System (OPPS) providers participating in the 340B drug pricing program will receive a one-time lump-sum payment to offset losses between calendar years (CYs)...
CMS has released the Medicare Physician Fee Schedule (PFS) final rule for calendar year (CY) 2024, finalizing a 1.25 percent overall reduction for physician services next year.
The federal agency...
After initially proposing a decrease, CMS has finalized a 0.8 percent increase in Medicare payment rates for home health agencies in 2024, boosting reimbursement by $140 million compared to 2023.
The...
Hospital outpatient revenue is growing as patients seek healthcare services in less expensive settings, a performance trends report from Strata Decision Technology and Syntellis Performance Solutions...
CMS recently released the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) final rule for 2024, which includes a 2.1 percent Medicare rate hike for renal dialysis services furnished to...
