The vast majority of Medicare dollars – 93 percent – accounts for chronic illness. As reported by RevCycleIntelligence.com, a recent legislative proposal from the Senate Finance Committee...
Is revenue cycle management in need of a drastic overhaul? As the ever evolving landscape of the healthcare industry continuously adjusts its sails, revenue cycle management may be...
The Affordable Care Act (ACA) will prove a tremendous financial burden to the healthcare industry. Although the administrative costs of healthcare are projected to remain high throughout 2022,...
Following a recent series of proposed physician fee schedules and payment rules from the Centers for Medicare & Medicaid Services (CMS), a new proposed rule, CMS-2390-P, aims to modernize Medicaid...
Telemedicine and reimbursement do not always go hand in hand. Reimbursement complications often hinder telemedicine's progression within the healthcare industry,...
The US Government Accountability Office (GAO) has released a report reviewing approved expenditure authorities within section 1115 of the Social Security Act. This segment of the Social...
The meaty 1,024 pages of the Affordable Care Act (ACA) call for the vast expansion of healthcare coverage, the active promotion of decreased healthcare costs, and enhanced quality care. In the midst of...
There are new Medicare cost concerns within the healthcare industry. Hundreds of healthcare organizations are actively voicing concerns to Congress about financial threats to private sector consumers...
$101 million in Affordable Care Act funding will go toward the delivery of comprehensive primary health services at 164 new health center sites across 33 states. The objective of such funding...
In a recent letter addressed to The Wall Street Journal’s Editor from a group of healthcare leaders and experts, Rich Umbdenstock, President and CEO of the American Hospital Association (AHA),...
New policy changes further promote the Medicare payment transition from volume to value within the healthcare industry.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule...
The concept of bundled hospital care payments — a singular (bundled) payment generated from hospitals, physicians, and post-acute care providers for services rendered from a specific...
Choosing a hospital based on quality of care in relation to financial factors can be an arduous task. The Centers for Medicare & Medicaid Services (CMS) is simplifying this process through its new...
The Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) present a proposed rule to extend enhanced federal financial participation for Medicaid...
Physicians and teaching hospitals across the healthcare spectrum will be buried in a numbers game come April 6, 2015 when The Centers for Medicare & Medicaid Services’ (CMS’) period of...
Medicaid beneficiaries are keeping the doctor away.
Newly released data may offer a fresh industry-wide perspective about how often physicians accept Medicaid regarding delayed implementation stemming...
Medicaid providers seeking to raise their reimbursement rates by suing the government are essentially out of luck, according to documentation within a recent Supreme Court ruling.
“The...
Slow and steady appears to be the financial mantra echoing forth within the healthcare industry.
There has been a distinct deceleration in premium growth within the past three years following...
Speculation abounds around whether hospitals’ decisions to increase the prices charged to commercially insured individuals to compensate for decreased Medicare reimbursement via cost shifting will...
As anyone standing before a plate of freshly baked desserts or fearfully opening a credit card bill post online shopping binge can attest, the art of equilibrium is essential.
This idea of balance is...
