Affordable Care Act

Health Centers Face Post-ACA Revenue Cycle Management Issues

by Jacqueline LaPointe

Although the Affordable Care Act provided temporary funding to federally qualified health centers, a new study from the UCLA Center for Health Policy Research showed that community health centers will...

What a Trump Presidency Means for Value-Based Care and the ACA

by Jennifer Bresnick

Love it or loathe it, the United States is headed for four years of drastic policy changes under a Donald Trump administration, giving lawmakers another good chance to repeal, replace, or revise the Affordable Care Act. The landmark...

CBO: Future Hospital Profitability Requires More Productivity

by Jacqueline LaPointe

To stabilize hospital profitability at a six-percent average profit margin by 2025, providers must increase hospital productivity to offset Affordable Care Act provisions to decrease federal...

How the Affordable Care Act Impacted Healthcare Revenue Cycle

by Jacqueline LaPointe

From the transition to value-based care to the rise in patient consumerism, the Affordable Care Act has significantly changed the healthcare revenue cycle management landscape since its passage in 2010....

Hospital Profitability Rises by 35% in Oregon After ACA Passage

by Jacqueline LaPointe

Hospital profitability has increased for healthcare organizations across Oregon since the passage of the Affordable Care Act (ACA) in 2010, which enabled more individuals to become insured, the Oregon...

Providers Collect More Revenue Due to ACA Medicaid Expansion

by Catherine Sampson

In recent years, the Affordable Care Act (ACA) paved the way for significant Medicaid expansion. A recent study from the National Bureau of Economic Research found that Medicaid expansion resulted in...

Rural Hospitals May Get Senate Help with Medicare Reimbursements

by Catherine Sampson

As the healthcare industry shifts from volume to value, hospitals are expected to provide quality care as many could also potentially face lower Medicare reimbursements. At the same time, many hospitals...

Providers Need Time, Resources for MACRA Implementation

by Catherine Sampson

Driven by the Affordable Care Act, the implementation of Medicare Access and CHIP Reauthorization Act (MACRA) is expected to significantly impact the nation's healthcare system. Already, many...

Despite ACA, Emergency Department Visits Remain Numerous

by Catherine Sampson

Although policymakers want to see the Affordable Care Act (ACA) lead to a reduction in visits to emergency departments, new data from the Centers for Disease Control & Prevention (CDC) raise concerns...

States Could Build Upon the Affordable Care Act to Cut Costs

by Vera Gruessner

The Affordable Care Act has had two main goals for the healthcare system: Increase health insurance coverage for Americans and lower healthcare spending around the country. At this point in time, the...

How to Reduce Wasteful Spending in the Medicare Program

by Vera Gruessner

When the Affordable Care Act was passed several years ago, it had major implications for the future of the Medicare program. According to a study from the Private Enterprise Research Center at Texas...

CMS May Save $343 Million through Surgical Bundled Payments

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) launched the Comprehensive Care for Joint Replacement Model a little more than a week ago. This program is meant to issue bundled payments for a...

Does Medicaid Expansion Improve Revenue of Hospitals?

by Vera Gruessner

The Affordable Care Act and Medicaid expansion has had a significant impact on hospitals around the country since full coverage for millions of Americans would lead to greater utilization of healthcare...

Affordable Care Act Increases Spending For Newly Insured

by Catherine Sampson

As the Affordable Care Act (ACA) brings more patients into the healthcare system, spending is on the rise, especially on chronic diseases, such as diabetes, heart disease and depression. Blue Cross Blue...

Medicare Spending Increases Slightly under Affordable Care Act

by Jacqueline LaPointe

In 2014, Medicare spending for personal healthcare expenditures only increased by 2.4 percent per person and decreased by 3.6 percent for Medicaid, a recent report by the Department of Health and Human...

Health Insurance Exchange Tips for Taxpayers Before April 15

by Vera Gruessner

With the deadline for filing this year’s taxes just around the corner, it is useful for insurance consumers to refresh the requirements of tax filing when covered through the health insurance...

House Budget Proposes ACA Repeal, Reduced Medicare Spending

by Jacqueline LaPointe

The House of Representatives proposed budget plan for 2017 from the House Budget Committee aims to repeal the Affordable Care Act (ACA), reduce Medicare spending, and give states more control with health...

CMS Releases 2016 Results for Value-Based Care Program

by Jacqueline LaPointe

The Center for Medicare and Medicaid Services (CMS) released the results for calculating the 2016 Value Modifier, which will come as financial boost to some and hindrance to others. Out of the 8,395...

9.4 Million Fewer Americans Struggle to Pay Medical Bills

by Vera Gruessner

Several years after the implementation of the Patient Protection and Affordable Care Act, the results seem to be showing that fewer Americans are struggling with paying medical bills and more than ever...

Providers Squeezed to Integrate Care Management Solutions

by Vera Gruessner

At this year’s HIMSS conference and exhibition, Chilmark Research released the 2016 Care Management Market Trends report, which outlines how the market is leaning on healthcare providers to create...