Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Affordable Care Act

Public Health Funding for Disease Prevention Drops by $40B

by Jacqueline DiChiara

Per capita health spending has dropped by over $40 billion from 2009 to 2014, confirm researchers David U. Himmelstein, MD, Lecturer at Harvard Medical School and Professor at the City University of New York (CUNY), and Steffie Woolhandler, MD,...

How Successful is the ACA Really at Cutting Uninsured Rates?

by Jacqueline DiChiara

Misunderstandings swirl as the Affordable Care Act’s (ACA) ever evolving ability to reduce the number of uninsured adults is continuously called into question. The total number of adults who have acquired health insurance coverage following...

CMS Reports ACOs Assume High Risk Yet Generate High Savings

by Jacqueline DiChiara

Accountable care organizations (ACOs) generated over $411 million in net program savings last year, according to financial and quality performance results from the Centers for Medicare & Medicaid Services (CMS). “The Affordable Care...

How a Cadillac Tax Repeal Affects Revenue Cycle Management

by Jacqueline DiChiara

Repeal of the Cadillac Tax – a tax on high-cost healthcare insurance plans some private companies offer to employees – is up for debate once more, especially among recent presidential debate conversation and household...

Teaching an Independent Physician Practice New ICD-10 Tricks

by Jacqueline DiChiara

ICD-10 implementation is one month old. How are independent physician practices faring? To help provide a snapshot of sorts regarding an answer to this question, RevCycleIntelligence.com recently chatted with Michael Creef, MD, a Virginia-based...

Expensive Hepatitis C Drugs Quadrupled Prescription Spending

by Jacqueline DiChiara

Healthcare spending for the privately insured has steadily increased over the last 5 years, confirms today’s fifth annual healthcare spending report from the Health Care Cost Institute (HCCI). An eclectic rollercoaster of various numbers...

CMS: It’s Quality Over Quantity with Value-Based Purchasing

by Jacqueline DiChiara

The ever familiar “Show me the money!” mentality only rings true in the case of quality over quantity regarding hospital payments, implies the Centers for Medicare & Medicaid Services (CMS). The Hospital...

Is U.S. Healthcare Really a Big Spender in Global Contrast?

by Jacqueline DiChiara

Healthcare spending nationwide is more expensive in comparison with our international neighbors due to greater medical technology implementation and higher healthcare prices, confirms a Commonwealth Fund issue brief. But is the U.S. really that...

CMS Issues Proposed 2017-2018 Basic Health Program Notice

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) is releasing newly proposed methodology, to be published today. CMS will be accepting both electronic and non-electronic commentary shortly. Yet another of many payment rules, the 53-page...

HHS’s $240M ACA Funding Awards Support Primary Health Access

by Jacqueline DiChiara

The United States Department of Health and Human Services (HHS) awarded over $240 million this week – including nearly $176 million in Affordable Care Act (ACA) funding – to strengthen primary healthcare accessibility. Confirms HHS...

Why Focusing on Hospital Readmission Causes Is Essential

by Jacqueline DiChiara

The ongoing payment transition from volume to value is bringing the concept of forced alignment into the spotlight. Hospitals, unsure what new outpatient services are best to implement, are now focused on making effective choices. Are such choices focused...

CMS Awards $110M in ACA Funds to Cut Avoidable Readmissions

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has awarded $110 million to 17 national, regional, and state hospital associations and health system organizations to help slash preventable hospital readmissions. CMS’ Partnership...

Do Physician Leaders Value Top Quality, Low-Cost Healthcare?

by Jacqueline DiChiara

Physician leaders are actively advocating to more tightly weave value into the fabric of the healthcare industry via a simple yet intricate concept: keep care quality high and cost low. According to a new survey from the American...

4 Autumn Predictions for Congressional Healthcare Agenda

by Jacqueline DiChiara

In a personal interview with RevCycleIntelligence.com, Joel White, President of the Council for Affordable Health Coverage, presents four key congressional healthcare agenda items that he says have a fair shot of reaching the president...

HHS Announces $685M Awards in Patient-Centered Clinician Aid

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) is on a mission to improve the quality of healthcare, advance patients’ information accessibility, and decrease expenses across the industry. According to today’s announcement from...

Burwell: ACA Progress Caused Record Drop in Uninsured Rate

by Jacqueline DiChiara

Over 17 million people have acquired healthcare coverage via Affordable Care Act (ACA) conditions with over 10 million uninsured individuals eligible for Marketplace coverage, according to a speech delivered earlier this week at Howard University...

Will Medicare Advantage Plan Enrollment See Record Highs?

by Jacqueline DiChiara

Both the stabilization of Medicare Advantage premiums and improved accessibility of top-notch care plans are on the healthcare horizon, says the Centers for Medicare and Medicaid Services (CMS) in yesterday’s announcement. Enrollment...

3 Strategies to Improve Healthcare Supply Chain Management

by Jacqueline DiChiara

The evolution and progression of supply chain and reimbursement tactics and procedures within the healthcare industry serves as a keen focal point requiring acute attention to detail if success is to be met. The following is a compilation of...

Medicaid Expansion May Reduce Uninsured Hospital Patients

by Sara Heath

Despite being a major provision of the Affordable Care Act (ACA), Medicaid expansion has not been implemented in all states and is still having a notable effect on the states in which it has been adopted. According to a Kaiser Family Foundation...

Health Insurance Coverage Still Low Despite ACA Policies

by Sara Heath

Health insurance coverage woes continue to affect a great number of individuals, claims the President of Physicians for a National Health Program (PNHP). According to a recent press release, Robert Zarr, MD, argues that despite the increase in...

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