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

Healthcare Costs

Brigham and Women’s Offers Buyouts to Lower Healthcare Costs

April 27, 2017 - Boston-based Brigham and Women’s Hospital recently presented 1,600 employees with a voluntary buyout option in an effort to control the facility’s healthcare costs, a local news source reported. Hospital officials reassured reporters at The Boston Globe that Brigham and Women’s was still profitable, collecting about $2.7 billion in revenue and $93 million in operations during...


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Brigham and Women’s Offers Buyouts to Lower Healthcare Costs

by Jacqueline Belliveau

Boston-based Brigham and Women’s Hospital recently presented 1,600 employees with a voluntary buyout option in an effort to control the facility’s healthcare costs, a local news source reported. Hospital officials reassured reporters...

Key Ways to Start A Hospital Revenue Cycle Turnaround Process

by Jacqueline Belliveau

Healthcare executives often point to market factors for lackluster hospital revenue cycle performance. But lagging accounts receivable days and shrinking hospital margins usually indicate that it is time for an internal hospital revenue cycle...

Prescription Drug Rates Remain Top Healthcare Supply Chain Issue

by Jacqueline Belliveau

Almost all health system executives (99 percent) in a recent Premier survey agreed that rising prescription drug rates continue to plague their healthcare supply chain. The winter 2017 survey of 91 C-suite executives at health systems also uncovered...

AMGA: Align Medicare Reimbursement, Measures for High-Value Care

by Jacqueline Belliveau

AMGA recently called on CMS to align quality measures with spending performance as well as Medicare reimbursement policies across Medicare Advantage, fee-for-service models, and accountable care organizations (ACOs). In two letters to CMS Acting...

Hospitals Maintain Test Use Despite Healthcare Price Transparency

by Jacqueline Belliveau

Increasing healthcare price transparency for providers did not result in fewer laboratory tests ordered or lower healthcare costs, a recent JAMA Internal Medicine study found. “In this year-long randomized clinical trial conducted at three...

CMS Calls On Rural Hospitals to Join Alternative Payment Model

by Jacqueline Belliveau

CMS is seeking applicants to participate in a new round of the Rural Community Hospital Demonstration Program that tests a cost-based alternative payment model among small rural hospitals. Lawmakers authorized a five-year extension of the demonstration...

32 Orgs to Cut Healthcare Costs, Use Under CMS Community Demo

by Jacqueline Belliveau

As part of the Accountable Health Communities Model, CMS recently selected 32 organizations to participate in two of the three program tracks that aim to lower healthcare costs and utilization by fostering clinical and community service provider...

Healthcare Costs Rise With Regional Post-Acute Care Variations

by Jacqueline Belliveau

Despite receiving similar post-acute care services overall, rural hospital patients tend to undergo more skilled nursing facility treatment than home health care versus urban hospital patients, contributing to higher healthcare costs, according...

Lean Primary Care Improves Physician Productivity, Costs

by Jacqueline Belliveau

A recent American Journal of Managed Care study showed that implementing a Lean primary care model resulted in operational cost reductions, physician productivity improvements, and higher patient satisfaction scores. “Our findings indicate...

Is Radiation Overuse Contributing to Higher Healthcare Costs?

by Jacqueline Belliveau

Oncologists could have saved over $164 million in healthcare costs if they had adhered to clinical guidelines and prescribed shorter radiation treatment for some breast cancer patients, a recent Journal of Oncology Practice study revealed. Only...

Patient Collection Rates Drop as Out-of-Pocket Costs Go Up

by Jacqueline Belliveau

Hospitals collect significantly less from patients with higher out-of-pocket costs, a Crowe Horwath study confirmed. The study revealed that collection rates for patient accounts with balances greater than $5,000 were four times lower than collection...

NJ Quality Improvement Model Lowers Healthcare Costs by $641M

by Jacqueline Belliveau

Hospitals in New Jersey reduced healthcare costs by over $641 million between 2012 and 2016 after implementing a statewide quality improvement initiative, the New Jersey Hospital Association (NJHA) recently reported. Under the Affordable Care...

Out-of-Pocket Healthcare Spending Rose 65% at Freestanding EDs

by Jacqueline Belliveau

Freestanding emergency departments are becoming a popular alternative care setting for common conditions, such as upper respiratory infections. But a recent study in the Annals of Emergency Medicine found that median prices for out-of-pocketing...

Managing Healthcare Costs, Data Analytics Top C-Suite Priorities

by Jacqueline Belliveau

Under the Trump administration, the healthcare industry is bracing for some significant policy changes, such as a potential Affordable Care Act repeal. Despite the political change, healthcare executives still plan to make healthcare cost management...

Healthcare Spending Varies More by Provider Than Hospital

by Jacqueline Belliveau

A recent JAMA Internal Medicine study uncovered that healthcare spending varied more across individual providers than across hospitals. Based on Medicare data on hospitalized beneficiaries from 2011 to 2014, researchers from several Boston health...

Diabetes Clinic Lowers Healthcare Costs More Than PCP Visits

by Jacqueline Belliveau

A California-based health system reduced healthcare costs by 2.5 percent more for diabetes patients by implementing a clinic that brings endocrinologists and pharmacists together to better manage medically complex diabetic patients, a recent...

Health IT, Care Navigators Most Effective at Lowering Costs

by Jacqueline Belliveau

While countless strategies are out there for making care delivery more efficient, a recent Health Affairs study revealed that interventions that use health IT and community health workers realized the greatest cost savings. Researchers examined...

Higher Hospital Costs Stem from ICU Overuse for Some Conditions

by Jacqueline Belliveau

Healthcare providers may be able to decrease hospital costs by avoiding ICU admissions for some patients with chronic obstructive pulmonary disease (COPD), exacerbation of heart failure (HF), and acute myocardial infarction (AMI), a recent American...

Transradial, Same Day Discharge Cardiac Care Drops Costs by $3.7K

by Jacqueline Belliveau

From acute myocardial infarctions to coronary artery bypass grafts initiatives, recent Medicare bundled payment models have providers focusing more on reducing healthcare costs and improving care quality for a range of cardiac care episodes....

Understanding 2017 MIPS Quality, Cost Performance Categories

by Jacqueline Belliveau

CMS leaders at HIMSS17 were not shy with telling session attendees that they are currently in the first Quality Payment Program performance year. To help providers better understand the program, which launched on Jan. 1, the federal agency’s...

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