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

Healthcare Spending

Managing Healthcare Costs, Data Analytics Top C-Suite Priorities

March 22, 2017 - 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 their number one priority, according to a recent Premier survey. In terms of controlling healthcare costs, the survey of 63 healthcare C-suite...


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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...

78% of Hospital Staff Still Face Manual Supply Chain Management

by Jacqueline Belliveau

Hospitals may not be operating with the most efficient healthcare supply chain management tools, a recent Cardinal Health and SERMO survey found. Only 17 percent of hospital staff reported that their facility installed an automated inventory...

Asthma Education Model Lowers Resource Use, Healthcare Costs

by Jacqueline Belliveau

Asthma education programs can help providers to significantly reduce unnecessary resource use and healthcare costs by boosting patient knowledge about chronic disease management, a recent American Journal of Managed Care study stated. About 12...

Hospital Costs Fall Despite Overall Healthcare Spending Growth

by Jacqueline Belliveau

Medicare spending growth on both inpatient and outpatient services hit an all-time low for the first time in 17 years, with inpatient hospital costs notably decreasing by 1.9 percent since 2015, the American Hospital Association (AHA) recently...

More Primary Care Leads to Less End-of-Life Medicare Spending

by Jacqueline Belliveau

Regions with more primary care providers saw less Medicare spending on end-of-life care compared to areas with less primary care practices, a recent Annals of Family Medicine study found. Medicare spending during the last two years of life was...

Medicare Spending on Drug Coverage Tripled from 2010 to 2015

by Jacqueline Belliveau

Medicare spending on prescription drugs under the Part D catastrophic coverage program more than tripled from 2010 to 2015, increasing from $10.8 billion to $33.2 billion, the Office of the Inspector General (OIG) recently reported. The significant...

HRSA Adds $5K Fines for 340B Prescription Drug Rate Overcharging

by Jacqueline Belliveau

Drug manufacturers participating in the 340B Drug Pricing Program who intentionally charge hospitals prescription drug rates higher than established ceiling prices will face a $5,000 penalty per instance, a new Health Resources and Services Administration...

OR Cost Scorecards Help Reduce Healthcare Supply Chain Costs

by Jacqueline Belliveau

Healthcare supply chain costs dropped by 6.54 percent per case in surgical departments that provided surgeons with monthly cost scorecards and had a financial incentive to reduce surgical supply chain spending, a new study in JAMA Surgery found....

Price, Utilization Increases Upped Healthcare Spending by 4.5%

by Jacqueline Belliveau

Healthcare spending for privately insured individuals increased by 4.6 percent because of rising prices for outpatient, inpatient, and professional care services as well as prescription drugs, the Health Care Cost Institute (HCCI) recently reported....

Employing More Physician Assistants Reduces Healthcare Costs

by Jacqueline Belliveau

Adding more physician assistants to hospitalist care teams can lower healthcare costs while maintaining quality of care, a new study in the Journal of Clinical Outcomes Management contended. Researchers found that a hospitalist care team that...

How Broader Primary Care Teams Can Decrease Healthcare Costs

by Jacqueline Belliveau

Developing broader primary care teams that interact with specific patient populations can save healthcare costs and realize a return on investment, according to a recent PricewaterhouseCoopers (PwC) analysis. For example, a primary care team...

Primary Care Initiative Continues to Reduce Medicare Spending

by Jacqueline Belliveau

The Comprehensive Primary Care Initiative (CPC) continued to improve quality of care and reduce Medicare spending in 2015 even though the initiative has yet to generate net healthcare savings, according to an official CMS blog post. In the initiative’s...

AHA Calls for Hospital Access to Prescription Drug Rate Info

by Jacqueline Belliveau

The American Hospital Association (AHA) recently urged the Health Resources and Services Administration (HRSA) to grant hospitals in the 340B Drug Pricing Program more access to prescription drug rate information. In a comment letter on a proposed...

Hospitals Saw 23% Rise in Inpatient Prescription Drug Spending

by Jacqueline Belliveau

Hospital inpatient prescription drug spending has increased by 23.4 percent from 2013 to 2015, reported a recent study from the University of Chicago’s NORC. The increases in spending have left most providers struggling to manage their...

GAO: Healthcare Spending Data from CMS Inaccessible, Unreliable

by Jacqueline Belliveau

CMS should make healthcare spending data for skilled nursing facilities more accessible to public stakeholders and ensure the expenditure information is reliable, the Government Accountability Office (GAO) advised the federal agency in a recent...

Medical Device Reps in OR Sway Healthcare Supply Chain Costs

by Jacqueline Belliveau

Medical device sales representatives may act as key resources for surgeons on the latest technological advances and how to properly use specific devices, but the close relationship may actually be driving up healthcare supply chain costs, according...

Pharma Payments Influence Prescription Drug Spending

by Jacqueline Belliveau

Payments from pharmaceutical manufacturers may be more influential on physician prescribing habits than concerns over the rise in prescription drug spending, according to a recent study in the BMJ. Researchers found that small payments from pharmaceutical...

Cardiac Care Bundled Payment Model to Generate Modest Savings

by Jacqueline Belliveau

The recently proposed Medicare bundled payment model for cardiac care will likely bring only modest shared savings or losses to participants, according to a study from Avalere Health. About 85 percent of providers that will be required to take...

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