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

Healthcare Spending

HHS Launches Health Care Payment Learning and Action Network

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) Secretary Sylvia M. Burwell met with President Obama to launch the Health Care Payment Learning and Action Network. An estimated 2800 payers, providers, employers, patients, states, consumer groups,...

OIG Testimonies Examine 340B Savings and Medicare Fraud

by Jacqueline DiChiara

The Office of the Inspector General (OIG) recently posted written testimonial on 340B savings and Medicare fraud, as submitted to the House of Representatives from Ann Maxwell, Assistant Inspector General of the OIG Office of Evaluation and Inspections,...

Electronic Transactions Could Save Healthcare Billions  

by Jacqueline DiChiara

As the healthcare industry continuously eliminates paper-based administrative processes and pushes for mainstream electronic transactions, the possible result is essentially tens of billions in savings for the healthcare industry. If six routine...

Summary of Health Insurance Marketplace Final Rule for 2016

by Jacqueline DiChiara

CMS issued a 476-page final rule to promote improving the overall Health Insurance Marketplace consumer experience by ensuring affordable and accessible coverage options. On February 20, the federal agency released the final rule, Notice of Benefit...

Hospitals Oppose Further Medicare and Medicaid Cuts

by Stephanie Reardon

The AHA and other hospital groups wrote a letter to Congress, encouraging them to avoid  Medicare and Medicaid cuts following the repeal of the SGR. The Medicare Sustainable Growth Rate (SGR) has long been a thorn in healthcare’s...

How the 2016 Budget Will Change Medicare and Medicaid

by Stephanie Reardon

2016 Budget plans will have both improvements and challenges for  Medicare and Medicaid providers. On Monday, February 2, 2015, President Barack Obama released the 2016 Federal budget. It reveals plans for saving federal money on Medicaid...

How Do Hospitals Impact the Economy?

by Stephanie Reardon

New Jersey Hospitals impact the economy within their community. If a hospital is doing well, so is the community around it; at least that appears to be the trend found by the New Jersey 2014 Economic Impact Report. The study indicates that New...

National Health Spending Reached $2.9T in 2013

by Ryan Mcaskill

The latest report shows healthcare spending has reached $2.9 trillion in 2013 at a growth rate of 3.6 percent. Healthcare is a trillion dollar a year business and the latest numbers show that in 2013, the total national health expenditures in...

Healthcare Sector Economic Indicator Briefs Show Improvement

by Ryan Mcaskill

Focusing on spending, price and labor, new briefs show how the healthcare industry is improving. Earlier this month, the Altarum Institute released its monthly series of healthcare sector economic indicator briefs. They focus on spending, price...

U.S. Healthcare Cloud Market to Reach $3.5B by 2020

by Ryan Mcaskill

Government initiatives and regulations are pushing a shift toward growing investments in cloud technology. One of the biggest expenses for hospitals and medical practices in the current landscape is healthcare technology. Evolving regulatory...

Inpatient Volume, Revenue Drops as Outpatient Care Makes Gains

by Jennifer Bresnick

Hospitals must find ways to leverage outpatient service opportunities as a reduction in inpatient volume leaves a trail of empty beds. Inpatient volumes, and the revenues from hospital admissions, are dropping rapidly as the healthcare industry...

2.3% Medical Device Tax Won’t Heavily Impact Healthcare Buyers

by Jennifer Bresnick

The controversial medical device tax will not significantly upset the market for manufacturers or healthcare organizations, a new report says. The 2.3% medical device tax rolled up into the Affordable Care Act will have some impact on prices...

Top Opportunities to Reduce Wasteful Healthcare Spending

by Jennifer Bresnick

How can providers change their workflows and technologies to cut wasteful spending and improve the quality of care? Reducing the amount of wasteful spending is one of the highest priorities for any financial officer in the healthcare setting,...

Studies: Hospital Consolidations Cut Competition, Raise Prices

by Jennifer Bresnick

Less competition among providers can lead to higher prices for patients, but access to transparent cost data allows patients to make better choices for themselves. Competition for patients in a local region and the availability of public data...

Are Providers Updating Patients on ACA and Financial Risks?

by Elizabeth Snell

The Affordable Care Act (ACA) not only gives the opportunity for more individuals to find quality health insurance at the right price, it also requires patients to take more financial responsibility in their health. Deductibles and co-pays may...

Health Spending and Job Creation Continues Growth

by Ryan Mcaskill

With more Americans getting insured, health care spending and industry job creation is growing to meet the demand. According to the numbers from the Bureau of Economic Analysis (BEA), the health care sector added 22,600 jobs in September. This...

Pentagon Slashes Autism Healthcare Payments

by Elizabeth Snell

Impending policy changes around TRICARE, a healthcare program for the military and their dependents, have many individuals concerned over how autism therapy coverage will be handled. The Pentagon announced planned healthcare payment adjustments...

CMS Releases First Set of Open Payments Data

by Elizabeth Snell

The Centers for Medicare & Medicaid Services (CMS) released the first round of Open Payments data this week. The move is part of a larger effort to help consumers understand the financial relationship between the health care industry, and...

Why medical practices spend more on business operations

by Elizabeth Snell

As healthcare continues to evolve, it only makes sense that practices might have to hire more staff. However, if a recent survey is any indication, doctors and nurses are not the only ones being brought on to help organizations thrive. Medical...

Will integrated Medicare and Medicaid benefits save money?

by Elizabeth Snell

Individuals who are disabled, under the age of 65 and qualify for both Medicare and Medicaid benefits are known as disabled dual-eligible beneficiaries. In 2009, the Medicare and Medicaid programs spent an estimated $103 billion on those...


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