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

Healthcare Spending

Monitoring Care Delivery Key to Reducing Healthcare Costs

by Jacqueline Belliveau

Lowering actual healthcare costs that providers incur while delivering care to patients is the key to making healthcare more affordable, according to a new Chilmark Research study. While payers are reforming claims reimbursement models to reduce...

Medicare ACOs Reduce Healthcare Spending On Complex Patients

by Jacqueline Belliveau

While one of the primary goals of joining an accountable care organization (ACO) is to coordinate care in effort to reduce healthcare spending, many Medicare ACO participants have seen early benefits from the alternative payment model. According...

End-of-Life Medicare Spending 25% Higher for Younger Seniors

by Jacqueline Belliveau

For most providers, it is not surprising that Medicare spending tends to increase in the last year of a beneficiary’s life, especially since this population is more likely to experience a serious illness and multiple chronic conditions....

$2.75B in Unexpected Healthcare Spending Impacts VA Budget

by Jacqueline Belliveau

The Department of Veteran’s Affairs (VA) has encountered $2.75 billion in unanticipated healthcare spending  during the 2015 fiscal year due to an increase in community care program participation and new hepatitis C drugs, according...

Providers Spend $15.4B to Report on Healthcare Quality Measures

by Catherine Sampson

General internists, family physicians, cardiologists, and orthopedists spend more than $15.4 billion annually to report on healthcare quality measures set by payers, according to a report from Health Affairs. Annually, these four types of practices...

Providers Prioritize Quality Care, Not Lower Healthcare Costs

by Jacqueline Belliveau

By now, many healthcare providers are partaking in some form of value-based care, which aims to foster quality care while reducing healthcare costs. To achieve this, value-based care relies on care coordination to decrease unnecessary treatments...

Do Nurse Practitioners Increase Healthcare Spending Rates?

by Catherine Sampson

While the use of independent nurse practitioners (NPs) is often seen as an important way to drive down healthcare spending rates, a new report from researchers at the University of California San Francisco indicates that the positive...

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 Shield (BCBS) backs this point in a recent...

Cancer Costs Don’t Rise Faster than Other Healthcare Spending

by Jacqueline Belliveau

Cancer-related healthcare costs have increased at almost the same rate as non-cancer healthcare spending since 2004, according to a recent study by Milliman and the Community Oncology Alliance. The study counteracts the common misbelief that...

$628K Awarded to Boost US Healthcare Spending Research

by Jacqueline Belliveau

The Peterson Center on Healthcare has awarded a $628,000 grant to the University of Washington’s Institute for Health Metrics and Evaluation (IHME) to analyze US healthcare spending and predict future spending trends, a recent statement...

Medicare Spending Increases Slightly under Affordable Care Act

by Jacqueline Belliveau

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 Services (HHS) stated. In comparison, overall...

Revenue Cycle Management Must Change for Community Hospitals

by Jacqueline Belliveau

Community hospitals in Massachusetts will continue to close if they do not make appropriate changes to their revenue cycle management strategies, a study reveals. The study, released by the Health Policy Commission (HCP) in Massachusetts, shows...

Why Concierge Medicine Programs Boost Patient Satisfaction

by Vera Gruessner

Due to the many complications of healthcare reform and the many quality care initiatives being established by federal agencies and payers, both new and well-established alternative healthcare delivery models are cropping up. Concierge medicine...

CMS Awards Equipment Contracts to Reduce Medicare Spending

by Jacqueline Belliveau

CMS continues to reduce Medicare spending by awarding contracts to successful bidders for Medicare’s Round 2 and national mail-order recompetes and releasing new single payment amounts for the Durable Medical Equipment, Prosthetics, Orthotics,...

Direct Physical Therapy Access Could Reduce Healthcare Costs

by Vera Gruessner

When it comes to healthcare costs, the federal government, medical providers, and payers are attempting to reduce rising spending and adopt value-based care reimbursement.  A number of different strategies have been implemented including...

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 before have gained health insurance coverage....

Accountable Care Organizations Responsible for Drug Spending

by Vera Gruessner

Accountable care organizations consist of a network in which payers, primary care physicians, and specialists work together to improve the health of a population. To dive deeper into one of the type of specialists seeking to enhance care within...

How Do High-Deductible Plans Affect Value-Based Care Goals?

by Jacqueline DiChiara

Value-based care outcomes are shaped by a variety of factors – but especially the ever influential high-deductible health plan (HDHP). The recent significant increase of HDHPs across the healthcare industry is apparently tied to their...

How to Slash Common Healthcare Supply Chain Management Costs

by Jacqueline DiChiara

Healthcare supply chain management strategies are generally tied to keeping costs low. But with an apparently broken system still in place, this is not a simple task. Whereas other industries seem to have made supply chain progress, the...

How Provider Interaction Reduces Claims Reimbursement Waste

by Jacqueline DiChiara

Reducing claims reimbursement waste demands a closer look at the inner workings of the medical billing environment and how to improve provider interactions. A lack of communication may be a leading cause of claims reimbursement waste and many...

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