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

Value-Based Care News

Non-ACO Hospitals Outperform ACOs in Value-Based Care Programs

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To usher in the age of value-based care, CMS has implemented several value-based care programs and introduced various alternative payment models, such as accountable care organizations (ACO). These programs all have a common goal: raise care...

Healthcare Costs Concerns Impact Provider Rationing Behavior

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It is not uncommon to hear patients say that healthcare costs are going up, especially as more individuals enroll in high-deductible health plans. But, some providers oftentimes question if they should be responsible for helping to control costs....

HRSA Grants to Boost Healthcare Employment for Primary Care

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The Health Resources and Services Administration (HRSA) has announced over $149 million in awards to support healthcare employment efforts to increase the number of primary care providers, the federal agency announced. To help prepare the next...

CMS Shares Open Payments Data to Boost Healthcare Transparency

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Healthcare vendors and manufacturers have spent $7.52 billion in payments and ownership and investment interests to providers and teaching hospitals in 2015, according to a press release from CMS. The agency published the payment data from healthcare...

Characteristics of Successful Accountable Care Organizations

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As the number of accountable care organizations (ACO) continues to grow, many healthcare providers are all too familiar with the alternative payment model’s overarching goals of improving care quality, advancing population health, and reducing...

Federal Court Denies FTC’s Request to Stop IL Hospital Merger

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A federal judge has struck down the Federal Trade Commission’s (FTC) request to halt a proposed hospital merger between two Chicago-based healthcare organizations, reported the American Hospital Association’s (AHA) News Now website....

Only One-Third of Physicians Approve of Value-Based Care Models

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Value-based care models represent the future of patient care and reimbursement structures for most healthcare stakeholders, but some providers may not have such positive views on new payment and care arrangements. If a recent survey is any indication,...

Value-Based Care Implementation Delayed for Most Hospitals

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While the federal government has announced explicit goals for implementing value-based care models in the next few years, some healthcare providers may not be ready to completely do away with traditional fee-for-service reimbursement structures....

$2.75B in Unexpected Healthcare Spending Impacts VA Budget

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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...

Hospital M&A Driving Variation in Healthcare Costs by Site

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As patients are encouraged to shop around for the best price for medical services, many may be shocked to discover how healthcare costs can differ depending on where a patient receives care. These price differences can cause some consumers to...

AHA: Commercial ACO Tax Ruling Impedes Value-Based Care Models

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By stripping commercial accountable care organizations (ACOs) of their charitable tax exempt status, the IRS could be threatening the future of value-based care and care coordination, according to the American Hospital Association (AHA). In a...

Hospital Profitability Down for 27 Percent of PA Facilities

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More than a quarter of acute care hospitals in Pennsylvania failed to achieve profitability in 2015, according to a recent report by the Pennsylvania HealthCare Cost Containment Council (PHC4). Twenty nine percent of the 170 hospitals in...

5 Ways to Increase Hospital Profitability, Aid Revenue Cycle

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In this period of healthcare reform, numerous organizations continue to change their business practices so they can obtain more hospital profitability while also delivering quality care. Healthcare expenditures are expected to reach $4.4 trillion...

Wisconsin Hospital Questions Hospital Profitability Study

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In a hospital profitability study, researchers from Health Affairs drew the conclusion that Gundersen Lutheran Medical Center earned a profit of $302.5 million, or $4,241 per patient, in 2013. However, Gundersen Lutheran Medical Center claimed...

FTC: Hospital Mergers and Acquisitions May Create Monopolies

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Antitrust laws that prevent the formation of healthcare monopolies due to large-scale hospital mergers and acquisitions must be enforced in order to prevent skyrocketing healthcare costs, said Federal Trade Commission Chair Edith Ramirez at a...

Providers Spend $15.4B to Report on Healthcare Quality Measures

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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...

Mixed Results for MSSP Accountable Care Organization Savings

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According to a report from Leavitt Partners, 42 percent of accountable care organizations (ACO) residing in high-cost markets in the Medicare’s Shared Savings Program (MSSP) earned shared savings, while only 18 percent of organizations...

5 Ways to Improve Healthcare Supply Chain Management

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In this age of payment reform, it’s vital for healthcare supply chain management to be effective if healthcare executives want to reduce costs and improve quality. An efficient supply chain has the ability to improve the delivery of healthcare...

Providers Prioritize Quality Care, Not Lower Healthcare Costs

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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?

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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...

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