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

Value-Based Care News

How to Plan Out the Transition to Value-Based Reimbursements


Providers should address the drivers of value-based reimbursements to appropriately pace their transition to alternative payment models without sacrificing crucial fee-for-service revenue, according to  a new guide from Pershing Yoakley...

Industry Groups Call on CMS to Modify MACRA Patient Codes


Proposed patient relationship codes that will be used under MACRA to measure appropriate resource use and determine value-based reimbursement adjustments may cause more confusion for providers and increase administrative burdens, according to...

Is MACRA a Trojan Horse for Small Practices, Value-Based Care?


While a final rule on MACRA implementation has yet to be issued, some providers are growing concerned that the value-based care models in the legislation could significantly burden small physician practices. Providers in small practices will...

Medical Device Reps in OR Sway Healthcare Supply Chain Costs


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...

HHS Awards $100M to Health Centers for Quality Improvement


The Department of Health and Human Services recently granted over $100 million in awards to 1,304 health centers across the nation to help improve care quality and boost primary care services, according to the federal department’s website....

How the Affordable Care Act Impacted Healthcare Revenue Cycle


From the transition to value-based care to the rise in patient consumerism, the Affordable Care Act has significantly changed the healthcare revenue cycle management landscape since its passage in 2010. Healthcare providers restructured how they...

AHA: Limiting Low-Value Medical Resource Use Cuts Healthcare Costs


While it is always reassuring to know that a provider will stop at nothing to diagnosis and treat his patients, limiting some medical resource use may actually help to decrease healthcare costs and improve quality of life for some patients, reported...

Physician Shortages Drive Increases in Provider Compensation


The nationwide physician shortage continues to put pressure on healthcare organizations to retain quality employees by boosting employee compensation and providing incentives to stay at the organization, according to Health eCareers annual salary...

AHA: Hospital Mergers Monopoly Test Neglects Healthcare Trends


The American Hospital Association (AHA) recently urged the US Court of Appeals to reject the Federal Trade Commission’s (FTC) new approach to assessing whether or not hospital mergers will create a marketplace monopoly. In a friend-of-the-court...

Healthcare Employment Increases Challenge Provider Orgs


Despite significant increases in healthcare employment rates this year, employers and providers are still facing many challenges when it comes to delivering high quality care, such as physician burnout and rising turnover rates. A recent report...

Monitoring Care Delivery Key to Reducing Healthcare Costs


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...

Hospitals Face Healthcare Employment Challenges, High Turnover


Recent healthcare employment trends could spell trouble for hospital revenue cycles across the nation. As quality and volume pressures continue to create difficult operational circumstances, some hospitals are finding that increasing turnover...

Hospital Profitability Rises by 35% in Oregon After ACA Passage


Hospital profitability has increased for healthcare organizations across Oregon since the passage of the Affordable Care Act (ACA) in 2010, which enabled more individuals to become insured, the Oregon Health Authority has found. The report revealed...

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


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


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


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


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


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


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


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,...


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