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

Value-Based Care News

Value-Based Care Leads to Higher Costs for Surgical Complications

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As a result of recent efforts to bring value-based care to the reimbursement cycle, it’s now more important for both providers and payers to gain an understanding about the link between costs and surgical complications, according to a recent...

5 Ways to Cut Costs through Hospital Revenue Cycle Management

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As healthcare costs continue to rise, hospital revenue cycle management has become an important focal point for providers. Healthcare expenditures in the US are projected to reach $4.4 trillion by 2018, according to an article in The American...

High Patient Experience Scores Boost Hospital Net Margins by 50%

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Hospitals in the US that provided a “superior” patient experience gained net margins that were 50 percent higher, on average, than those that deliver an “average” customer experience, researchers from Accenture observed....

Post-Acute Care Can Help Accountable Care Organizations Save

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As the Center for Medicare and Medicaid Innovation (CMMI) continues to deploy new programs, evidence of the impact of existing models continues to trickle in. One consistent theme: the importance of, and opportunity presented by, improvements...

Anthem Accountable Care Organizations Save $14.8 Million

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Four medical groups participating in Anthem Blue Cross accountable care organization (ACO) arrangements were able to save a total of $14.8 million from 2013 to 2014 due to improved coordinated care efforts, according to an Anthem press release....

Number of Accountable Care Organizations Continue to Rise

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The number of accountable care organizations (ACOs) continue to increase across the county. Earlier this year, the Centers for Medicare & Medicaid Services (CMS) announced 121 new Medicare Accountable Care Organization (ACO) participants. Between...

IRS: Commercial ACO Can’t Claim Charitable Tax Exemptions

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An unnamed accountable care organization (ACO) will not be able to claim charitable tax exempt status since its role centered on facilitation instead of the provision of care, the IRS said in a determination letter this month. The ACO, which...

MA Medicaid Proposes $1.5B Investment in Accountable Care

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MassHealth, the combine management of Medicaid and Children's Health Insurance Programs by the Commonwealth, is joining the accountable care movement by proposing a major $1.5 billion overhaul of its reimbursement structures. By developing...

CMS Extends Application Period for Next Generation ACO Model

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Providers interested in participating in the Next Generation Accountable Care Organization (ACO) program now have until May 20, 2016 to submit their letters of intent, CMS announced this week. In order to apply to the Next Generation ACO Model,...

NAACOS Comments on Accountable Care Organizations Benchmarks

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Last month, the National Association of ACOs (NAACOS) submitted comments for the Health Care Payment Learning & Action Network (LAN) Financial Benchmarking Draft White Paper. NAACOS takes on the largest portion of accountable care organizations...

Despite ACA, Emergency Department Visits Remain Numerous

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Although policymakers want to see the Affordable Care Act (ACA) lead to a reduction in visits to emergency departments, new data from the Centers for Disease Control & Prevention (CDC) raise concerns about the mandate’s real impact...

Accountable Care Organization Savings Shift After First Year

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More than 700 accountable care organizations (ACO) currently work toward the goal of improving the quality of healthcare while also reducing capital costs of healthcare thanks to the Affordable Care Act. Meanwhile, researchers attempt to figure...

Top 5 Ingredients of a Successful Accountable Care Organization

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Because of the Affordable Care Act, the healthcare industry continues to move toward value-based care. As a result, Medicare has invested heavily in value-based reimbursement structures, such as accountable care organizations (ACOs), which turn...

Accountable Care Organizations Improve Quality, Cut Spending

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Accountable care organizations (ACO) are beginning to achieve results as they help to move the healthcare system towards a value-based care delivery environment. As the popularity of these arrangements continues to grow, the changing dynamics...

Why Primary Care Matters in Medicare Shared Savings Program

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The Centers for Medicare & Medicaid Services (CMS) is moving forward with updating the rules and programs around accountable care organizations. The American Academy of Family Physicians  (AAFP) is urging for CMS to include key provisions...

Payment Reform Strengthens Patient-Centered Medical Home

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The health payer industry and the federal government including the Centers for Medicare & Medicaid Services (CMS) have positioned hospitals, clinics, and medical practices to adopt necessary healthcare payment reform. Alongside accountable...

Hospital CEOs Share 3 Ways to Ensure Value-Based Care Success

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To support hospital revenue cycle management during the transition to accountable care, hospital executives are calling on their organizations to embrace the opportunities - and challenges - that come with the move towards value-based care models,...

Is the Medicare Shared Savings Program Cutting Costs?

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The Medicare Shared Savings Program has not, as of yet, reduced healthcare spending for the federal government. Along with the lack of cost savings within the Medicare-sponsored program, Kaiser Health News reports that approximately 50 percent...

Physician-Sponsored Accountable Care Organizations Succeed

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The Centers for Medicare & Medicaid Services (CMS) is constantly attempting to reform and modify current programs in order to achieve the Triple Aim of Healthcare – reduced medical costs, better health outcomes, and improved patient...

CMS Seeks Final Applications for Next Generation ACO Model

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The Centers for Medicare and Medicaid Services Innovation Center announced the opening of its final round of applications for Next Generation Account Care Organization (ACO) Model, which will begin on January 1, 2017. The final round of Next...

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