• Private payers initially deny nearly 15% of medical claims

    March 25, 2024 - It may take some time to get paid for medical services, suggests a new survey of hospitals, health systems and post-acute care providers. Nearly 15 percent of medical claims submitted to private payers for reimbursement are initially denied, respondents representing over 500 organizations told Premier Inc. in the survey. An average of 3.2 percent...

  • CMS announces new ACO model focused on primary care

    March 19, 2024 - CMS will test a new accountable care organization (ACO) model that focuses on primary care providers starting next year. A recent announcement states that CMS will launch a five-year voluntary ACO model on January 1, 2025, as part of its flagship Medicare Shared Savings Program (MSSP). The model known as the ACO Primary Care Flex Model, or ACO PC...

  • VisiQuate, MedeAnalytics top revenue cycle analytics rankings

    March 18, 2024 - Many healthcare organizations use a third-party revenue cycle analytics solution in lieu of or next to their EHR system’s offering. A recent KLAS report found that leaders are most impressed by Visiquate and MedeAnalytics. EHR systems don’t always meet the needs of healthcare organizations when it comes to revenue cycle analytics, KLAS...

  • $460B spending bill averts shutdown, some physician pay cuts

    March 11, 2024 - Congress narrowly avoided a partial government shutdown, sending a $460 billion spending bill to the President’s desk over the weekend. The bipartisan deal, passed by the House 339-85 last Wednesday and by the Senate 75 to 22 on Friday, will fund government agencies through the rest of the 2024 fiscal year (FY), including the Food and Drug...


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Primary care delivery is similar across all Medicare patient mixes

Care delivery, care coordination, and administrative challenges were similar across primary care physicians serving traditional Medicare patients and those serving Medicare Advantage patients, a...

Tax breaks higher than community investments for most non-profit hospitals

More than 1,900 non-profit hospitals received more in tax breaks than they spent on community investments and financial assistance, according to an analysis from the Lown Institute. The Lown Institute...

Private payers initially deny nearly 15% of medical claims

It may take some time to get paid for medical services, suggests a new survey of hospitals, health systems and post-acute care providers. Nearly 15 percent of medical claims submitted to private...

MSSP accountable care organizations share key priorities and challenges

In the Medicare Shared Savings Program (MSSP), accountable care organizations (ACOs) prioritize annual wellness visits, care transitions, and clinician engagement, as Medicare Advantage growth causes...

CMS announces new ACO model focused on primary care

CMS will test a new accountable care organization (ACO) model that focuses on primary care providers starting next year. A recent announcement states that CMS will launch a five-year voluntary ACO...

VisiQuate, MedeAnalytics top revenue cycle analytics rankings

Many healthcare organizations use a third-party revenue cycle analytics solution in lieu of or next to their EHR system’s offering. A recent KLAS report found that leaders are most impressed by...

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