Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • Addressing Regulatory Burden, Patient Payments Top HIMSS18 Trends

    February 20, 2018 - Healthcare finance professionals can bet on discussing compliance, innovative health IT systems, and patient financial responsibility at the 2018 HIMSS Annual Conference and Exhibition (HIMSS18) in Las Vegas. Over 45,000 healthcare stakeholders will step through the doors of the Venetian Palazzo Sands Expo Center on March 5 for five days of education on the hottest topics in healthcare. With...

  • Drug Prices, Medicaid Reform Major Themes in Trump’s HHS Budget

    February 13, 2018 - President Trump plans to decrease HHS funding by about 21 percent compared to 2017, while focusing the federal department’s budget on prescription drug prices reductions and Medicaid reform, according to the 2019 fiscal year budget plan. Alongside the proposed funding allocations, the Trump Administration listed over 130 pages of proposals to help HHS operate on a tighter budget. The list...

  • How the Bipartisan Budget Act of 2018 Impacts Claims Reimbursement

    February 12, 2018 - After facing two government shutdowns this year, Congress passed a long-term budget deal and President Trump signed it into law early on Feb. 9, 2018. While the Bipartisan Budget Act of 2018 included plans for avoiding another shutdown and increasing domestic and military spending, the law also contained significant health policies that will impact claims reimbursement for providers. The federal...

  • Prehabilitation Lowers Episode Costs Under Bundled Payment Models

    February 6, 2018 - Dedicating even a couple hours to helping patients understand and prepare for a procedure prior to surgery can save providers millions under bundled payment models, explained healthcare industry expert and former CMS official Charlene Frizzera. Bundled payment models traditionally pay providers a fixed amount for a triggering event, such as a joint replacement surgery, and a specified amount...


Today's Top Stories

State Green Lights Partners, Mass. Eye and Ear Hospital Merger

Massachusetts public health officials recently approved a proposed hospital merger between the state’s largest hospital system, Partners HealthCare, and specialty hospital Massachusetts Eye and Ear. The Public Health Council unanimously...

Addressing Regulatory Burden, Patient Payments Top HIMSS18 Trends

Healthcare finance professionals can bet on discussing compliance, innovative health IT systems, and patient financial responsibility at the 2018 HIMSS Annual Conference and Exhibition (HIMSS18) in Las Vegas. Over 45,000 healthcare stakeholders...

Addressing Prices, Use at Local Level to Lower Healthcare Costs

Local patterns of healthcare utilization and pricing resulted in significant healthcare costs variation across five states, a new Network for Regional Healthcare Improvement (NRHI) report showed. NRHI’s second annual report, Healthcare...

Hospital Execs, Payers Face Similar Value-Based Purchasing Barriers

Payers and hospital finance executives agree that health IT inadequacies and insufficient physician buy-in are top barriers to value-based purchasing adoption, two recent surveys revealed. The Healthcare Financial Management Association’s...

Hospital Cost-Shifting Increases Private Payer Payments by 1.6%

Healthcare organizations that faced Medicare reimbursement reductions under the Affordable Care Act engaged in hospital cost-shifting that resulted in 1.6 percent higher average payments from private payers, a new working paper from the National...

Medicare Spending, Prices Drive Healthcare Spending Growth

The healthcare share of the economy should reach 19.7 percent by 2026 as the average annual rate of national healthcare spending growth rate and Medicare spending accelerates, the CMS Office of the Actuary recently projected. The data, published...

Doctors to HHS: Level the Playing Field for Independent Practices

In the face of increased hospital consolidation, HHS should better support independent practices and develop policies that allow solo providers to compete with hospitals and health systems, the Physicians Advocacy Institute (PAI) recently argued....

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