Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • Does Consumerism in Healthcare Undermine Patient-Centered Care?

    March 25, 2019 - The customer is always right in in most industries. But industry experts from the Hastings Center are saying the maxim does not and should not apply to providers despite the consumerism in healthcare trend. In fact, regarding patients as consumers could undermine industry efforts to advance patient-centered care, wrote Michael K. Gusmano, Hastings Center Research Scholar and Associate...

  • Social Determinants of Health Impact Hospital Readmission Rates

    March 20, 2019 - New research in Health Services Research shows social determinants of health are linked to hospital readmission rates, and accounting for disability, housing instability, and other social risk factors in value-based purchasing models can help level the playing field for safety-net hospitals. Researchers found that hospitals that serve the most vulnerable patients would see a 21.8...

  • NY Group Rethinks Physician Consolidation to Add Long-Term Value

    March 18, 2019 - Physician consolidation, value-based care, and other market pressures are sounding the death knell for many small and independent practices. Less than a third of physicians owned an independent practice in 2018, according to a Physicians Foundation and Merritt Hawkins survey. Instead, almost half of the surveyed physicians said they closed shop and/or started working for a hospital or...

  • How Accountable Care Organizations Can Prepare for Downside Risk

    March 14, 2019 - Accountable care organizations (ACOs) are part of the foundation of the healthcare industry’s transition to value-based care and purchasing. Since the passage of the Affordable Care Act (ACA), ACOs have realized clinical and financial improvements. Organizations in the Medicare’s largest ACO program average a quality performance score north of 90 percent, and CMS estimates...


Today's Top Stories

Does Consumerism in Healthcare Undermine Patient-Centered Care?

The customer is always right in in most industries. But industry experts from the Hastings Center are saying the maxim does not and should not apply to providers despite the consumerism in healthcare trend. In fact, regarding patients as...

Ascension CEO Anthony Tersigni to Retire by End of 2019

Ascension CEO Anthony R. Tersigni, EdD, FACHE, will retire by the end of the year, the large non-profit, Catholic health system recently announced on its website. Tersigni has led the health system of over 2,600 care sites in 21 states...

MIPS Participation Reached 95% in 2017, Exceeding CMS Goals

Ninety-five percent of eligible clinicians avoided a negative payment adjustment through Merit-Based Incentive Payment System (MIPS) participation in 2017, of which 93 percent earned a positive adjustment. The findings come from the 2017...

Prescription Drug Costs Challenge Value-Based Care in Oncology

Approximately 57 percent of community oncologists in value-based care models identified prescription drug costs as their top challenge with alternative payment model success, a recent survey uncovered. The survey of 530 community...

NY Hospital Settles with Cerner Over $38M Medical Billing Problem

EDITOR'S NOTE: This article has been updated with a statement from Cerner. Cerner recently reached a settlement with a New York hospital after an audit revealed the EHR system’s medical billing component resulted in $38 million...

Social Determinants of Health Impact Hospital Readmission Rates

New research in Health Services Research shows social determinants of health are linked to hospital readmission rates, and accounting for disability, housing instability, and other social risk factors in value-based purchasing models can...

Insurers Ask Congress to Fix Rates to End Surprise Medical Bills

Organizations representing major health insurers are calling on policymakers to set reimbursement rates for services from out-of-network providers to prevent surprise medical bills. Congress should establish reimbursement rates that...

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