Revenue Cycle Management Healthcare News

VisiQuate, MedeAnalytics top revenue cycle analytics rankings

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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...

Hospital payment cap slashes prices in Ore.

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An effort to reduce healthcare spending in Oregon has successfully lowered hospital prices and variation, according to a recent study in Health Affairs. Oregon implemented a cap on hospital prices in...

Little progress made with hospital price transparency compliance

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Hospitals have made little progress with implementing federal price transparency requirements that took effect in 2021. The latest semi-annual “Hospital Price Transparency Report” from...

Lower reimbursement rates, denials behind razor-thin margins

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Hospitals and health systems are operating on razor-thin margins as reimbursement rates and denials create financial woes, a new survey indicates. The survey conducted by the Healthcare Financial...

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

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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...

Trauma center hospitals charged above-market prices for non-trauma care

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Hospitals designated as trauma centers charged higher prices for non-trauma inpatient admissions and emergency department visits compared to non-trauma center hospitals, a Health Affairs study...

Medical Debt Associated With Worse Population Health, Higher Mortality

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Medical debt was associated with worse population health, including poor physical and mental health and higher mortality rates, a study published in JAMA Network Open indicated. Medical debt can force...

PE Practice Ownership Raises Concerns About Competition

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It is well known that private equity (PE) firms have invested heavily in physician practices, but a new study sheds light on how these practice acquisitions could impact competition in many areas. The...

January Hospital Margins Dip, But Overall Finances Remain Stable

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Hospital margins in January were down slightly from December 2023, but finances are more stable compared to previous years, according to a report from Kaufman Hall. The latest edition of the National...

Non-Profit Health Systems Need Positive Margins

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Non-profit health systems receive a lot of scrutiny because of their tax status, with some critics accusing systems of valuing revenue over patient care. However, a new report from Deloitte makes the...

Consumer Advocacy Orgs Share How to Move Away From Fee-For-Service Payment

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As healthcare spending rises, shifting away from fee-for-service payment and delivery models that incentivize volume over value is imperative. Families USA and other consumer advocacy groups are urging...

Patient Collection Rate Falls to Nearly 48%

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Healthcare organizations are finding it harder to collect patient financial responsibility, a new analysis from Kodiak Solutions indicates. The analysis of patient financial transactions from over...

R1 RCM May Go Private After $5.8B Private Equity Offer

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R1 RCM has received an offer from private equity firm New Mountain Capital that would prompt the revenue cycle management vendor to go private, according to a regulatory filing. New Mountain Capital...

Making ACOs More Accessible for Long-Term and Post-Acute Care Providers

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The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) and the National Association of ACOs (NAACOS) have released recommendations on how to increase accountable care...

HAC Reduction Program Penalizes Safety-Net Hospitals At Higher Rates

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Despite recent methodology changes, teaching and safety-net hospitals continue to be more frequently penalized in the Hospital-Acquired Condition Reduction Program (HACRP), a study published in JAMA...

What Ambulatory Providers Look for in Revenue Cycle Management Vendors

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When outsourcing revenue cycle management services, ambulatory provider organizations want vendors that excel in communicating, have adequate expertise, and can successfully educate clients, a KLAS...

How Do Providers Feel About Extended Business Office Services Vendors?

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As revenue cycle challenges persist, provider organizations are turning to vendors that offer extended business office services (EBOS), a KLAS report indicated. The Extended Business Office Services...

Half of US Rural Hospitals Operate at a Loss

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Rural healthcare’s outlook just worsened, according to a new analysis from Chartis, a healthcare advisory firm. The updated analysis of key indicators such as rural hospital operating margin,...

Financial Woes, Care Delays More Common Among Adults with Medical Debt

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Adults with medical debt are more likely to delay care and experience additional financial challenges compared to those without debt, according to a KFF analysis. The analysis used data from the 2021...

Hospital Groups Rally Against HHS’ Interpretation of DSH Payments Formula

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The American Hospital Association (AHA) and five other hospital groups are calling on the Supreme Court to challenge the Department of Health and Human Services’ (HHS) interpretation of...