Revenue Cycle Management Healthcare News

As PCPs Integrate With Health Systems, Steering Increases Costs

by

A new study out of Harvard University links vertical relationships between primary care physicians (PCPs) and health systems to “steering,” in which providers refer patients to specialists...

CMS Proposes Minimum Staffing Standards for Nursing Homes

by

CMS has proposed minimum staffing standards for nursing homes, requiring facilities to provide residents with at least three hours of care per day. The Minimum Staffing Standards for Long-Term Care...

1 in 3 Healthcare Workers Plan to Leave Their Position, Survey Finds

by

A third of surveyed healthcare workers plan to leave their job in the next year, according to new data from Tebra. Over 500 healthcare workers responded to the online survey in spring 2023. While one...

AHA Opposes Proposed Payment Cuts for Home Health Providers

by

The American Hospital Association (AHA) is urging CMS to reconsider the payment cuts included in the CY 2024 Home Health Prospective Payment System (PPS) proposed rule. Specifically, the trade...

Hospital Financial Performance Continued Downward Trend in July

by

Hospital financial performance worsened in July 2023, with patient volumes, revenue, and operating margins falling, data from Kaufman Hall revealed. The most recent edition of the National Hospital...

Allina Health Ends Medical Billing Practice Based on Past-Due Debt

by

Nonprofit health system Allina Healthcare will end its medical billing practice of denying non-emergency care to patients with medical debt, the New York Times reported. The policy change comes...

AHA Calls for Easier On-Ramp for Bundled Payments, Episode-Based Payments

by

The American Hospital Association wants it to be easier for hospitals nationwide to begin adopting episode-based payment models, such as bundled payments, the trade association wrote in a recent letter...

Medicare Shared Savings Program ACOs Saved $1.8B in 2022, CMS Reports

by

The Medicare Shared Savings Program (MSSP) saved Medicare $1.8 billion in 2022, with 63 percent of accountable care organizations (ACOs) earning payments for their performance. This is the sixth...

Hospitals, Health Systems Recognized for Price Transparency Compliance

by

Fifteen hospitals and health systems have been recognized for their compliance with the federal price transparency regulations. PatientRightsAdvocate.org created The Price Transparency Champion Award...

Middle-Class Americans Face Highest Rates of Medical Debt Burden

by

Middle-class Americans have the most medical debt across all ages, races, and education levels, a new report found. The report from think tank organization Third Way used the Census’s Survey of...

OHSU, Legacy Health Sign Letter of Intent to Form Integrated Health System

by

Oregon Health & Science University (OHSU) and Legacy Health have signed a letter of intent to merge and form an integrated health system in the Portland metro area. The OHSU and Legacy boards of...

CMS Updates ACO REACH Model for 2024 to Improve Health Equity

by

CMS has announced revisions to the ACO Realizing Equity, Access, and Community Health (ACO REACH) model to improve health equity and predictability for participants. CMS replaced the Direct...

MGMA: EFT Fees Imposed by Health Plans Are Hurting Providers

by

Electronic funds transfer (EFT) fees imposed by health plans and third-party vendors are increasing costs and administrative burdens for healthcare practices, according to a position paper from the...

Study Can’t Link Hospital Competition to Quality Improvements

by

A study out of the University of Michigan cannot identify a clear relationship between surgical outcomes and the level of competition a hospital faces. The study recently published in JAMA Surgery...

CMS Reduces No Surprises Act Fee After Court Vacates Price Hike

by

CMS has reinstated the $50 fee for initiating a payment dispute under the No Surprises Act following a court ruling striking down a price hike earlier this year. The non-refundable administrative fee...

HRSA Grants $100M to Improve Nursing Workforce as Shortages Persist

by

The Biden-Harris Administration is funneling over $100 million into the nursing workforce to help meet the growing demand for nurses amid staffing shortages. The Health Resources and Services...

Independent Hospital Acquisitions Tied to Higher Healthcare Prices

by

Independent hospital acquisitions led to higher healthcare prices for consumers and poorer care quality, a report from Elevance Health revealed. Health systems are increasingly acquiring independent...

Hospital-Owned Practices Pull Ahead, But Staffing Shortages Ding All

by

Hospital-owned practices are faring better than their physician-owned counterparts despite significant revenue challenges last year, according to new data from the Medical Group Management Association...

AHA: Site-Neutral Payment Policies Hurt Hospitals

by

As healthcare prices are put under the microscope, the American Hospital Association (AHA) is criticizing a cost-cutting method to reduce prices for outpatient services. The hospital group’s...