Revenue Cycle Management Healthcare News

Outpatient Sector Saw the Most Private Equity Investments in 2022

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Over 400 private equity firms invested in the healthcare sector in 2022, with outpatient care seeing the most deal activity, according to a report from the Private Equity Stakeholder Project...

Hospital Execs Expect Greater Shift to Outpatient Care

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Hospital and health system executives are expecting large increases in outpatient volume this year, according to a recent analysis from the Guidehouse Center for Health Insights. The Center for Health...

SNF Vertical Integration Tied to Higher Utilization, Fewer Readmissions

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Vertical integration of skilled nursing facilities (SNFs) in a hospital network was associated with increased SNF utilization, decreased readmission rates, and lower episode payments, according to a...

Hospital Financial Performance Still Lags Behind 2020

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Hospital financial performance continues to feel the effect of the COVID-19 pandemic, according to the latest “National Hospital Flash Report” from Kaufman Hall. The report shows that the...

Medicaid Expansion Tied to Fewer Financial Challenges for Rural Hospitals

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Rural hospitals in states that have not implemented Medicaid expansion have faced steeper financial challenges than those in expansion states, according to an analysis from the Kaiser Family Foundation...

Negotiated Prices for Surgical Procedures Higher in Hospital Networks

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Negotiated prices for surgical procedures were higher at facilities within hospital networks compared to independent hospitals, according to a study published in JAMA Network Open. The hospital price...

Court Rejects Property Tax Exemptions for 4 PA Non-Profit Hospitals

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Several non-profit hospitals in Pennsylvania have failed to convince a court that they are purely public charities and, therefore, should qualify for property tax exemptions. The Pennsylvania...

KLAS: Workday, Oracle Receive Top Scores for Cloud-based ERP Services

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The top cloud-based enterprise resource planning (ERP) vendors received praise for their supply chain management and financials modules, but many users reported experiencing challenges with...

CMS Proposes to Implement Changes to Medicaid DSH Calculations

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CMS has proposed a rule to update the regulatory requirements of the Disproportionate Share Hospital (DSH) program in response to the Consolidated Appropriations Act of 2021, including implementing...

NAACOS, AMA Push for Long-Term Value-Based Care Efforts

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Twelve healthcare organizations, including the National Association of ACOs (NAACOS) and the American Medical Association (AMA), have urged congressional leaders to engage with stakeholders and...

Staffing Experts Share How Hospitals Can Improve Workforce Management

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As staffing shortages continue, hospitals and health systems should focus on embracing the gig workforce, preparing for new regulations, and investing in technology to improve workforce management,...

Medical Billing Companies Spill About Outsourcing Operations

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Nearly two-thirds of medical billing companies have a rising positive outlook about the current state of the revenue cycle outsourcing industry, according to a recent survey from Tebra. The practice...

AMGA Calls on Congress to Advance Value-Based Care, Support Providers

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Congress should focus on advancing value-based care by investing in proper infrastructure, incentivizing patient engagement, and supporting continuous telehealth coverage, according to the American...

CMS Eyes Stricter Enforcement of Hospital Price Transparency Compliance

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Hospital price transparency compliance is a top priority for CMS, which plans to take “aggressive additional steps” to identify hospitals lacking required pricing information on their...

Workforce Challenges Remain a Top Concern for Healthcare Executives

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Workforce challenges were a main concern for healthcare executives in 2022 and will likely remain an issue in 2023, according to surveys from the American College of Healthcare Executives (ACHE) and...

KFF Study: Hospital Price Transparency Data Messy, Inconsistent

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Hospital price transparency data shared with the public is lacking in quality, challenging the usefulness of the information, according to Kaiser Family Foundation (KFF). KFF analyzed hospital price...

AMA Urges CMS to Finalize Medicare Advantage Prior Authorization Reforms

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The American Medical Association (AMA) and 118 other medical organizations have urged CMS to finalize its proposed prior authorization reforms for the Medicare Advantage program. In a letter to CMS...

REH Designation May Help Small Share of Rural Hospitals Avoid Closure

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The new Rural Emergency Hospital (REH) designation could help nearly 88 rural hospitals avoid closures but will likely not have a widespread impact on safety-net facilities, according to a report from...

Value-Based Platform Will Join CMS Incentive Program to Support Rural ACOs

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Value-based care platform Signify Health announced plans to participate in the CMS Advance Investment Payments (AIP) incentive program to support providers in rural and underserved communities. Rural...

Only 25% of Hospitals Are Complying with the Price Transparency Rule

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Less than a quarter of hospitals are complying with the hospital price transparency rule over two years after the regulation went into effect, according to a report from PatientRightsAdvocate.org. The...