Revenue Cycle Management Healthcare News

Higher Spending on Nursing Home Staff is Not Tied to Better Staffing Levels

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Nursing homes with higher shares of Medicaid residents directed more revenue toward workers but had lower staffing levels, indicating that a minimum nursing staff expenditure regulation would not...

TX Physicians Win No Surprises Act Rule Court Case

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A federal judge has ruled in favor of the Texas Medical Association’s (TMA’s) challenge of a No Surprises Act rule released by HHS to flesh out the independent dispute resolution (IDR)...

How Healthcare Organizations Can Help Improve Social Risk Interventions

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Financing healthcare organizations’ involvement in social risk interventions would require multiple funding approaches and is not guaranteed to improve the delivery of social services, according...

GAO: CMS Nursing Home Ownership Information Lacks Transparency

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CMS nursing home ownership information does not align with the characteristics of effective transparency tools, according to a report from the Government Accountability Office (GAO). CMS oversees the...

Automating Claims Management Processes May Reduce Costs for Providers

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Automating claims management processes could help healthcare providers curb the high spending on administrative transactions they saw in 2021, according to the 2022 Index report from the Council for...

US Sees Highest Healthcare Spending But Worst Health Outcomes

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Despite spending the most on healthcare, the United States has the worst health outcomes among high-income countries, including the lowest life expectancy at birth and the highest rate of people with...

Two-Thirds of People Evade Coverage After Medicaid Disenrollment

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In a year after Medicaid disenrollment, about two-thirds of people had a period of uninsurance, according to a recent analysis from Kaiser Family Foundation (KFF). The Families First Coronavirus...

Locum Tenens Clinicians Experience Lower Burnout Levels than Physicians

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As physicians and advanced practice providers (APPs) continue to struggle with burnout, 71 percent of contract physicians and locum tenens clinicians reported experiencing little to no burnout,...

Plagued by High Expenses, Half of Hospitals Finish in the Red

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Last year was the worst financial year for US hospitals and health systems since the start of the COVID-19 pandemic, reports healthcare consulting firm Kaufman Hall. The firm’s latest...

Private Equity Ownership of Rural Hospitals is Growing, Report Finds

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Private equity firms own at least 130 rural hospitals, raising concerns about care quality, staffing levels, and financial pressures at these facilities, according to a report from the Private Equity...

Patients Face Higher Healthcare Spending, Prices at Health Systems

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Health systems delivered the majority of medical care in 2018, ranking high on clinical quality and patient experience measures. However, prices were steeper, and consumer spending was higher for those...

AMGA: Medical Groups Faced Workforce Challenges, High Expenses in 2022

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Ongoing workforce challenges have led to declining staffing ratios and high labor expenses for medical groups, a survey from the American Medical Group Association (AMGA) found. The 2022 Medical Group...

KLAS: Orgs Value Functionality from Claims Management Vendors

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Experian Health and Olive received the highest performance scores in the claims management market, with organizations choosing the vendors for their functionality and pricing, according to a KLAS...

Caring for Opioid Use Disorder Patients Costs Hospitals $95B Per Year

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Caring for patients with opioid use disorders (OUDs) costs hospitals more than $95 billion per year and accounts for almost 8 percent of all hospital spending, according to data from PINC AI Applied...

Intermountain Healthcare Rebrands, Drops “Care” In Name

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The health system formally known as Intermountain Healthcare has gone through a rebranding of its name, dropping the “care” to emphasize its role in keeping people healthy. The 33-hospital...

Just A Few Health Systems Dominate Medicare Inpatient Spending

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Medicare inpatient spending is highly concentrated in many parts of the US, causing concerns about the impact hospital consolidation will have on prices in the future. In 10 states plus the District...

Higher Surgical Volume Led to Better Patient Outcomes, Lower Costs

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Orthopedic surgeons with higher surgical volume generated better patient outcomes and lower costs for hip and knee replacements, according to data from the healthcare analytics platform Clarify...

Significant Staffing Challenges Continue for Nursing Homes

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Nursing homes are experiencing the most significant staffing challenges of any healthcare sector and have lost 210,000 jobs during the COVID-19 pandemic, according to a report from the American Health...

UPMC Shifts Site To An Outpatient Emergency Department

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UPMC is converting a small hospital in rural Clinton County, Pennsylvania, to an outpatient emergency department (ED) under the state’s new Innovative Hospital Models project. Innovative Hospital...

Medicaid Expansion Helped Improve Provider Financial Performance

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Medicaid expansion has positively impacted healthcare providers by boosting financial performance and resulting in payer mix improvements, data from the Kaiser Family Foundation (KFF) found. All but...