Revenue Cycle Management Healthcare News

Patients Face Higher Healthcare Spending, Prices at Health Systems

by

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

by

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

by

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

by

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

by

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

by

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

by

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

by

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

by

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

by

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...

Healthcare Bankruptcies Grew by 84% in 2022, Returning to 2020 Levels

by

The number of healthcare bankruptcies increased by 84 percent from 2021 to 2022, driven by rising costs, workforce shortages, and high interest rates, according to a report from Gibbins Advisors. The...

Healthcare Private Equity Down But Not Out, Report Finds

by

Healthcare private equity activity remained strong despite rising interest rates, high inflation, and other market factors, according to a new report from Bain & Company. During the first half of...

People Have Less Trouble Paying Medical Bills, But Concerns Remain

by

Paying medical bills has gotten a little easier for patients, according to a new report from HHS. The report released by the Centers for Disease Control and Prevention (CDC) found that the percentage...

New ACOs Push CMS Closer to Accountable Care Goals

by

CMS has announced that more than 700,000 healthcare providers and organizations are participating in one of three accountable care organization (ACO) models, including the Medicare Shared Savings...

AAMC: Gender and Racial Diversity On the Rise in US Physician Workforce

by

Data from the Association of American Medical Colleges (AAMC) detailed physician workforce trends and highlighted how gender and racial diversity are increasing among medical residents and...

Study Finds MIPS Scores Don’t Reflect True Quality Performance

by

A recent study out of the Weill Cornell Medical College questions whether the Merit-Based Incentive Payment System (MIPS) accurately captures the quality of care delivered by primary care...

Healthcare Mergers and Acquisitions Regain Momentum

by

Healthcare merger and acquisition (M&A) activity has regained momentum, ending 2022 with 53 announced transactions and more than $45 billion in total transacted revenue, reports Kaufman Hall. The...

Elective Surgeries Shifted from Inpatient to Outpatient Settings

by

Inpatient surgery utilization levels declined between 2019 and 2021, while utilization rates in outpatient settings increased, according to data from Cedar Gate Technologies. The findings reflect...

Should Population-Based Payments Account for Social Risk Factors?

by

Efforts to make the healthcare system more efficient and equitable by adjusting population-based payments for social risk factors may be missing the mark, suggests a new study from Harvard and Yale....

Consumers are Frustrated with Healthcare Billing Correction Process

by

Consumers are frustrated with the healthcare billing process and face challenges when it comes to identifying and solving billing errors, according to a survey from Zelis and Hanover Research. The...