Revenue Cycle Management Healthcare News

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...

2023 Healthcare Bankruptcies Reached Highest Level in 5 Years

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The number of healthcare bankruptcies in 2023 increased 71 percent from 2022, reaching the highest level in the last five years, a report from Gibbins Advisors revealed. The report analyzed healthcare...

Revenue Cycle Management, AI Take Center Stage in 2024

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Healthcare CFOs are optimistic about the financial outlook this year as their organizations put revenue cycle management, dealmaking, and technology investments on the top of their priority lists. The...

Hospital Finances Approach Pre-Pandemic Levels

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Hospital financial performance is getting back on track after organizations faced the toughest year since the beginning of the COVID-19 pandemic, according to new data from Kaufman Hall and Syntellis...

Hospital Outpatient Departments Preserve Care Access for Rural Patients

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Rural populations and other vulnerable patients disproportionately rely on hospitals and their outpatient departments for care, according to a report from the American Hospital Association...

Healthcare Administrative Spending Increased by 50%

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Administrative costs in healthcare are rising as payers and providers navigate staffing shortages, cybersecurity threats, and other challenges coming off of the COVID-19 pandemic. The eleventh annual...

After Slowdown, ACO Participation in Shared Savings Program Grows

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More accountable care organizations (ACOs) are participating in Medicare programs this year, including a new, permanent payment option in the Shared Savings Program. CMS recently announced ACO...

Survey Reveals Revenue Cycle Management Concerns for 2024

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When it comes to revenue cycle management, healthcare leaders are concerned about timely patient collections, managing denials, and hiring and training staff in 2024, new data found. The survey,...

NYC Partners with Non-Profit to Relieve $2B in Medical Debt for Residents

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New York City will invest $18 million in a program to relieve over $2 billion in medical debt for up to 500,000 New Yorkers. New York City Mayor Eric Adams and New York City Department of Health and...

Steward Health Care Faces Financial Troubles, Possible Closures

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Steward Health Care, a for-profit health system headquartered in Dallas, Texas, is facing grave financial troubles, which may create ripples across the country. The Boston Globe reported on Jan. 19th...

Financial Distress Drove 2023 Merger and Acquisition Activity

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Healthcare merger and acquisition activity increased in 2023, with many transactions driven by financial distress, a Kaufman Hall report revealed. In 2022, merger and acquisition activity rebounded...

Provider Groups Say Final Rule Will Relieve Prior Authorization Burdens

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Provider groups are commending CMS for finalizing patient data-sharing policies and prior authorization requirements. The CMS Interoperability and Prior Authorization Final Rule requires Medicare...

New Medicaid Payment Model Targets Behavioral Health Integration

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CMS has announced a new Medicaid payment model that will incent care coordination across physical, behavioral, and social providers to improve the quality of care Medicare and Medicaid beneficiaries...