Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Revenue Cycle Management Healthcare News

Baylor Scott & White, Memorial Hermann End Hospital Merger Talks

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Two large non-profit health systems in Texas are calling off a potential $14 billion hospital merger deal five months after signing a letter of intent to combine. In a joint statement, Baylor Scott & White Health and Memorial Hermann...

Hospital Prices Increased Faster Than Physician Prices, Study Finds

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EDITOR'S NOTE: This article has been updated with a statement from the American Hospital Association. Hospital prices increased much more quickly than physician prices for both inpatient and outpatient care from 2007 to 2014,...

Reducing the Rate of Hospital-Acquired Conditions Saved $7.7B

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A significant reduction in hospital-acquired conditions (HACs) saved providers $7.7 billion in hospital costs since 2014, the Agency for Healthcare Research and Quality (AHRQ) recently reported. New data from AHRQ and CMS shows providers...

CHI, Dignity Finalize Hospital Merger, Introduce CommonSpirit

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After over a year of negotiations, Catholic Health Initiatives (CHI) and Dignity Health recently finalized their hospital merger deal to create one of the largest non-profit health systems. The health systems jointly announced the...

Would New Care Access Standards Pave the Way for VA Privatization?

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Veterans may be able to seek more private healthcare under a new proposed rule from the Department of Veterans Affairs (VA), which Secretary Robert Wilkie says is a move to improve care quality for veterans, not VA privatization. Released...

Only 13% of Hospital CFOs Prepared for Value-Based Reimbursement

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Fewer hospital CFOs are prepared to manage the financial impact of evolving business conditions, such as value-based reimbursement and care delivery models, a new survey finds. Consulting firm Kaufman Hall recently surveyed CFOs and other...

KLAS Names Best Vendors for Financial, Revenue Cycle Management

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Epic Systems continued to take the lead across several categories in the 2019 Best in KLAS report, including a key revenue cycle management market. In addition to being named the top overall software suite for the ninth consecutive year,...

Healthcare Consumerism, Supply Chain Generating Buzz at HIMSS19

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Now more than ever, the healthcare industry is at a crossroads and the annual HIMSS Conference and Exhibition reflects that. Healthcare spending is slated to increase at an annual rate of 5.5 percent over the next eight years as the...

How Will Automation, AI Impact Healthcare Employment?

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Increased use of automation and artificial intelligence is slated to replace millions of jobs and tasks in the near future. However, healthcare employment is relatively safe from automation, according to a new report from the Brookings...

Post-Acute, At-Home Care Saves Next Gen ACO Atrius Health $19.9M

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“You can't emphasize enough the right setting and the right care,” stressed Peggy Chou, MD, the Senior Medical Director of Performance Excellence of Atrius Health in Massachusetts. Atrius Health is a non-profit system of...

Partners HealthCare CEO David Torchiana to Leave in Spring 2019

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The head of the largest health system in Massachusetts recently announced that he will step down later this year. David Torchiana, MD, plans to retire April 29, 2019, after serving as the chief executive of Partners HealthCare since 2015,...

More Hospitals Sue HHS Over Outpatient Site-Neutral Payments

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Thirty-eight hospitals filed a lawsuit against HHS over a $380 million reduction in Medicare reimbursement to hospitals under a new outpatient site-neutral payment policy. The lawsuit alleges that HHS Secretary Alex Azar overstepped his...

HHS Sets New Priorities for Physician-Focused Payment Models

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Healthcare stakeholders looking to develop their own alternative payment models for HHS implementation should look to new guidance before submitting their applications to the Physician-Focused Payment Model Technical Advisory Committee...

Healthcare Merger and Acquisition Activity Up 14.4% in 2018

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Healthcare merger and acquisition activity in 2018 broke some records, PricewaterhouseCoopers (PwC) reports. Specifically, quarterly deal volumes exceeded 300 merger and acquisition transactions twice. The year ended with providers,...

Some Health Services to Resume Under New Government Shutdown Deal

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After 35 days of a partial government shutdown, President Trump and Congressional leaders reached a deal to reopen the government for three weeks. President Trump anticipates signing the deal as soon as Friday, Jan. 25, 2019 to restore...

Mid-Revenue Cycle Management, CDI Market to Reach $4.5B by 2023

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The revenue cycle is traditionally broken into the front and back ends. But a new market report shows providers are still looking to bolster the middle of their revenue cycles. According to a recent Markets and Markets report, the...

GAO: Advantages of Voluntary and Mandatory Bundled Payments

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Voluntary and mandatory bundled payment models each have their own pros and cons. But providers like voluntary models because they offer more favorable financial terms, a new Government Accountability Office (GAO) report showed. “In...

Major Health Systems Create New Company to Tackle Drug Shortages

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Drug shortages are preventing hospitals from providing even the most basic care to patients. In a recent study by the National Opinion Research Center (NORC) at the University of Chicago, approximately 80 percent of hospitals found it...

More Groups Want to Extend Medicare Shared Savings Program Deadline

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Eleven healthcare industry groups are supporting the National Association of ACOs’ (NAACOS) call for CMS to extend the Feb. 19 application deadline for the Medicare Shared Savings Program (MSSP). CMS announced earlier this month...

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