Pros, Cons of End-to-End RCM Platform Adoption
74% of Hospitals Use Some Revenue Cycle Automation
Understanding the Basics of Bundled Payments in Healthcare
Medical Groups Faced High Expenses, Staffing Challenges in 2023
Feds Finalizes $115 Participation, Other Fees for IDR Process
32% of Academic Physicians Plan to Leave Workforce, Fueled by Burnout
NC Attorney General Sues HCA After Quality of Care Complaints
CMS Model Aims to Improve Maternal Health Outcomes, Access to Care
CMS: Healthcare Spending Accelerated, Reaching $4.5T in 2022
House Bill Addresses Price Transparency, Site-Neutral Payment Policies
R1 to Acquire Providence’s RCM Company Acclara
Providers See Fourfold Increase in External Payer Audits
COVID-19 Surges Led to Fluctuating Occupancy Rates at Hospitals
Care Quality, Physician Autonomy Lower at Corporate-Owned Practices
Hospitals Concerned About Medicaid State-Directed Payment Changes
Fewer Than 1 in 3 Consumers Pay Medical Bills Immediately
Hospitals See Margins Above Pandemic Levels in October
Optum Faces Allegations of Anti-Competitive Practices from CA Health System
Most Surgeons Earned MIPS Bonus Payments in 2021, Study Finds
How Many Medicare Part D Claims Are Subject to 340B Discounts?
WA Non-Profit Health System Will Reimburse Patients in Charity Care Agreement
Medicare Advantage Denials Jump 56%, Commercial Denials 20%
Generative AI Appeals to Healthcare Orgs for Revenue Cycle Operations
Despite Value-Based Care Growth, Room for Improvement Remains
How Did Commercial Payments for COVID-19 Inpatient Stays Vary in 2020?
Regulatory Burdens in Healthcare Take Away from Patient Care
Breaking Down the Top 5 Healthcare Revenue Cycle KPIs
HPSA Program Did Not Affect Physician Shortages or Health Outcomes
Revenue Cycle Sets Sights on Autonomous Coding, Claims Automation
More Provider Orgs Have Value-Based Contracts With Private Payers
27% of Adults Face At Least One Healthcare Affordability Challenge
Labor Expenses Hurt Hospital Financial Performance
Consumer Credit Scores Improve After Medical Debt is Wiped from Reports
CMS Will Issue OPPS Providers Lump-Sum Payments to Remedy 340B Losses
CMS Finalizes 1.25% Cut To Medicare Physician Fee Schedule
CMS Finalizes a $140M Increase to Medicare Home Health Payment Rates
Hospital Outpatient Revenue Growth Contributes to Positive Margins
CMS Boosts End-Stage Renal Disease Medicare Rates by 2.1%
Surprise Billing Proposals Aim to Streamline IDR Process
How Do Healthcare Organizations Feel About Autonomous Coding?
States Boosting Medicaid Payment Rates for Home Healthcare Amid Shortages
Patient Access, Registration Errors Lead to Most Claim Denials
Diverse Medical Students More Likely to Practice in Underserved Areas
Reducing Barriers to MIPS, Advanced APMs Could Promote Participation
Physician-Owned Hospitals Could Save Medicare Over $1B
Henry Ford, Ascension Michigan to Form Joint Venture
Lower Payment Rates May Help Curb Medicare Spending on Post-Acute Care
Supply Chain Shortages Impact Patient Care and Provider Workflows
Financial Challenges Drove Healthcare Merger and Acquisition Activity
Gender Pay Disparities in Medicare Reimbursement Impact Neurosurgeons
High Nursing Home Staff Turnover Yields Poorer Care Quality
Non-Profit Hospitals Up Community Benefits to $130B
Value-Based Payments in Medicaid Tied to More Behavioral Health Visits
MGMA: Sustainable Financing Needed to Protect Rural Healthcare
New Physicians See Plenty of Job Offers but Burnout Impacts Choices
Physician Scheduling Vendors Promise Automation, But Issues Arise
75K Kaiser Workers Walk Off in Healthcare’s Largest Strike
Hospitals See Financial Relief as Revenues Increase, Margins Stabilize
Workforce Woes Surpass Financial Pressure As Healthcare’s Top Threat
Hospital Finances Stabilize After 6 Months of Positive Margins
As Hospitals Consolidate, Medicaid Patients Have Fewer Options
Navigating the Impact of Rising Healthcare Costs on Patient Finances
62% of Hospitals Don’t Automate Any Part of Denials Management
Healthcare CFOs Concerned About Economy, Regulations
Claims Reimbursement Speed, Denial Rate Tied to Location
Firm Selection, Rollout Key Considerations of Revenue Cycle Outsourcing
Claim Denials Pose Expensive Problem for Providers
Only 19% of Nursing Homes Currently Meet Proposed Staffing Standards
Hospital Prices Online Are Not Aligned With Prices Offered via Telephone
Oracle Adds Healthcare Capabilities to ERP, Supply Chain Products
Dana-Farber, Beth Israel Team Up To Create a Cancer Hospital
Healthcare Services Cost More at Hospital Outpatient Departments
Healthcare Orgs Address Price Transparency, 340B Policies in OPPS
Provider Groups Oppose Proposed Payment Cuts in Physician Fee Schedule
AMA 2024 CPT Code Set Addresses Language Barriers, Immunization Codes
NAACOS: Medicare Payment Incentives Favor Clinicians in Fee-For-Service
As PCPs Integrate With Health Systems, Steering Increases Costs
CMS Proposes Minimum Staffing Standards for Nursing Homes
1 in 3 Healthcare Workers Plan to Leave Their Position, Survey Finds
AHA Opposes Proposed Payment Cuts for Home Health Providers
Hospital Financial Performance Continued Downward Trend in July
Allina Health Ends Medical Billing Practice Based on Past-Due Debt
How Practices Can Avoid Overlooked Revenue Opportunities
AHA Calls for Easier On-Ramp for Bundled Payments, Episode-Based Payments
Medicare Shared Savings Program ACOs Saved $1.8B in 2022, CMS Reports
Hospitals, Health Systems Recognized for Price Transparency Compliance
Middle-Class Americans Face Highest Rates of Medical Debt Burden
OHSU, Legacy Health Sign Letter of Intent to Form Integrated Health System
CMS Updates ACO REACH Model for 2024 to Improve Health Equity
MGMA: EFT Fees Imposed by Health Plans Are Hurting Providers
Study Can’t Link Hospital Competition to Quality Improvements
CMS Reduces No Surprises Act Fee After Court Vacates Price Hike
HRSA Grants $100M to Improve Nursing Workforce as Shortages Persist
Independent Hospital Acquisitions Tied to Higher Healthcare Prices
Hospital-Owned Practices Pull Ahead, But Staffing Shortages Ding All
AHA: Site-Neutral Payment Policies Hurt Hospitals
Hospital Margins Aren’t Budging, Raising Concerns About Care
Inpatient Providers Will Receive 3.1% Reimbursement Increase in FY24
CMS Increases 2024 Skilled Nursing Facility Payments by 4%
CMS Will Test APM for Medicare Beneficiaries with Dementia, Caregivers
AHIP, AMA, NAACOS Share Best Practices for Value-Based Care
CMS Boosts FY24 Payment Rates for Inpatient Psychiatric and Rehab Facilities
Two Years In, Hospital Price Transparency Compliance at 36%
NAACOS: Medicare Shared Savings Program Needs Full-Risk Option
Nurses, Physicians Say Health Insurer Policies Restrict Access to Care
Physician Turnover Trends Up, But Not As Bad As Expected During COVID-19
Study: Hospital Bottom Lines Better Than Depicted During COVID-19
OIG: HRSA Made Improper Payments Through COVID-19 Uninsured Program
Providers Are Outsourcing Revenue Cycle Services Amid Workforce Shortages
Q2 2023 Hospital Merger and Acquisition Activity Hit Pre-Pandemic Levels
AMA: Physicians Have Moved from Private to Hospital-Owned Practices
MIPS Value Pathways: Pros and Cons for Emergency Medicine Physicians
How to Establish a Proactive Revenue Cycle Strategy
CMS Proposes Payment Cuts in CY24 Medicare Physician Fee Schedule
OPPS Rule to Update Outpatient Payments, Hospital Price Transparency
HHS Investigates Medical Credit Cards, Installment Loans
Medical Debt Unevenly Impacts People of Color, Low-Income Residents in NY
Private Equity Acquisitions Led to Higher Prices at Physician Practices
CMS to Resolve 340B Payment Mixup With $9B Lump-Sum Fix
Median Per Person Healthcare Spending Exceeds $6K
MGMA: Nursing Compensation Increases as Staffing Challenges Continue
Hospitals with Health Equity Factors Face Value-Based Penalties
FTC Proposes Merger Review Changes that Could Impact Healthcare Deals
CMS Proposes $375M Cut to Medicare Home Health Payments
Primary Care Compensation Growth Surpassed Other Specialties in 2022
Hospital Finances Stabilized as Revenues Grew, Expenses Fell
How Beneficiary Preferences Can Impact Hospital VBP Payment Incentives
CMS Proposes 1.6% Payment Increase for ESRD Facilities
Negotiated and Cash Prices are Lower at Physician-Owned Hospitals
Optum to Acquire Home Health, Hospice Provider Amedisys
Interest Rates, Recession Fears Aren’t Stopping Healthcare Deals
Hospital Consolidation Tied to Loss of Inpatient Pediatric Services
About a Quarter of Residents in 18 States Have Medical Debt
UPMC, Washington Health System Sign Letter of Intent to Affiliate
KLAS Report Shares Top Outsourcing Firms for Healthcare Coding Services
Lawmakers Seeking Stakeholder Input to Improve 340B Drug Pricing Program
AMA Opposes Non-Compete Agreements for Hospital-Employed Physicians
AHA Condemns FTC’s Unconstitutional Antitrust Enforcement Practices
340B Program Enrollment Led to More Oncology Services at Rural Hospitals
Healthcare Spending to Pick Up Pace, Reaching $7.2T by 2031
AHA Decries Inpatient Prospective Payment System Update
Study: Hospital Spends $5M Per Year on Quality Reporting
Rising Expenses May Jeopardize Hospitals’ Financial Stability
AMA: US Healthcare System Headed for Success After 2022 Hurdles
CMS Primary Care Model Provides Value-Based Path for Practices
AHA: Health Insurer Policies Fuel Physician Practice Acquisitions
Most Practices Not Joining Enhancing Oncology Model, Survey Finds
Nonprofit Hospitals Offer Less Charity Care Despite Rising Profits
OIG: Medicare Overpayments Due to Coding Discrepancies Totaled $22.5M
BJC, Saint Luke’s Announce Plans to Form Integrated Health System
CMS Withdraws COVID-19 Vaccine Mandate for Healthcare Workers
How to Maximize Revenue Cycle Strategy for Financial Success
Healthcare Costs for Average Family Exceed $31K
Hospital Finances Break Even as PHE Ends, Medicaid Unwinds
Clinic Staffing Costs Up 10% This Year
Quality, Costs of Care Similar Between DOs and MDs
Private Equity Firm Invests in RCM Company Alpha II
Physician Compensation, Productivity Grew in 2022 Despite Shortages
Eye Specialists Pay $17M to Resolve False Claims Act Violations
Home Health Value-Based Purchasing Model Lowered Medicare Spending
Denial Management Calls for More Expertise, Survey Says
Community Service Navigation Helped Reduced Emergency Department Use
Over 230 House Reps Join Fight Against Medicaid DSH Cuts
Aspirion Acquires Revenue Cycle Management Company FIRM
CMS Announces Start Date for IRF Claims Review Demo
KLAS Shares User Reviews of Computer-Assisted Coding Vendors
Racial and Ethnic Health Inequities Led to $421B in Excess Spending
AHA Makes Hospital Price Transparency Suggestions to Congress
AMA: 31% of Physicians Have Faced Medical Liability Claims
Physician Staffing Firm Envision Healthcare Files for Bankruptcy
More Nurses to Leave Healthcare Workforce as Job Satisfaction Drops
Independent Dispute Resolution Case Load 14X More Than Expected
AMGA: Pharmacy Claims Data Key to Value-Based Care Progress
What the End of the COVID-19 PHE Means for Healthcare Providers
Hospital Revenue Growth Outpaced Rising Expenses in March
MGMA: Medicare Advantage Growth Exacerbates Prior Authorization Burdens
CFPB Report Identifies Pitfalls of Medical Credit Cards, Loans
Hospital-Physician Integration Leads to More Intense Cardiac Care
340B Drug Pricing Program Eligibility Tied to Lower Biosimilar Use
Razor Thin Margins Leave Hospitals Vulnerable to a Recession
Benchmark Regionalization in MSSP Disincentivized Higher-Spending ACOs
Health Disparities in Heart Failure Admissions Cost Over $60M
Private Equity Firms Acquired Over 700 Oncology Practices in 20 Years
HHS to Start Unwinding COVID-19 Vaccine Requirement
Provider Groups Band Together to End Cigna’s Modifier 25 Policy
Intermountain Taps Surgery Partners to Manage, Grow ASCs
Skilled Nursing Facility Use Increased Following PHE Waiver
Kaiser Permanente to Acquire Geisinger, Expand Value-Based Care
CMS Cracks Down on Hospital Price Transparency Compliance
Less than Half of Primary Care Physicians Participate in Value-Based Care
Nonprofit Hospitals Rely on Financial Reserves Amid Operational Challenges
More Medical Liability Premiums Increased in 2022, AMA Finds
Uncompensated Care, Area Disadvantage Impair Safety-Net Margins
AHA: Financial Challenges Continue as Hospital Expenses Rise
HHS Sheds Light on Hospice, Home Health Ownership Data
Price Transparency Rule Compliance is Growing But Needs More Oversight
Revenue Cycle Leaders Spend the Most Time on Denials Management
Physician Compensation Rises 17% Since 2018 as Shortages Persist
900K Registered Nurses Expected to Leave Workforce by 2027
House Oversight Panel Investigates COVID-19 Relief Allocation
Lower Clinical Spending Needed in BPCI-A Program to Avoid Losses
Froedtert Health, ThedaCare Announce Merger Plans
Q1 2023 Healthcare Merger and Acquisition Activity Generated $12.4B
NAACOS Offers Guidance for Hybrid Primary Care Payment Model in MSSP
Hospital, Registered Nurse Turnover Rates Remained High in 2022
Tax Breaks Exceeded Charity Care Spending for Nonprofit Hospitals
Major Credit Bureaus Remove Medical Debt Collections Under $500
CMS Releases FY24 IPPS Proposed Rule, Seeks to Boost Rates by 2.8%
61% of Providers Plan to Outsource Revenue Cycle Management Tasks
Clinician-Owned Practices Improve Quality Without the Burnout
KLAS: Healthcare Orgs Satisfied with Eligibility, Enrollment Services
Lawmakers Want to Tie Physician Payment Updates to Inflation
How Do Rural Hospitals Survive When Facing Financial Instability?
Hospital Chargemaster Heavily Influences Cash Prices, Payer Rates
CMS Proposes a 3.7% Boost in Skilled Nursing Facility Payments
Community-Level Social Risk Adjustment Did Not Address Payment Disparities
Proposed Rule to Boost Medicare Inpatient Rehab Payments by 3%
AHA, AHIP Urge Supreme Court to Uphold False Claims Act Ruling
CMS Proposes 2.8% Medicare Hospice Payment Bump
The Battle For Fair Reimbursement Under The No Surprises Act
How CMMI Value-Based Care Models Have Impacted Costs, Quality
Medicare ACO Healthcare Spending Recovered to Pre-Pandemic Levels
More Hospital CEOs Are Leaving Their Posts
Provider Org Recommends Changes to MA Prior Authorization Rule
Hospital Margins Still Negative, But Finances See Some Stability
Healthcare Employment, Spending Continues to Grow in 2023
Site-Neutral Payments Could Threaten Access to Care, Study Suggests
Healthcare Orgs Push for Hybrid Primary Care Payment Option in MSSP
Price Transparency Data Reveals Most Expensive Brain MRI Locations
Physician Compensation Fell, Gender Pay Gap Persisted in 2022
Hospitals Ask Lawmakers for Well-Being, Workplace Safety Support
Two-Thirds of Patients Have Never Challenged a Medical Bill’s Accuracy
Healthcare Has Yet to Feel Full Impact of Physician Retirements
AMGA: FTC Non-Compete Agreement Ban Will Hurt Healthcare Workforce
CMS Resumes IDR Payment Determinations Under No Surprises Act
Patients with Alzheimer’s Disease See Higher Hospital Readmission Rates
AHA: Financial Assistance One Piece of Hospital Community Benefits
Emergency Department Labor Costs Up 50% From Pre-Pandemic Levels
MedPAC Recognizes Impact of Inflation on Docs, Suggests Higher Rates
ACR Recommends Changes to Prior Authorization Proposed Rule
Past-Due Medical Debt Impacts Over 1 in 7 Adults
Practices Complete More Prior Authorizations, See More Care Delays
Hospital Contract Labor Expenses Jump 258% As Shortages Persist
Biden’s FY24 Budget Aims to Extend Medicare Trust Fund Solvency
AMGA Opposes Proposed Medicare Advantage Coding Changes
How E/M Payment Policy Changes Impacted Physician Reimbursement
MEDITECH Leads Patient Accounting Vendors for Small Hospitals
As Medicaid Unwinds, Hospitals Seek Relief from DSH Payment Cut
COVID-19 Vaccination Requirements Boosted Uptake Among NYC Municipal Workers
4 Common Surgeries Shifted to Outpatient During COVID-19
Providers are Increasingly Billing Outpatient Visits at Higher Levels
Outpatient Sector Saw the Most Private Equity Investments in 2022
Hospital Execs Expect Greater Shift to Outpatient Care
SNF Vertical Integration Tied to Higher Utilization, Fewer Readmissions
Hospital Financial Performance Still Lags Behind 2020
Medicaid Expansion Tied to Fewer Financial Challenges for Rural Hospitals
Negotiated Prices for Surgical Procedures Higher in Hospital Networks
Court Rejects Property Tax Exemptions for 4 PA Non-Profit Hospitals
KLAS: Workday, Oracle Receive Top Scores for Cloud-based ERP Services
CMS Proposes to Implement Changes to Medicaid DSH Calculations
NAACOS, AMA Push for Long-Term Value-Based Care Efforts
Staffing Experts Share How Hospitals Can Improve Workforce Management
Medical Billing Companies Spill About Outsourcing Operations
AMGA Calls on Congress to Advance Value-Based Care, Support Providers
CMS Eyes Stricter Enforcement of Hospital Price Transparency Compliance
Workforce Challenges Remain a Top Concern for Healthcare Executives
KFF Study: Hospital Price Transparency Data Messy, Inconsistent
AMA Urges CMS to Finalize Medicare Advantage Prior Authorization Reforms
REH Designation May Help Small Share of Rural Hospitals Avoid Closure
Value-Based Platform Will Join CMS Incentive Program to Support Rural ACOs
Only 25% of Hospitals Are Complying with the Price Transparency Rule
Higher Spending on Nursing Home Staff is Not Tied to Better Staffing Levels
TX Physicians Win No Surprises Act Rule Court Case
How Healthcare Organizations Can Help Improve Social Risk Interventions
GAO: CMS Nursing Home Ownership Information Lacks Transparency
Automating Claims Management Processes May Reduce Costs for Providers
US Sees Highest Healthcare Spending But Worst Health Outcomes
Two-Thirds of People Evade Coverage After Medicaid Disenrollment
Locum Tenens Clinicians Experience Lower Burnout Levels than Physicians
Plagued by High Expenses, Half of Hospitals Finish in the Red
Private Equity Ownership of Rural Hospitals is Growing, Report Finds
Patients Face Higher Healthcare Spending, Prices at Health Systems
AMGA: Medical Groups Faced Workforce Challenges, High Expenses in 2022
KLAS: Orgs Value Functionality from Claims Management Vendors
Caring for Opioid Use Disorder Patients Costs Hospitals $95B Per Year
Intermountain Healthcare Rebrands, Drops “Care” In Name
Just A Few Health Systems Dominate Medicare Inpatient Spending
Higher Surgical Volume Led to Better Patient Outcomes, Lower Costs
Significant Staffing Challenges Continue for Nursing Homes
UPMC Shifts Site To An Outpatient Emergency Department
Medicaid Expansion Helped Improve Provider Financial Performance
Healthcare Bankruptcies Grew by 84% in 2022, Returning to 2020 Levels
Healthcare Private Equity Down But Not Out, Report Finds
People Have Less Trouble Paying Medical Bills, But Concerns Remain
New ACOs Push CMS Closer to Accountable Care Goals
AAMC: Gender and Racial Diversity On the Rise in US Physician Workforce
Study Finds MIPS Scores Don’t Reflect True Quality Performance
Healthcare Mergers and Acquisitions Regain Momentum
Elective Surgeries Shifted from Inpatient to Outpatient Settings
Should Population-Based Payments Account for Social Risk Factors?
Consumers are Frustrated with Healthcare Billing Correction Process
Judge Wants HHS to Remedy 340B Underpayments to Hospitals
Practices Experience Staffing Changes After Private Equity Acquisition
CMS Awards 200 Residency Slots to Bolster Healthcare Workforce
Bundled Payment Model Reduced Spending on Medical, Surgical Episodes
Affordability, Labor Shortages Top Issues for Healthcare Execs
VillageMD Completes $8.9B Acquisition of Summit Health-CityMD
AHA Urges MedPAC to Consider Higher Medicare Payment Updates for 2024
Financial Challenges for Health Systems Will Likely Persist in 2023
Hospital Margins Improved in November But Remained Negative
Orgs Need to Be More Competitive to Keep Advanced Practice Providers
Federal IDR Process Faces More Disputes Than Expected, Backlog Growing
Financial Losses, Poor Assets Driving Closure Risks for Rural Hospitals