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

Affordable Care Act

Accountable Care is Not a New Concept

by Ryan Mcaskill

The term Accountable Care Organization was coined in 2006 but the history of accountability in healthcare in much longer. One of the hottest trends in the healthcare landscape is accountability. Following the Affordable Care Act, a focus on value-based...

DSH system Could See Reduction in CMS Funding

by Ryan Mcaskill

The Affordable Care Act and congressional action could drop DSH funding by as much as $35.1 billion by 2024. Disproportionate Share Hospitals serve a significantly disproportionate number of low-income patients and receive payments from the Centers...

Patient Satisfaction Grows With Accountable Care Organizations

by Ryan Mcaskill

A new study found that beneficiaries are more satisfied with their care following a year with Accountable Care. One of the biggest changes to healthcare in the last few years, has been the growth of Accountable Care Organizations (ACOs). This...

2.3% Medical Device Tax Won’t Heavily Impact Healthcare Buyers

by Jennifer Bresnick

The controversial medical device tax will not significantly upset the market for manufacturers or healthcare organizations, a new report says. The 2.3% medical device tax rolled up into the Affordable Care Act will have some impact on prices...

Top Providers of Medicare Advantage, Drug Coverage Listed

by Ryan Mcaskill

With the Affordable Care Act’s open enrollment just around the corner, more consumer than ever before are looking to get coverage, some for the first time. Industry experts are advising individuals to comparison shop to make sure they get...

Consumer Activity Recommended for ACA Open Enrollment

by Ryan Mcaskill

Open enrollment for individual health care coverage under the Affordable Care Act for 2015 is a month away. Starting November 15,2014 and ending December 15, 2014, the second open-enrollment period will begin for those looking to sign up for...

Are Providers Updating Patients on ACA and Financial Risks?

by Elizabeth Snell

The Affordable Care Act (ACA) not only gives the opportunity for more individuals to find quality health insurance at the right price, it also requires patients to take more financial responsibility in their health. Deductibles and co-pays may...

Health Spending and Job Creation Continues Growth

by Ryan Mcaskill

With more Americans getting insured, health care spending and industry job creation is growing to meet the demand. According to the numbers from the Bureau of Economic Analysis (BEA), the health care sector added 22,600 jobs in September. This...

Examining the Revenue Cycle Post-Affordable Care Act

by Ryan Mcaskill

The healthcare revenue cycle has experienced significant change since the Affordable Care Act (ACA) passed. Many facilities sudden found themselves facing constraints on payer contracts and negotiations, as well as reductions in Medicare and...

Affordability, Access and Quality Proof ACA Is Working

by Ryan Mcaskill

Last month, U.S. Department of Health and Human Services (HHS) secretary Sylvia Burwell penned a blog post that argues the Affordable Care Act is working and the evidence is clear. To see it though, individuals may need to change the lens through...

Former HHS Official Files Lawsuit, Claims ACA Violations

by Elizabeth Snell

The Affordable Care Act’s (ACA) rate-review provision states that insurers must submit proposed premium rate increases of 10 percent or more to federal authorities. Additionally, insurers need to justify their reasoning for the increases....

Industry Experts Express Concern Over CMS Open Payments Data

by Ryan Mcaskill

Last week, the Centers for Medicare & Medicaid Services (CMS) released the first set of Open Payment data. Created as part of the Sunshine Act, the initial round of information details 4.4 million payments from pharmaceutical and medical...

Chronic disease prevention programs get $212M from HHS

by Elizabeth Snell

The Department of Health & Human Services (HHS) announced yesterday approximately $212 million in grant awards to chronic disease prevention programs nationwide. All 50 states and the District of Columbia will receive awards to strengthen...

Hospitals’ uncompensated care costs drop $5.7B due to ACA

by Elizabeth Snell

For approximately 10 years before the Affordable Care Act (ACA) was implemented, the number of Americans without health insurance had been steadily increasing, according to the Department of Health & Human Services (HHS). However, recent...

More young adults have healthcare post-ACA implementation

by Elizabeth Snell

The per capita healthcare spending for young adults with employer-sponsored insurance (ESI) grew at a rate nearly double that of other adults in the first two years of the Affordable Care Act (ACA), according to a recent study by the Health Care...

HHS: Health Insurance Marketplace to grow 25 percent in 2015

by Elizabeth Snell

US consumers will soon have more options when it comes to choosing healthcare coverage, according to recent research. The Health Insurance Marketplace will have 25 percent more issuers offering Marketplace coverage in 2015, stated a Department...

ACA options: Are healthcare’s uninsured just uninformed?

by Elizabeth Snell

Finding the affordable and applicable health insurance is not always an easy task, and if a recent survey is any indication, a lack of information could be preventing Americans from choosing a health plan. Over the past 11 months, the number...

Youth mental health services to receive $99M in HHS funding

by Elizabeth Snell

The Department of Health and Human Services (HHS) took a huge step forward this week to increase access to mental health services for young people. HHS Secretary Sylvia M. Burwell announced that the agency awarded $99 million in grants to help...

Rate review programs reduce healthcare premiums by $993M

by Elizabeth Snell

The US Department of Health & Human Services’ (HHS) Rate Review Program and Rate Review Grant Program have shown success since their implementations in 2011 and 2010, respectively. Combined, the two programs have reduced total premiums...

More parents uninsured in states lacking Medicaid expansion

by Elizabeth Snell

States that did not expand Medicaid could be more likely to have uninsured parents, according to a recent Urban Institute survey. The number of uninsured parents living in states that have not expanded Medicaid increased from 50.9 percent in...

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