Consumerism in Healthcare

Value-Based Care, Hospital Chargemasters Dominated 2019 Headlines

by Jacqueline LaPointe

A lot can change in a year. From innovative technologies and value-based care to hospital mergers and acquisitions and new competitors, the healthcare industry has undergone yet another year of immense...

New Hospital Price Transparency Rule Challenged in Court

by Jacqueline LaPointe

Four leading healthcare associations and three hospitals filed a lawsuit today against HHS over the recently finalized hospital price transparency requirement that mandates the disclosure of...

Patient Acquisition Hinges on Positive Medical Billing Experience

by Jacqueline LaPointe

A recent survey of 1,000 healthcare consumers showed that patients are increasingly valuing the medical billing experience and providers who fail to deliver a positive financial journey may be...

New Healthcare Price Transparency Rule to Unveil Negotiated Rates

by Jacqueline LaPointe

HHS dropped two healthcare price transparency rules earlier today. The first is a final rule requiring hospitals to make all standard charges, including payer-specific negotiated rates, public in a...

Is the Hospital Price Transparency Rule Delay A Good Sign?

by Jacqueline LaPointe

In July, CMS proposed in the Medicare Outpatient Prospective Payment System (OPPS) rule for calendar year (CY) 2020 to expand existing hospital price transparency requirements by mandating hospitals to...

Are Hospital Price Transparency Rules a Solution for Consumerism?

by Jacqueline LaPointe

In the face of rising deductibles and other out-of-pocket costs, CMS implemented and proposed several hospital price transparency rules meant to empower consumers to shop around for high-value...

Over 30% of Health Systems Have Manual Patient Access Processes

by Samantha McGrail

Patient access is still a largely manual process for most health systems, but more organizations are looking to automate, according to an Eliciting Insights survey.  The survey of patient access...

Hospital Merger, Acquisition Activity Steady With 71 Deals So Far

by Jacqueline LaPointe

Hospital merger and acquisition activity through the third quarter of 2019 is running slightly ahead of 2018 levels, according to a new report from Kaufman Hall. The consulting firm recently reported...

Healthcare Mergers and Acquisitions Face $30M in Unrealized Value

by Jacqueline LaPointe

Healthcare mergers and acquisitions are increasingly popular, but the average health system is leaving approximately $30 million per year on the table following deals, according to a new report from...

Price Transparency, Consumerism Top Issues for Healthcare Execs

by Jacqueline LaPointe

Leaders from payer and provider organizations are developing strategies to address rising healthcare costs in 2020 through price transparency and more consumer-focused initiatives, according to...

Healthcare CFOs Look Forward to Value-Based Care, Consumerism

by Jacqueline LaPointe

Chief financial officers are an organization’s financial gatekeeper, looking back at data to understand company performance, set and keep budgets, manage risk, and track cash flow. While these lookbacks ensure the company remains...

Patient Financial Experience Improving, But More Work to Be Done

by Jacqueline LaPointe

Even the country’s top health systems have room to improve the patient financial experience to boost revenue cycle performance, according to a new study by The Health Management Academy for...

Developing a Patient Collection Strategy for a Growing Health System

by Jacqueline LaPointe

Hospital mergers and acquisitions have the potential to improve affordability, care access, and innovation. But rapid growth has not necessarily helped patients pay their growing financial...

Healthcare Consumerism Driving Growth in Outpatient Services

by Jacqueline LaPointe

Providers and other major healthcare stakeholders are increasingly investing in outpatient services and centers in response to new technologies and healthcare consumerism, according to a recent survey...

Cigna CEO: Healthcare Consumer Experience Key to Transformation

by Jacqueline LaPointe

NASHVILLE - Enhancing the healthcare consumer experience is the task currently in front of healthcare payers and providers, according to David M. Cordani, president and CEO of Cigna...

Social Determinants of Health, APMs Coming Up at AHIP Institute

by Jacqueline LaPointe

NASHVILLE – AHIP’s Institute & Expo (AHIP Institute) conference always promises to bring the top experts from payer organizations to share how their plans and providers are adjusting to...

Academic Medical Centers Adapting with New Business Models

by Jacqueline LaPointe

Academic medical centers (AMCs) will have to implement new business models to remain profitable and competitive in the wake of healthcare consumerism, new industry entrants, provider consolidation, and...

Healthcare Consumerism Top Risk Management Priority of CFOs

by Jacqueline LaPointe

Health system and health plan CFOs see healthcare consumerism as one of their top organizational risk management priorities, according to a recent survey conducted by the Deloitte Center for Health...

Does Consumerism in Healthcare Undermine Patient-Centered Care?

by Jacqueline LaPointe

The customer is always right in in most industries. But industry experts from the Hastings Center are saying the maxim does not and should not apply to providers despite the consumerism in healthcare...