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

Healthcare Costs

Hospital Execs Look to Operations to Control Healthcare Costs

June 22, 2017 - With 78 percent of hospital leaders stating that rising healthcare costs are their primary concern in 2017, the leaders agreed that reviewing and optimizing existing operational and clinical processes was the hospital’s top strategy for containing costs in the next three years, a recent Economist Intelligence Unit and Prudential survey found. The 2017 survey of 301 hospital executives...

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Do Financial Benchmarks Truly Measure ACO Savings, Spending?

by Jacqueline Belliveau

Healthcare stakeholders should not use financial benchmarks developed by CMS to evaluate actual accountable care organization (ACO) savings, three Harvard Medical School experts in a recent Health Affairs blogpost. As Medicare ACOs grow in popularity,...

96% of Healthcare Execs Report Rise in Inpatient Drug Spending

by Jacqueline Belliveau

Approximately 64 percent of healthcare executives reported that inpatient drug spending at their organization significantly increased over the past five years, a recent Premier Inc survey revealed. Another 32 percent said that it somewhat...

Provider Collaboratives Combat Healthcare Merger Pressures

by Jacqueline Belliveau

Value-based reimbursement continues to drive healthcare merger and acquisitions activities. But hospitals and health systems can remain independent and achieve healthcare cost reduction and value-based reimbursement goals by joining a provider...

Healthcare Prices, Spending, Employment Decline in Early 2017

by Jacqueline Belliveau

Recent research from the Altarum Institute showed that healthcare prices, spending, and employment are all trending downward after a three-year period of healthcare spending acceleration. Healthcare employment growth declined by 10,000 per month...

Seeing PCP As Main Provider Lowered Medicare Spending by 9%

by Jacqueline Belliveau

Using a primary care provider versus a specialist as the predominant provider of care and care coordination resulted in similar clinical outcomes for Medicare beneficiaries. But Medicare spending was $1,781 lower per beneficiary, a recent Journal...

Top 4 Patient Financial Responsibility Collection Methods

by Jacqueline Belliveau

The top priority for providers is to deliver high-quality healthcare services to their patients. But the recent rise in patient financial responsibility and healthcare consumerism has forced some providers to bump patient collections to the top...

Payment Plans Tackle Hospital Patient Collection Challenges

by Jacqueline Belliveau

The growing popularity of high-deductible health plans has wedged many healthcare organizations between a rock and a hard place. Healthcare organizations are struggling to implement patient collection strategies that acquire all of a patient’s...

Lab Experts Help Providers Reduce Low-Value Resource Use, Costs

by Jacqueline Belliveau

Collaboration between laboratory medicine experts and clinicians is critical to reducing unnecessary and low-value resource use for value-based purchasing success, the American Association For Clinical Chemistry (AACC) recently stated. “The...

Only 40% of ED Providers Identified Accurate Healthcare Costs

by Jacqueline Belliveau

Emergency department providers have little understanding of the healthcare costs associated with common visits, a recent Journal of the American Osteopathic Association study revealed. The survey of over 400 healthcare professionals working in...

How Clinicians Add Value to Healthcare Supply Chain Management

by Jacqueline Belliveau

Engaging clinical staff is key to adding value to healthcare supply chain management, according to three supply chain leaders at MaineHealth, a recent ECRI Institute Healthcare Supply Chain Achievement award recipient. The healthcare network...

Healthcare Framework Aims to Drop Low-Value Resource Use, Costs

by Jacqueline Belliveau

Healthcare organizations looking to reduce low-value resource use and healthcare costs should implement a framework that addresses the patient and clinician interaction, according to a recent Journal of Hospital Medicine report. Four physicians...

Cloud-Based Healthcare Supply Chain Management Drives Market

by Jacqueline Belliveau

The healthcare supply chain management market should be worth up to $2.22 billion by 2021 as healthcare organizations face increasing pressure to advance operational efficiency and profitability, according to a recent Markets and Markets report....

Do NP, PA Ordering Habits Lead to Higher Healthcare Costs?

by Jacqueline Belliveau

Nurse practitioners and physician assistants did not contribute to higher healthcare costs by ordering more ancillary or expensive services compared to primary care providers, a recent American Journal of Managed Care study uncovered. The analysis...

Post-Acute Care Network Key to Value-Based Purchasing Success

by Jacqueline Belliveau

Health systems should develop a post-acute care network and strategy to succeed in value-based purchasing models, a recent Deloitte survey indicated. The survey of 36 executives from health systems, payers, post-acute care organizations, and...

High-Cost Patients Widely Distributed Across Hospitals, Markets

by Jacqueline Belliveau

A recent American Journal of Managed Care study attempting to understand why some patients incur higher healthcare costs than others found that high-cost patients were evenly spread across providers and healthcare markets. Using a 20 percent...

Is Billing Some Patients at Hospital Chargemaster Rates Legal?

by Jacqueline Belliveau

Contract law does not uphold the medical billing practice of charging uninsured or out-of-network insured patients hospital chargemaster rates that are not based on actual healthcare costs or market-negotiated prices, argued authors of a recent...

Healthcare Price Variation a Challenge for State, Local Leaders

by Jacqueline Belliveau

Local leaders may be better positioned to solve healthcare cost challenges than the federal government since healthcare price variation was more significant by state and local markets, a new Health Care Cost Institute (HCCI) and Robert Wood Johnson...

Brigham and Women’s Offers Buyouts to Lower Healthcare Costs

by Jacqueline Belliveau

Boston-based Brigham and Women’s Hospital recently presented 1,600 employees with a voluntary buyout option in an effort to control the facility’s healthcare costs, a local news source reported. Hospital officials reassured reporters...

Key Ways to Start A Hospital Revenue Cycle Turnaround Process

by Jacqueline Belliveau

Healthcare executives often point to market factors for lackluster hospital revenue cycle performance. But lagging accounts receivable days and shrinking hospital margins usually indicate that it is time for an internal hospital revenue cycle...


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