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

Healthcare Costs

Choosing Wisely Slow to Reduce Low-Value Care, Resource Use

by Jacqueline LaPointe

Participation in the Choosing Wisely campaign has significantly increased since its launch in 2012. But the campaign has yet to realize its goal of decreasing low-value care and resource use, a recent Health Affairs report...

Over 1,300 Hospitals Urge CMS to Withdraw 340B Drug Payment Cuts

by Jacqueline LaPointe

Over 1,300 rural hospitals and other healthcare organizations that serve low-income communities added their voices to the growing list of stakeholders opposing proposed payment cuts to the 340B Drug Pricing program. CMS proposed in July...

Healthcare Price Growth Hits Lowest Rate in About Two Years

by Jacqueline LaPointe

Healthcare price growth in August 2017 increased by just 1.2 percent compared to the previous year, reaching the lowest growth rate in nearly two years and only three-tenths above the lowest growth rate ever recorded by Altarum...

77% of Leaders Say Their Provider Orgs Use Paper Patient Billing

by Jacqueline LaPointe

While over one-half (52 percent) of patients prefer to receive medical bills electronically, approximately 77 percent of providers still use paper-based patient billing methods, a recent MGMA and Navicure survey revealed. The survey of...

Low-Cost, Low-Value Resource Use Drives $586M in Wasteful Spending

by Jacqueline LaPointe

Inexpensive low-value resource use resulted in over $586 million, or $9.09 per beneficiary per month, in unnecessary healthcare spending in Virginia, a new Health Affairs study showed. The total amount spent on low-cost, low-value...

Order History, Machine Ownership Leads to Low-Value Imaging

by Jacqueline LaPointe

Providers are more likely to order costly, low-value imaging services if they have a history of ordering the services, a high rate of imaging in another low-value clinical situation, and an ownership stake in the imaging equipment,...

Median Physician Assistant Salary Increased 5.2% in 2016

by Jacqueline LaPointe

The median annual physician assistant salary increased by 5.2 percent in 2016, reaching a median of about $102,000, revealed the most recent American Academy of PAs (AAPA) Salary Report. The survey of over 7,200 physician assistants also...

Consumers Favor Patient Financial Responsibility Loan Programs

by Jacqueline LaPointe

About 90 percent of healthcare consumers stated that they are more likely to return to a provider if the organization offers a loan program to pay for patient financial responsibility, a recent Porter Research and ClearBalance survey...

Cancer Care Costs 60% Higher at Hospitals Vs Independent Orgs

by Jacqueline LaPointe

Hospital-based cancer care for patients undergoing chemotherapy was 60 percent more expensive compared to the same treatment at community-based oncology practices, according to a recent study by Xcenda and Lucio Gordan, MD, Medical...

Social Determinants Trend at AHIP’s Medicare, Medicaid Conference

by Jacqueline LaPointe

WASHINGTON DC – Social determinants of health has emerged as a major theme at America's Health Insurance Plans’ (AHIP) National Conferences on Medicare, Medicaid, and dual eligibles in Washington DC. Health plan leaders,...

Over 50% of Orgs Lack Adequate Healthcare Cost Reduction Goals

by Jacqueline LaPointe

An overwhelming majority of healthcare executives (96 percent) stated that cost transformation is a significant need for their hospital or health system. Yet, over one-half of organizations either do not have a healthcare cost reduction...

Driven by Fee-For-Service, Docs Say Up to 30% of Care Unnecessary

by Jacqueline LaPointe

At least 15 percent to 30 percent of medical care is unnecessary, contributing to low-value resource use and wasteful healthcare spending, stated the majority of physicians surveyed in a recent PLOS ONE study. While the survey of...

Reduced Variation, Data Analytics Cut Supply Chain Costs by 17.8%

by Jacqueline LaPointe

Hospitals could save a total of $23 billion by implementing evidence-based and data-driven healthcare supply chain management best practices used by the top 24 percent of organizations studied, a recent Navigant survey of over 2,300...

Carolinas HealthCare, UNC Health Announce Healthcare Merger

by Jacqueline LaPointe

Carolinas HealthCare System and UNC Health Care recently announced their intentions to engage in a healthcare merger that would create one of the largest non-profit systems in the nation. The two North Carolina-based health systems signed...

Key Strategies for Health Systems to Achieve Economies of Scale

by Jacqueline LaPointe

Companies from across industries use economies of scale to realize cost savings. While hospitals and health systems are borrowing the economic concept to reduce spending, many healthcare organizations have encountered challenges with...

36% of Providers Never Address Patient Financial Responsibility

by Jacqueline LaPointe

Healthcare organizations are struggling to collect full patient financial responsibility, especially with the rise of high-deductible health plans. Yet, 36 percent of providers report never discussing a patient’s ability to pay prior...

Advisory Group Warns CMS Against 340B Medicare Reimbursement Cuts

by Jacqueline LaPointe

The CMS Advisory Panel on Hospital Outpatient Payment recently called on the federal agency to abandon proposed changes to the 340B Drug Pricing Program in 2018, which would reduce Medicare reimbursement to qualifying hospitals for drugs...

Readmissions, Post-Acute Care Drive Variation in Bundled Payments

by Jacqueline LaPointe

Hospital readmissions, professional fees, and post-acute care payments are key drivers of cost variations for providers participating in 90-day cardiac bundled payment models, a recent JAMA Surgery study revealed. “These results...

Scarce Public Health Funds Block Social Determinants of Health Aid

by Jacqueline LaPointe

As value-based care emphasizes preventative medicine, healthcare stakeholders aim to address social determinants of health to improve and maintain outcomes. But the lack of appropriate public health funding at federal, state, and local...

Accountable Care Organization Saves $4.8M With Nutrition Aid

by Jacqueline LaPointe

A case study in American Health & Drug Benefits showed that Advocate Health Care, an accountable care organization in the Chicago area, reduced healthcare costs by $3,800 per patient, or $4.8 million in total, by implementing a...

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