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

Healthcare Costs

Payment Plans Tackle Hospital Patient Collection Challenges

by Jacqueline LaPointe

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...

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

by Jacqueline LaPointe

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...

Only 40% of ED Providers Identified Accurate Healthcare Costs

by Jacqueline LaPointe

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...

How Clinicians Add Value to Healthcare Supply Chain Management

by Jacqueline LaPointe

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...

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

by Jacqueline LaPointe

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...

Cloud-Based Healthcare Supply Chain Management Drives Market

by Jacqueline LaPointe

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...

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

by Jacqueline LaPointe

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...

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

by Jacqueline LaPointe

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,...

High-Cost Patients Widely Distributed Across Hospitals, Markets

by Jacqueline LaPointe

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...

Is Billing Some Patients at Hospital Chargemaster Rates Legal?

by Jacqueline LaPointe

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...

Healthcare Price Variation a Challenge for State, Local Leaders

by Jacqueline LaPointe

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...

Brigham and Women’s Offers Buyouts to Lower Healthcare Costs

by Jacqueline LaPointe

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...

Key Ways to Start A Hospital Revenue Cycle Turnaround Process

by Jacqueline LaPointe

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...

Prescription Drug Rates Remain Top Healthcare Supply Chain Issue

by Jacqueline LaPointe

Almost all health system executives (99 percent) in a recent Premier survey agreed that rising prescription drug rates continue to plague their healthcare supply chain. The winter 2017 survey of 91 C-suite executives at health systems...

AMGA: Align Medicare Reimbursement, Measures for High-Value Care

by Jacqueline LaPointe

AMGA recently called on CMS to align quality measures with spending performance as well as Medicare reimbursement policies across Medicare Advantage, fee-for-service models, and accountable care organizations (ACOs). In two letters to CMS...

Hospitals Maintain Test Use Despite Healthcare Price Transparency

by Jacqueline LaPointe

Increasing healthcare price transparency for providers did not result in fewer laboratory tests ordered or lower healthcare costs, a recent JAMA Internal Medicine study found. “In this year-long randomized clinical trial conducted...

CMS Calls On Rural Hospitals to Join Alternative Payment Model

by Jacqueline LaPointe

CMS is seeking applicants to participate in a new round of the Rural Community Hospital Demonstration Program that tests a cost-based alternative payment model among small rural hospitals. Lawmakers authorized a five-year extension of the...

32 Orgs to Cut Healthcare Costs, Use Under CMS Community Demo

by Jacqueline LaPointe

As part of the Accountable Health Communities Model, CMS recently selected 32 organizations to participate in two of the three program tracks that aim to lower healthcare costs and utilization by fostering clinical and community service...

Healthcare Costs Rise With Regional Post-Acute Care Variations

by Jacqueline LaPointe

Despite receiving similar post-acute care services overall, rural hospital patients tend to undergo more skilled nursing facility treatment than home health care versus urban hospital patients, contributing to higher healthcare costs,...

Lean Primary Care Improves Physician Productivity, Costs

by Jacqueline LaPointe

A recent American Journal of Managed Care study showed that implementing a Lean primary care model resulted in operational cost reductions, physician productivity improvements, and higher patient satisfaction scores. “Our findings...

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