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

Healthcare Costs

How Do Hospital Mergers Lower Costs, Drive Quality Improvement?

by Jacqueline LaPointe

Recent hospital mergers and acquisitions led to significant healthcare costs savings without sacrificing care quality and affordable prices, a recent Charles River Associates and American Hospital Association (AHA) report indicated. Based...

ACO Incentives, Coordination Improve Complex Pediatric Care

by Jacqueline LaPointe

Children with medical complexities, or children who require the highest level of service and support, are one of the most expensive pediatric patient populations. But provider collaboration and financial incentives through an accountable...

Drug Costs, Limited Claims Reimbursement Challenge Cancer Care

by Jacqueline LaPointe

Cancer care centers named high prescription drug costs and lack of claims reimbursement for supportive services as the top challenges associated with providing care in 2016, according to an annual Association of Cancer Care Centers (ACCC)...

3 Most Common Healthcare Supply Chain Management Challenges

by Jacqueline LaPointe

From gauze and paper gowns to implantable medical devices and prescription drugs, provider organizations must implement efficient healthcare supply chain management processes to cut overall costs and standardize care delivery. But for...

Market Power, Not Quality Linked to Higher Healthcare Costs

by Jacqueline LaPointe

Higher healthcare costs at New York hospitals are linked to increased market power and not higher quality of care, the New York State Health Foundation recently reported. More expensive hospitals tended to have increased market leverage,...

Provider Orgs Seek Healthcare Costs Tools for Value-Based Care

by Jacqueline LaPointe

Provider organizations are increasingly looking to implement healthcare costs tools to better manage healthcare supply chain costs under value-based care models, a recent Black Book Market Research survey stated. The survey of 1,158...

OR Cost Scorecards Help Reduce Healthcare Supply Chain Costs

by Jacqueline LaPointe

Healthcare supply chain costs dropped by 6.54 percent per case in surgical departments that provided surgeons with monthly cost scorecards and had a financial incentive to reduce surgical supply chain spending, a new study in JAMA Surgery...

Providers Skip Healthcare Costs Talk with 68% of Cancer Patients

by Jacqueline LaPointe

As providers face increased patient financial responsibility, healthcare costs discussions with patients are becoming more important for obtaining full payment. But a new study from the Cancer Support Community showed that many providers...

How Alternative Payment Models Decrease Cancer Care Costs

by Jacqueline LaPointe

As cancer care spending is expected to grow in the next four years, an oncology alternative payment model that incorporates clinical pathways and patient-centered approaches could reduce healthcare spending by 22 percent, or $9.1 million...

Price, Utilization Increases Upped Healthcare Spending by 4.5%

by Jacqueline LaPointe

Healthcare spending for privately insured individuals increased by 4.6 percent because of rising prices for outpatient, inpatient, and professional care services as well as prescription drugs, the Health Care Cost Institute (HCCI) recently...

Do Hospital Mergers Disincentivize Orgs to Lower Their Costs?

by Jacqueline LaPointe

While hospital mergers and acquisitions increase a healthcare system’s market power to negotiate higher private payer claims reimbursement rates, consolidation may also disincentivize hospitals to lower their healthcare costs, a...

AMA Backs Team-Based Care Delivery, Value-Based Drug Pricing

by Jacqueline LaPointe

The American Medical Association (AMA) recently released updated organization-wide ethical guidelines that detailed how organizations can lower healthcare costs using team-based care delivery as well as how the industry can implement...

Does Higher Hospital Profitability Drive Up Healthcare Costs?

by Jacqueline LaPointe

The push to maximize hospital profitability across for- and non-profit organizations is driving up healthcare costs, contends a new commentary in The American Journal of Medicine. Hospitals are focusing on boosting profitability rather...

PCP Awareness of Healthcare Costs Cuts Low-Value Resource Use

by Jacqueline LaPointe

Healthcare organizations can cut down on costly low-value services, such as antibiotic prescriptions for acute sinusitis or osteoporosis screenings for young patients, by educating primary care providers about healthcare costs, a recent...

How to Adopt a Retail Approach to Boost Healthcare Transparency

by Jacqueline LaPointe

More hospitals are implementing healthcare transparency strategies that borrow from the retail industry in order to retain and attract consumers, according to a recent PricewaterhouseCoopers Health Research Institute report. The report...

Employing More Physician Assistants Reduces Healthcare Costs

by Jacqueline LaPointe

Adding more physician assistants to hospitalist care teams can lower healthcare costs while maintaining quality of care, a new study in the Journal of Clinical Outcomes Management contended. Researchers found that a hospitalist care team...

How Broader Primary Care Teams Can Decrease Healthcare Costs

by Jacqueline LaPointe

Developing broader primary care teams that interact with specific patient populations can save healthcare costs and realize a return on investment, according to a recent PricewaterhouseCoopers (PwC) analysis. For example, a primary care...

Medicare Reimbursement Covers 88% of Medical Equipment Costs

by Jacqueline LaPointe

Medicare reimbursement rates under the Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program only cover 88 percent of overall healthcare costs associated with providing home medical equipment,...

GAO: Healthcare Spending Data from CMS Inaccessible, Unreliable

by Jacqueline LaPointe

CMS should make healthcare spending data for skilled nursing facilities more accessible to public stakeholders and ensure the expenditure information is reliable, the Government Accountability Office (GAO) advised the federal agency in a...

Value-Based Care Analytics Help Cut Healthcare Costs in Utah

by Jacqueline LaPointe

By implementing a data analytics tool that integrates spending and patient outcome data, a Utah-based healthcare system reduced spending by up to 11 percent on three clinical improvement projects, including joint replacement, laboratory...

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