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

Healthcare Costs

Hospital Care at Home Cuts Healthcare Costs in Half at MA Hospital

by Jacqueline LaPointe

Healthcare costs for an acute care episode were 52 percent lower when acutely ill patients received hospital care at home, rather than being placed in a hospital bed, according to a recent study in the Journal of General Internal...

Oncologists Charge 9 to 51% More for Physician-Administered Drugs

by Jacqueline LaPointe

Median charges for physician-administered drugs covered under Medicare Part B were 9 to 51 percent higher at the oncologist than other specialty offices, researchers from Memorial Sloan Kettering Cancer Center and Johns Hopkins University...

Price Transparency Crucial to Healthcare Consumerism Success

by Jacqueline LaPointe

Providers should brace their practices for the rise and permanence of healthcare consumerism, a new brief from Rice University’s Baker Institute for Public Policy stated. Healthcare consumers are expecting their experiences with...

Medical Prices Grew 28% for Hospital E&M Services Since 2012

by Jacqueline LaPointe

Medical prices for hospital evaluation and management (E&M) services rose 28 percent and allowed amounts increased 26 percent between May 2012 and 2017, the most recent FH Medical Price Index from FAIR Health revealed. The analysis of...

Prices, Administrative Costs Drive Higher US Healthcare Spending

by Jacqueline LaPointe

High prices for provider compensation, healthcare services, and prescription drugs, as well as administrative costs, are responsible for increased healthcare spending in the US compared to other high-income countries, a new JAMA study...

Senators Ask for Help with Quality, Healthcare Price Transparency

by Jacqueline LaPointe

A bipartisan group of six senators recently penned a letter to healthcare stakeholders calling for more information on healthcare price transparency to guide and inform a new legislative initiative. Senators Bill Cassidy, MD (R-LA),...

Patient Financial Responsibility Increased 11% in 2017

by Jacqueline LaPointe

Patient financial responsibility is on the rise, according to findings from a TransUnion Healthcare analysis revealed at HIMSS18. Patients saw their average out-of-pocket costs increase 11 percent in 2017, growing from $1,630 in the fourth...

EHR Adoption Does Not Lower Administrative, Medical Billing Costs

by Jacqueline LaPointe

Electronic health records (EHRs) did not reduce insurance-related and medical billing costs despite the federal government’s claims that EHR adoption would lower administrative expenditures, according to a recent Journal of the...

Addressing Prices, Use at Local Level to Lower Healthcare Costs

by Jacqueline LaPointe

Local patterns of healthcare utilization and pricing resulted in significant healthcare costs variation across five states, a new Network for Regional Healthcare Improvement (NRHI) report showed. NRHI’s second annual report,...

Medicare Spending, Prices Drive Healthcare Spending Growth

by Jacqueline LaPointe

The healthcare share of the economy should reach 19.7 percent by 2026 as the average annual rate of national healthcare spending growth rate and Medicare spending accelerates, the CMS Office of the Actuary recently projected. The data,...

Providers Skeptical Practice Variation Reduction Will Lower Costs

by Jacqueline LaPointe

Clinicians strongly agreed that providers should be responsible for reducing healthcare costs, but fewer clinicians felt that decreasing practice variation would lower costs, a recent Plos One study uncovered. The survey of over 170...

Drug Prices, Medicaid Reform Major Themes in Trump’s HHS Budget

by Jacqueline LaPointe

President Trump plans to decrease HHS funding by about 21 percent compared to 2017, while focusing the federal department’s budget on prescription drug prices reductions and Medicaid reform, according to the 2019 fiscal year budget...

Blue Cross NC Says Carolinas, UNC Hospital Merger Will Raise Costs

by Jacqueline LaPointe

The potential hospital merger deal between Carolinas HealthCare System and UNC Health Care recently hit another roadblock. Blue Cross Blue Shield of North Carolina (Blue Cross NC) announced that the organization opposes the proposed health...

Healthcare Supply Chain Management Market to Reach $2.3B by 2022

by Jacqueline LaPointe

Growing at a compound annual growth rate (CAGR) of 8.4 percent, researchers projected the global healthcare supply chain management market to reach $2.31 billion by 2022, a recent Markets and Markets report showed. The value of the...

Prescription Drug Rate Growth Slows, But Prices Still Rising 7.35%

by Jacqueline LaPointe

Providers should anticipate a 7.35 percent increase in prescription drug rates between July 2018 and June 2019, researchers from Vizient projected in a new study. Based on hospital and non-acute facility purchasing data from the...

Reducing Low-Value Care Key to Value-Based Reimbursement Success

by Jacqueline LaPointe

Value-based reimbursement success hinges on decreasing low-value care across patient populations, explained Scott Weingarten, MD, MPH, Senior Vice President and Chief Clinical Transformation Officer at Cedars-Sinai Medical Center. While...

AMGA: Link Spending, Quality Performance for True Value-Based Care

by Jacqueline LaPointe

In response to a Request for Information from the Assistant Secretary for Planning and Evaluation (ASPE), AMGA recently called on CMS to “define value in a meaningful way” to ensure value-based care models incentivize providers...

Team-Based Care for Kidney Disease Saves Park Nicollet $1.2M

by Jacqueline LaPointe

End-stage renal disease comes with a hefty price tag for both patients and providers. But Park Nicollet Health Services, an integrated care system in Minnesota, found that a team-based care approach to late-stage kidney disease helped to...

Health Systems Form Drug Company to Combat Rising Costs, Shortages

by Jacqueline LaPointe

Intermountain Healthcare, Ascension, SSM Health, and Trinity Health recently announced that they will create a non-profit generic drug company to reduce prescription costs and alleviate critical drug shortages. With consulting services...

CDC Urges Providers to Improve Asthma Care as Costs Soar to $81.9B

by Jacqueline LaPointe

The annual costs of asthma care, including medical expenses, absenteeism, and mortality, cost the US economy $81.9 billion in 2013, researchers from the Centers for Disease Control and Prevention (CDC) recently reported. And that value...

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