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

Healthcare Costs

Healthcare Costs, Outcomes Vary When VA Outsources Cardiac Care

by Jacqueline LaPointe

Veterans seeking cardiac care at community hospitals may lower their travel expenses, but they also face varying healthcare costs and mortality rates by stepping outside the VA’s healthcare system, a recent JAMA Cardiology study...

New CO Law Requires Providers to Give Patients Healthcare Prices

by Jacqueline LaPointe

A new healthcare price transparency law in Colorado now requires providers to give patients the costs of the most common procedures they perform. Patients should receive a list of the prices for the 15 most common services delivered at...

Judge Denies Hospital Org Attempt to Block 340B Drug Payment Cut

by Jacqueline LaPointe

A federal judge recently ruled that CMS can start to reduce 340B drug payments to hospitals by $1.6 billion starting on Jan. 1, 2018, striking a blow to several industry groups that urged the court to delay enforcement of the new rule. US...

Care Coordination, Community Health Workers Reduce ED Costs, Use

by Jacqueline LaPointe

Average direct emergency department costs dropped 15 percent for frequent emergency department users after Brigham and Women’s hospital implemented a care coordination program using community health workers, according to a recent...

Long-Term Healthcare Spending Doesn’t Aid Heart Attack Survival

by Jacqueline LaPointe

Healthcare spending on 180 days of heart attack care grew 14.4 percent since 1999, but patient morality rates remained constant for heart attack patients after the 30-day discharge period when the bulk of spending growth occurred, a recent...

74% of Younger Patients Underpay Patient Financial Responsibility

by Jacqueline LaPointe

Nearly three-quarters of younger individuals did not pay their patient financial responsibility in full in 2016, a recent Transunion survey found. Millennials, or individuals between 23 and 37 years old, were significantly less likely to...

Top 10 ICU Diagnoses Driving Up Healthcare Costs, Care Variations

by Jacqueline LaPointe

Cardiac procedures and sepsis dominated the list of top ten intensive care unit (ICU) diagnoses that represented the greatest opportunity for hospitals to reduce healthcare costs and care variations for ICU length of stay, a recent Premier...

State Reviews Beth Israel, Lahey Health Hospital Merger

by Jacqueline LaPointe

The proposed hospital merger between Boston health systems Beth Israel Deaconess and Lahey Health is delayed as the state’s Health Policy Commission reviews the deal for healthcare costs, quality, and care access issues, according to...

High-Risk Patient Management Did Not Drive Early ACO Cost Savings

by Jacqueline LaPointe

Care coordination and care management strategies focused on high-risk and chronically ill patients did not drive early cost savings among accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP), a recent Health...

Predictive Analytics Improve Nursing Schedules, Saving Mercy $4.3M

by Jacqueline LaPointe

Even with 40,000 physicians, nurses, and other employees, St. Louis-based Mercy still relied on staffing agencies and employee incentives to fill critical nursing schedule gaps until a predictive analytics platform helped operations...

ED Spending Increases 85% As Hospitals Code for More Severe Cases

by Jacqueline LaPointe

Emergency department spending per member rose 85 percent between 2009 and 2015 primarily because of hospitals coding and billing for a greater number of high severity cases, new Health Care Cost Institute (HCCI) data revealed. Spending on...

Physician Compensation at Non-Academic Hospitals Up to $123K More

by Jacqueline LaPointe

Physician compensation at non-academic hospital systems was almost $123,000 more than the amount paid to physicians in academic systems, a new Medical Group Management Association (MGMA) survey showed. The 2017 DataDrive Physician...

Nearly One-Third of Providers Dissatisfied with Healthcare Costs

by Jacqueline LaPointe

Almost one-third of providers are dissatisfied with the healthcare costs their patients pay for care, according to a recent survey from the University of Utah Health. The national survey of 5,031 patients and 687 physicians revealed that...

Six Characteristics of High-Value Primary Care Practices

by Jacqueline LaPointe

High-value primary care practices that achieved exceptional care quality at reduced costs shared six attributes centered around risk-stratified care management, mindful specialist selections, and care coordination, a new study in the...

MSSP ACOs Improve Care Quality, Struggle to Realize Savings

by Jacqueline LaPointe

Medicare accountable care organizations (ACOs) found overwhelming success with care quality improvements in 2016, but the organizations were still working on reducing costs, according to a recent analysis published in the Health Affairs...

Sutter Health Destroys Evidence for Case on High Healthcare Prices

by Jacqueline LaPointe

A state judge ruled that California-based Sutter Health intentionally destroyed 192 boxes of documents that pertained to a lawsuit accusing the health system of inflating healthcare prices and practicing anticompetitive behavior. In the...

Consumers Use Healthcare Price Info for Budgeting, Not Shopping

by Jacqueline LaPointe

Most consumers want healthcare price information to plan how they will pay for patient financial responsibility, not to shop around for lower cost providers, a recent survey revealed. The survey from Accenture showed that just 11 percent...

Service Prices Drove $933.5B Increase in Healthcare Spending

by Jacqueline LaPointe

Service prices and intensity represented over one-half of the $933.5 billion increase in healthcare spending between 1996 and 2013, a new Journal of the American Medical Association study revealed. Prices and intensity were the primary...

Hospitals, Systems Spend $39B Annually on Regulatory Compliance

by Jacqueline LaPointe

Hospitals, health systems, and post-acute care providers spend almost $39 billion annually on administrative tasks related to regulatory compliance, the American Hospital Association (AHA) reported. “As a result of this...

Tenet Cuts 1,300 Jobs as Part of $150M Cost Reduction Initiative

by Jacqueline LaPointe

Tenet Healthcare Corporation recently announced the elimination of approximately 1,300 jobs as part of the health system’s effort to reduce annual operating costs by $150 million by the end of 2018. The Dallas-based health system...

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