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

Healthcare Mergers

Provider Collaboratives Combat Healthcare Merger Pressures

June 14, 2017 - Value-based reimbursement continues to drive healthcare merger and acquisitions activities. But hospitals and health systems can remain independent and achieve healthcare cost reduction and value-based reimbursement goals by joining a provider collaborative, a recent Deloitte report stated. Deloitte researchers projected provider collaboratives to gain popularity as alternative payment model...

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Value-Based Reimbursement Spurs 8% Hospital Merger Growth

by Jacqueline Belliveau

Value-based reimbursement trends drove health system and hospital merger activity to increase 8 percent compared to the first quarter of 2016, Anu Singh, a Managing Director at Kaufman, Hall & Associates, recently told

Boost Healthcare Competition to Drive Down Prices, Up Quality

by Jacqueline Belliveau

The lack of healthcare competition stemming from recent healthcare merger and acquisition trends resulted in higher prices and lower care quality, industry experts recently argued in a Carnegie Mellon University’s Heinz College white paper....

Healthcare Mergers May Face New Federal Rules Under SMARTER Act

by Jacqueline Belliveau

In a 16 to 20 vote earlier this week, the House Judiciary Committee passed the Standard Merger and Acquisition Reviews Through Equal Rules Act (SMARTER Act), which could affect how federal antitrust agencies evaluate healthcare mergers and acquisitions....

Provider Profitability Tops Healthcare Revenue Cycle Concerns

by Jacqueline Belliveau

One of the top healthcare revenue cycle concerns with 40 percent of providers is maintaining profitability while remaining independent, a recent RemitDATA survey revealed. The survey of healthcare providers, billing companies, and vendors showed...

Did Risk-Based APMs Propel Greater Provider Consolidation?

by Jacqueline Belliveau

A recent Health Affairs study revealed that risk-based alternative payment models, such as accountable care organizations (ACOs), have not spurred greater provider consolidation in the post-Affordable Care Act healthcare environment. Medicare...

Beth Israel, Lahey Health Move Forward with Healthcare Merger

by Jacqueline Belliveau

Massachusetts-based Beth Israel Deaconess Medical Center and Lahey Health announced plans to pursue a healthcare merger earlier this week. The two healthcare systems have debated a potential merger since 2011, but the recent letter of intent...

More Orgs Transitioning to Full Physician-Hospital Integration

by Jacqueline Belliveau

The proportion of healthcare organizations that have full physician-hospital integration with physicians on salary grew from 44 percent in 2008 to 55 percent in 2013, a new Rice University’s Baker Institute for Public Policy report found....

How Do Hospital Mergers Lower Costs, Drive Quality Improvement?

by Jacqueline Belliveau

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 on...

Market Power, Not Quality Linked to Higher Healthcare Costs

by Jacqueline Belliveau

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, such...

Value-Based Care, Price Transparency Drive Hospital Mergers

by Jacqueline Belliveau

Healthcare system and hospital mergers will likely increase as new value-based care models emerge, according to a recent Healthcare Financial Management Association (HFMA) report. But the rise in value-based reimbursement and price transparency...

Do Hospital Mergers Disincentivize Orgs to Lower Their Costs?

by Jacqueline Belliveau

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 recent...

How to Improve Healthcare Mergers and Acquisitions Strategies

by Jacqueline Belliveau

Large and mid-size healthcare organizations should implement more proactive healthcare mergers and acquisitions strategies to avoid common acquisition mistakes, such as undefined growth strategies and deal overpayments, asserted Deloitte in a...

Appeals Court Supports FTC Request to Stop PA Hospital Merger

by Jacqueline Belliveau

A federal appeals court recently reversed a lower court’s decision to deny the Federal Trade Commission’s (FTC) request to temporarily pause the hospital merger between Penn State Hersey Medical Center and PinnacleHealth System until...

AHA: Hospital Mergers Monopoly Test Neglects Healthcare Trends

by Jacqueline Belliveau

The American Hospital Association (AHA) recently urged the US Court of Appeals to reject the Federal Trade Commission’s (FTC) new approach to assessing whether or not hospital mergers will create a marketplace monopoly. In a friend-of-the-court...

Federal Court Denies FTC’s Request to Stop IL Hospital Merger

by Jacqueline Belliveau

A federal judge has struck down the Federal Trade Commission’s (FTC) request to halt a proposed hospital merger between two Chicago-based healthcare organizations, reported the American Hospital Association’s (AHA) News Now website....

Managing the Revenue Cycle while Acquiring Physician Practices

by Jim Denny, Founder and CEO of Navicure

Since 2010, hospital and health systems have been adapting their care delivery models to meet health reform requirements. At the forefront of this effort is physician practice acquisition. An analysis of healthcare provider acquisitions in the...

FTC: Hospital Mergers and Acquisitions May Create Monopolies

by Catherine Sampson

Antitrust laws that prevent the formation of healthcare monopolies due to large-scale hospital mergers and acquisitions must be enforced in order to prevent skyrocketing healthcare costs, said Federal Trade Commission Chair Edith Ramirez at a...

Expert Seeks Payment Reform in Light of Healthcare Mergers

by Catherine Sampson

Payment reform might be one way to tackle the issue of rising medical costs that have been coming as a result of healthcare mergers. It’s possible for this issue to be resolved if the federal government pursued policies to foster competition...

Hospital Mergers and Acquisitions Causes Cancer Costs to Rise

by Catherine Sampson

Although hospital mergers and acquisitions typically generate revenue for the healthcare system, they can also lead to increased medical costs –especially among commercially insured patients. In a recent report, researchers from the University...


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