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

Healthcare Revenue Cycle

CA Sues Sutter Health Over Healthcare Cost, Competition Concerns

April 2, 2018 - California’s Attorney General Xavier Becerra recently announced that the state filed a lawsuit against Sutter Health that accuses the largest health system in Northern California of engaging in anticompetitive behavior that resulted in higher healthcare costs. The lawsuit claimed that Sutter Health intentionally established, increased, and maintained market power to control healthcare...


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State Green Lights Partners, Mass. Eye and Ear Hospital Merger

by Jacqueline Belliveau

Massachusetts public health officials recently approved a proposed hospital merger between the state’s largest hospital system, Partners HealthCare, and specialty hospital Massachusetts Eye and Ear. The Public Health Council unanimously...

Addressing Regulatory Burden, Patient Payments Top HIMSS18 Trends

by Jacqueline Belliveau

Healthcare finance professionals can bet on discussing compliance, innovative health IT systems, and patient financial responsibility at the 2018 HIMSS Annual Conference and Exhibition (HIMSS18) in Las Vegas. Over 45,000 healthcare stakeholders...

Providers Skeptical Practice Variation Reduction Will Lower Costs

by Jacqueline Belliveau

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 physicians,...

Healthcare Merger, Acquisition Deal Value Increased 145% in 2017

by Jacqueline Belliveau

Despite the number of healthcare merger and acquisitions deals dipping slightly in 2017, deal value significantly increased by 145.8 percent, reaching a total of $175.2 billion, a new PricewaterhouseCoopers (PwC) report revealed. In 2017, the...

Global Healthcare RCM Software Market to Reach $43.3B by 2022

by Jacqueline Belliveau

The global market for healthcare revenue cycle management software will grow at a compound annual growth (CAGR) rate of 6.9 percent from 2017 to 2022, researchers from Future Market Insights recently predicted. At that growth rate, they estimate...

Prescription Drug Rates Continue to Challenge Cancer Centers

by Jacqueline Belliveau

Prescription drug rates and the costs of new treatment modalities continued to challenge cancer centers, according to the most recent Trending Now in Cancer Care survey from the Association of Community Cancer Centers (ACCC). For the second year...

6 Major Hospital Merger Deals Making Headlines in 2018

by Jacqueline Belliveau

In 2017, the healthcare industry saw a boom of hospital merger announcements. And many of those deals are set to close in 2018 pending federal and state regulatory review. Hospital merger and acquisition activity last year was well on its way...

4 Key Ways to Improve Healthcare Revenue Cycle Management

by Jacqueline Belliveau

“There is always room for improvement” should be healthcare revenue cycle management’s mantra. Declining claims reimbursement rates, the shift to value-based purchasing, and evolving health policies keep revenue cycle leaders...

Hospital Discharge Patterns Trouble Skilled Nursing Facilities

by Jacqueline Belliveau

Hospital discharge patterns under value-based reimbursement models are troubling the revenue cycles of skilled nursing facilities, causing operating margins and occupancy rates to significantly decline in 2016, consulting firm CliftonLarsonAllen...

KLAS: athenahealth, Aprima Earn Top Marks for Ambulatory RCM

by Jacqueline Belliveau

Aprima, athenahealth, and NextGen Healthcare topped the list for overall performance and most consistently satisfactory ambulatory revenue cycle management (RCM) services among large and small practices in 2017, according to a new KLAS Research...

Management, Job Perception Drive Healthcare Employee Turnover

by Jacqueline Belliveau

Senior leadership, employee perceptions of their job, and management are the top drivers of voluntary healthcare employee turnover, research firm SMD recently reported. High healthcare employee turnover is a major challenge for hospitals and...

Top 4 Healthcare Revenue Cycle, Finance Trends to Watch in 2018

by Jacqueline Belliveau

As 2017 comes to an end, hospital and practice leaders are preparing their priority lists and agenda items for next year. The top four healthcare revenue cycle and finance trends that should appear on 2018 agendas include voluntary Medicare alternative...

State Reviews Beth Israel, Lahey Health Hospital Merger

by Jacqueline Belliveau

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 local...

Healthcare RCM, Medicare Reimbursement Dominate 2017 Stories

by Jacqueline Belliveau

From the Quality Payment Program’s launch to the Affordable Care Act debate, the healthcare finance world saw an abundance of change and uncertainty in 2017. In the face of payment reform and political debates, healthcare leaders focused...

Nearly One-Third of Providers Dissatisfied with Healthcare Costs

by Jacqueline Belliveau

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 providers...

Value-Based Contracts Rely on Patient Attribution, Data Sharing

by Jacqueline Belliveau

CMS aims to tie 90 percent of Medicare fee-for-service payments to quality by the end of 2018, with one-half of those payments to be paid under a value-based contract with some degree of financial risk. With ambitious goals from the federal government,...

Automating Healthcare Contract Management Improves Business Ops

by Jacqueline Belliveau

Improving care access at hospitals is key to ensuring the health of pregnant women and their babies. But the business operations behind improving care access, such as employee and vendor contract management, must be as efficient as possible to...

Providers Who Accept Pharma Gifts Prescribe More Expensive Drugs

by Jacqueline Belliveau

Providers in the DC area who received gifts from the pharmaceutical industry tended to prescribe more drugs per patient, including more expensive, branded medications, than their peers who did not accept gifts, a recent PLoS One study showed....

Type of Provider Data Presented Influences Patient Volume, Choice

by Jacqueline Belliveau

Healthcare consumers who initially prioritized appointment availability when choosing a physician were four times more likely to select a physician based on provider data on quality performance and clinical expertise when presented with more...

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