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

Healthcare Revenue Cycle

KLAS: athenahealth, Aprima Earn Top Marks for Ambulatory RCM

by Jacqueline LaPointe

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...

Management, Job Perception Drive Healthcare Employee Turnover

by Jacqueline LaPointe

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...

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

by Jacqueline LaPointe

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...

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...

Healthcare RCM, Medicare Reimbursement Dominate 2017 Stories

by Jacqueline LaPointe

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...

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...

Value-Based Contracts Rely on Patient Attribution, Data Sharing

by Jacqueline LaPointe

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...

Automating Healthcare Contract Management Improves Business Ops

by Jacqueline LaPointe

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...

Providers Who Accept Pharma Gifts Prescribe More Expensive Drugs

by Jacqueline LaPointe

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...

Type of Provider Data Presented Influences Patient Volume, Choice

by Jacqueline LaPointe

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...

How Did Providers Respond to Demand After the Affordable Care Act?

by Jacqueline LaPointe

Provider organizations employed additional staff, especially advanced practice clinicians, and expanded facilities and hours in response to increased care demands from more insured patients under the Affordable Care Act, a new Urban...

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...

Healthcare Merger, Acquisition Activity to Rise Despite Slow Q3

by Jacqueline LaPointe

Healthcare mergers and acquisition activity in the third quarter of 2017 may be down by 11 percent compared to last year and 6 percent compared to last quarter. But deal volume still reached over 200 announced transactions for the twelfth...

Health Centers Use Business Tactics to Compete with Private Orgs

by Jacqueline LaPointe

Federally qualified health centers (FQHCs) are the backbone of the healthcare safety net. But rising competition from hospitals and other healthcare organizations may be the straw that breaks that back. FHQCs receive enhanced Medicare and...

Hospital Mergers Take Two or More Years to Produce Cost Savings

by Jacqueline LaPointe

Hospital mergers and acquisitions resulted in immediate decreases in operating expenses per adjusted admission. However, acquired facilities also saw operating revenue decline at a higher rate, leading to falling operating margins for the...

Tenet Starts Chicago Market Exit with Sale of MacNeal Hospital

by Jacqueline LaPointe

Tenet Healthcare Corporation recently announced that Loyola Medicine has signed a definitive agreement to purchase MacNeal Hospital, one of Tenet’s four hospitals in the Chicago area. Loyola Medicine, an affiliate of Trinity Health,...

Low-Cost, Low-Value Resource Use Drives $586M in Wasteful Spending

by Jacqueline LaPointe

Inexpensive low-value resource use resulted in over $586 million, or $9.09 per beneficiary per month, in unnecessary healthcare spending in Virginia, a new Health Affairs study showed. The total amount spent on low-cost, low-value...

Order History, Machine Ownership Leads to Low-Value Imaging

by Jacqueline LaPointe

Providers are more likely to order costly, low-value imaging services if they have a history of ordering the services, a high rate of imaging in another low-value clinical situation, and an ownership stake in the imaging equipment,...

Healthcare Workforce Demand Growing Faster than Provider Supply

by Jacqueline LaPointe

The demands of the healthcare workforce are significantly outpacing the supply of new doctors available, especially for primary care providers, a recent Merritt Hawkins survey uncovered. The survey of 935 physicians in their final year of...

Health Systems Responsible for 70% of Acute Care Hospitals

by Jacqueline LaPointe

New data from the Agency for Healthcare Research and Quality (AHRQ) showed that most hospitals were part of a health system in 2016. Almost 70 percent of non-federal generate acute care hospitals belonged to a health system, or network of...

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