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

Healthcare Spending

Healthcare Price Growth Hits Lowest Rate in About Two Years

October 12, 2017 - Healthcare price growth in August 2017 increased by just 1.2 percent compared to the previous year, reaching the lowest growth rate in nearly two years and only three-tenths above the lowest growth rate ever recorded by Altarum Institute’s Center for Sustainable Health Spending (CSHS). The recent CSHS brief showed that the 12-month moving healthcare price growth average of 1.8 percent...


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

by Jacqueline Belliveau

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 resource use...

Order History, Machine Ownership Leads to Low-Value Imaging

by Jacqueline Belliveau

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, uncovered...

Median Physician Assistant Salary Increased 5.2% in 2016

by Jacqueline Belliveau

The median annual physician assistant salary increased by 5.2 percent in 2016, reaching a median of about $102,000, revealed the most recent American Academy of PAs (AAPA) Salary Report. The survey of over 7,200 physician assistants also found...

Consumers Favor Patient Financial Responsibility Loan Programs

by Jacqueline Belliveau

About 90 percent of healthcare consumers stated that they are more likely to return to a provider if the organization offers a loan program to pay for patient financial responsibility, a recent Porter Research and ClearBalance survey showed....

Cancer Care Costs 60% Higher at Hospitals Vs Independent Orgs

by Jacqueline Belliveau

Hospital-based cancer care for patients undergoing chemotherapy was 60 percent more expensive compared to the same treatment at community-based oncology practices, according to a recent study by Xcenda and Lucio Gordan, MD, Medical Director in...

Social Determinants Trend at AHIP’s Medicare, Medicaid Conference

by Jacqueline Belliveau

WASHINGTON DC – Social determinants of health has emerged as a major theme at America's Health Insurance Plans’ (AHIP) National Conferences on Medicare, Medicaid, and dual eligibles in Washington DC. Health plan leaders, providers,...

Over 50% of Orgs Lack Adequate Healthcare Cost Reduction Goals

by Jacqueline Belliveau

An overwhelming majority of healthcare executives (96 percent) stated that cost transformation is a significant need for their hospital or health system. Yet, over one-half of organizations either do not have a healthcare cost reduction goal...

Driven by Fee-For-Service, Docs Say Up to 30% of Care Unnecessary

by Jacqueline Belliveau

At least 15 percent to 30 percent of medical care is unnecessary, contributing to low-value resource use and wasteful healthcare spending, stated the majority of physicians surveyed in a recent PLOS ONE study. While the survey of over 2,100...

Reduced Variation, Data Analytics Cut Supply Chain Costs by 17.8%

by Jacqueline Belliveau

Hospitals could save a total of $23 billion by implementing evidence-based and data-driven healthcare supply chain management best practices used by the top 24 percent of organizations studied, a recent Navigant survey of over 2,300 hospitals...

Carolinas HealthCare, UNC Health Announce Healthcare Merger

by Jacqueline Belliveau

Carolinas HealthCare System and UNC Health Care recently announced their intentions to engage in a healthcare merger that would create one of the largest non-profit systems in the nation. The two North Carolina-based health systems signed a Letter...

Key Strategies for Health Systems to Achieve Economies of Scale

by Jacqueline Belliveau

Companies from across industries use economies of scale to realize cost savings. While hospitals and health systems are borrowing the economic concept to reduce spending, many healthcare organizations have encountered challenges with achieving...

MSSP ACOs Decreased Spending by $1B, Improved Care Quality

by Jacqueline Belliveau

Accountable care organizations (ACOs) participating in the first three years of the Medicare Shared Savings Program (MSSP) reduced Medicare spending, with a net reduction of almost $1 billion, according to a new OIG report. The analysis of 428...

Advisory Group Warns CMS Against 340B Medicare Reimbursement Cuts

by Jacqueline Belliveau

The CMS Advisory Panel on Hospital Outpatient Payment recently called on the federal agency to abandon proposed changes to the 340B Drug Pricing Program in 2018, which would reduce Medicare reimbursement to qualifying hospitals for drugs acquired...

Readmissions, Post-Acute Care Drive Variation in Bundled Payments

by Jacqueline Belliveau

Hospital readmissions, professional fees, and post-acute care payments are key drivers of cost variations for providers participating in 90-day cardiac bundled payment models, a recent JAMA Surgery study revealed. “These results underscore...

Scarce Public Health Funds Block Social Determinants of Health Aid

by Jacqueline Belliveau

As value-based care emphasizes preventative medicine, healthcare stakeholders aim to address social determinants of health to improve and maintain outcomes. But the lack of appropriate public health funding at federal, state, and local government...

Accountable Care Organization Saves $4.8M With Nutrition Aid

by Jacqueline Belliveau

A case study in American Health & Drug Benefits showed that Advocate Health Care, an accountable care organization in the Chicago area, reduced healthcare costs by $3,800 per patient, or $4.8 million in total, by implementing a nutrition...

Hospitals Turning to Staff Buyouts to Reduce Healthcare Costs

by Jacqueline Belliveau

Massachusetts-based Brigham and Women’s Hospital may extend a voluntary buyout offer to employees in order to reduce healthcare costs in the face of growing labor expenses and stagnant claims reimbursement rates. In April 2017, the hospital...

Patient-Reported Data Helps Providers Find High-Cost Patients

by Jacqueline Belliveau

Self-reported patient data on health conditions, status, and utilization may be the key to identifying high-cost patients and guiding them to care management models to reduce their spending, a recent American Journal of Managed Care study indicated....

Primary Care Job Growth Slows, Affecting Healthcare Spending

by Jacqueline Belliveau

With the number of specialist jobs rising nearly six times faster than primary care provider positions between 2005 and 2015, industry efforts to control and reduce healthcare spending may be in trouble, a recent Health Affairs blogpost suggested....

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