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

Healthcare Spending

Value-Based Care, Price Transparency Rule Top Stories of 2018

December 10, 2018 - 2018 has kept healthcare revenue cycle management and finance leaders on their toes. The healthcare industry continued its slow, but steady transition to value-based care and purchasing all while navigating the new landscape of healthcare consumerism and consolidation. Hospitals, medical groups, and practices alike are facing a significantly different market compared to a decade, or...


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Healthcare Spending Growth Slows, Increasing 3.9% in 2017

by Jacqueline LaPointe

Healthcare spending grew at a rate of 3.9 percent in 2017, slowing to rates observed during the 2008 to 2013 period, CMS actuaries recently reported. The analysis from the Office of the Actuary at CMS, published by Health Affairs, showed...

CMS Advances Healthcare Price Transparency With Comparison Tool

by Jacqueline LaPointe

CMS is advancing its healthcare price transparency efforts through a new online tool that allows healthcare consumers to compare Medicare payments and copayments for certain surgical procedures. The recently launched Procedure Price...

NP, PA Office Visits Grow 129%, But Healthcare Costs Still Rising

by Jacqueline LaPointe

Office visits to primary care physicians dropped 18 percent from 2012 to 2016 among non-elderly adults with employer-sponsored healthcare coverage, the Health Care Cost Institute (HCCI) recently reported. “The decline in primary...

Consumers Seek Care in New Settings for Lower Healthcare Costs

by Jacqueline LaPointe

Consumers are generally comfortable with seeking routine care in healthcare settings beyond the hospital or their doctor’s office if the healthcare costs are lower, data from PwC’s Health Research Institute (HRI) showed. For...

AHA: Tariffs on Chinese Goods Will Impact Hospital Supply Chain

by Jacqueline LaPointe

The American Hospital Association (AHA) recently opposed the Trump Administration’s tariffs on medical equipment and products imported from China, arguing the tariffs would impact the hospital supply chain. “The imposition of...

Price Not the Only Driver of High Healthcare Costs, Research Shows

by Jacqueline LaPointe

Healthcare costs in Colorado are significantly higher compared to other states in the country. A recent analysis by the Network for Regional Healthcare Improvement (NHRI) showed that total cost of care in Colorado was 19 percent higher...

92% of Providers Concerned About Hospital Price Transparency Rule

by Jacqueline LaPointe

Ninety-two percent of healthcare providers are concerned about the new hospital price transparency requirement recently finalized by CMS, a new poll shows. CMS finalized the hospital price transparency requirement in the 2019 Inpatient...

Hospitals Could Save $25.4B in Healthcare Supply Chain Costs

by Jacqueline LaPointe

Hospitals could save approximately $25.4 billion a year in healthcare supply chain costs by reducing variation and waste, a recent Navigant analysis showed. The analysis of 2,300 hospitals indicated that hospitals and health systems are...

Hospital-Acquired Conditions Increase Hospital Costs by $2B

by Jacqueline LaPointe

Pressure ulcers, surgical site infections, and other potentially avoidable hospital-acquired conditions (HACs) led to over $2 billion in excess hospital costs in 2016, a recent research brief showed. The research brief from IBM Watson...

Healthcare Prices Significantly Vary Across the US, HCCI Finds

by Jacqueline LaPointe

Healthcare prices not only significantly varied across metro areas, but also within metro areas, a new analysis from the Health Care Cost Institute (HCCI) showed. In its first report part of the Healthy Marketplace Index (HMI) project,...

Hospitals Lagging with Healthcare Cost Transformation Efforts

by Jacqueline LaPointe

Healthcare cost transformation is a top hospital and health system need. But less than one in five executives reported cost reductions of more than five percent in any priority area in the last year, a new Kaufman Hall survey...

Hospital Prices in Colorado Increase 76% As Expansions Continue

by Jacqueline LaPointe

Hospital prices in Colorado increased 76 percent over a seven-year period as profits rose to some of the highest in the nation, preliminary data from the state’s Department of Health Care Policy and Financing showed. Initial...

Steady, Moderate Growth for Healthcare Prices and Spending in 2018

by Jacqueline LaPointe

Healthcare prices and spending are seeing steady, but moderate growth, the Altarum Center for Value in Health Care recently reported. Healthcare prices increased just two percent in the second quarter of 2018, bringing healthcare price...

Care Variation Reduction Key to Improving Care Quality, Costs

by Jacqueline LaPointe

Higher care quality and care variation reduction result in lower healthcare costs, according to a new Advisory Board analysis. Analyzing healthcare cost and quality data from 468 hospitals from April 2014 to March 2017, the...

CMS Clarifies Healthcare Price Transparency Rules for Hospitals

by Jacqueline LaPointe

CMS recently expanded on new healthcare price transparency requirements for hospitals in a series of frequently asked questions (FAQs) published on its website. The FAQs cover which hospitals are subject to the new requirements, the...

3 Patient Collections Best Practices to Boost the Bottom Line

by Jacqueline LaPointe

Patient financial responsibility is steadily climbing, accounting for a greater portion of healthcare revenue. With patients shifting a provider’s revenue sources, hospitals and practices alike must implement internal patient...

Hospital Markups Drive Prescription Drug Spending, PhRMA Says

by Jacqueline LaPointe

Prescription drug spending is rising because approximately 83 percent of hospitals charge patients and payers more than double the acquisition cost for medications, according to a recent analysis by the Moran Company for the Pharmaceutical...

Healthcare Costs, Affordability A Major Challenge for Patients

by Jacqueline LaPointe

According to several new studies, Americans are struggling with rising healthcare costs and paying for their patient financial responsibility, which could spell trouble for providers trying to collect revenue that is owed to...

Academic Medical Centers Receive More Value-Based Penalties

by Jacqueline LaPointe

Academic medical centers (AMCs) are key members of the healthcare industry, engaging in medical research, uncovering clinical breakthroughs, and training future providers. However, a new analysis by Navigant shows that the organizations...

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