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

Healthcare Spending

Hospitals Lagging with Healthcare Cost Transformation Efforts

October 17, 2018 - 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 shows. “US hospitals are facing increasing pressures, so these percentages need to be much, much higher,” Lance Robinson, Managing Director at Kaufman...


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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...

Prescription Drug Rate Growth to Slow in 2019, Increasing 4.92%

by Jacqueline LaPointe

Hospitals and health systems should anticipate prescription drug rates to increase by 4.92 percent in 2019, researchers from the healthcare improvement company Vizient recently estimated. Prescription drug rates for hospitals and health...

WA Makes Healthcare Price Transparency Consumer-Friendly

by Jacqueline LaPointe

How much does a knee replacement surgery cost at MultiCare Auburn Medical Center in Auburn, Washington versus St. Anthony Hospital in nearby Gig Harbor? Does EvergreenHealth Medical Center in Kirkland deliver the highest value birthing...

Medical Liability Immunity Reduces Defensive Medicine, Costs by 5%

by Jacqueline LaPointe

A new working paper by the National Bureau of Economic Research shows that medical liability immunity can change how a provider practices medicine by decreasing defensive medicine use and its associated healthcare costs. Providers ordered...

Healthcare Cost Control Rises to Top Hospital Exec Priority

by Jacqueline LaPointe

Healthcare cost control rose to the top of hospital leader priority lists, bypassing revenue growth for the first time, according to the Advisory Board’s most recent Annual Health Care CEO Survey. The survey of 146 C-suite...

Who Should be Held Accountable for Healthcare Costs?

by Jacqueline LaPointe

While the recent growth in patient financial responsibility has providers thinking about healthcare costs when making care decisions, many still do not think they should be held accountable for the costs of care, a recent survey showed. A...

Giving Providers Hospital Cost Accounting Data Will Lower Costs

by Jacqueline LaPointe

Engaging physicians with hospital cost accounting data will be key to lowering costs under accountable care organizations (ACOs) and other population-based reimbursement models, Stanford researchers recently explained. Population-based...

Providers Investing in Home Health to Prepare for Aging Population

by Jacqueline LaPointe

Faced with the pressure to reduce healthcare costs as the elderly population rapidly grows, providers plan to shift elder care from hospitals and skilled nursing facilities to the home, healthcare experts explained. According to CMS and...

How Addressing Social Determinants of Health Cuts Healthcare Costs

by Jacqueline LaPointe

Population health management and value-based reimbursement success hinge on reducing healthcare costs not only when a patient is in the exam room, but also when they are beyond the walls of the practice or hospital. Therefore,...

Quality Improvement Projects Save Children’s Hospitals Millions

by Jacqueline LaPointe

Care quality improvements require hospitals to invest their money, time, and staff. The investment may be large, but for two children’s hospitals it paid off, saving the organizations millions and reducing costly accidents and...

Healthcare Mergers, Increased Access to Boost Medical Costs 6%

by Jacqueline LaPointe

PwC’s Health Research Institute (HRI) predicts medical costs for employers to grow 6 percent in 2019 as healthcare mergers and more convenient care access options drive up healthcare costs and utilization. The medical cost trend is...

NJ Passes Healthcare Price Transparency Law to Stop Surprise Bills

by Jacqueline LaPointe

New Jersey policymakers are increasing healthcare price transparency in the state by enacting a new law intended to protect consumers from surprise bills for out-of-network health services. New Jersey Governor Phil Murphy signed Assembly...

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