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

Healthcare Spending

Driven By Prices, Private Healthcare Spending Reaches New High

February 12, 2019 - Average annual healthcare spending for individuals with employer-sponsored insurance grew 4.2 percent from 2016 to 2017, the latest data from the Health Care Cost Institute (HCCI) revealed. The growth translated to $5,641 per commercially insured individual in 2017, the highest amount HCCI has observed since the non-profit organization started tracking spending, utilization, and prices...


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Hospital Cost Accounting Tool to Cut Costs, Boost Value-Based Care

by Jacqueline LaPointe

The Healthcare Financial Management Association (HFMA) is making a hospital cost accounting roadmap available to all providers looking to reduce variation, waste, and inefficiency. The leading healthcare finance group recently partnered...

Healthcare Price Transparency in NH Reduced Out-of-Pocket Costs

by Jacqueline LaPointe

Healthcare price transparency shifts care to lower-cost providers and saves consumers and payers money, according to a recent study out of the University of Michigan. Costs fell by five percent for patients and four percent for insurers...

Hospital Prices Increased Faster Than Physician Prices, Study Finds

by Jacqueline LaPointe

EDITOR'S NOTE: This article has been updated with a statement from the American Hospital Association. Hospital prices increased much more quickly than physician prices for both inpatient and outpatient care from 2007 to 2014,...

Reducing the Rate of Hospital-Acquired Conditions Saved $7.7B

by Jacqueline LaPointe

A significant reduction in hospital-acquired conditions (HACs) saved providers $7.7 billion in hospital costs since 2014, the Agency for Healthcare Research and Quality (AHRQ) recently reported. New data from AHRQ and CMS shows providers...

CMS: We Must Do More Than New Healthcare Price Transparency Rule

by Jacqueline LaPointe

Hospitals may have to publish a list of their standard charges online, but that doesn’t have to be their only step to increase healthcare price transparency, CMS Administrator Seema Verma recently stressed. “While many...

Prices Still Responsible for High US Healthcare Spending

by Jacqueline LaPointe

Prices are still the primary reason healthcare spending in the US more than doubled from 2000 to 2016, revealed a new follow-up study to the landmark 2003 article titled “It’s the Prices, Stupid.” The article’s...

Opioid Overdose Care Totals $1.94B in Annual Hospital Costs

by Jacqueline LaPointe

The opioid crisis is hitting hospital costs, a recent analysis by healthcare improvement company Premier uncovered. Approximately $1.94 billion in annual hospital costs were attributable to patients who experienced an opioid overdose...

17% of Families Make at Least One Large Healthcare Payment a Year

by Jacqueline LaPointe

One in six families make at least one extraordinary healthcare payment of at least $400 and one percent of annual income in any given year, researchers from the JPMorgan Chase Institute recently reported. Their findings, recently...

Average Healthcare Costs for Outpatient Visit Nears $500

by Jacqueline LaPointe

Healthcare spending growth may be slowing, but healthcare costs in the US still significantly outpace those of other nations, a new analysis shows. As part of a larger study to determine the funding and services needed to achieve...

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

by Jacqueline LaPointe

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...

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...

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