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

Healthcare Spending

Sutter Health Destroys Evidence for Case on High Healthcare Prices

November 20, 2017 - A state judge ruled that California-based Sutter Health intentionally destroyed 192 boxes of documents that pertained to a lawsuit accusing the health system of inflating healthcare prices and practicing anticompetitive behavior. In the ruling, obtained by California Healthline, San Francisco County Superior Court Judge Curtis E.A. Karnow stated that “the destruction was done knowing...


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Consumers Use Healthcare Price Info for Budgeting, Not Shopping

by Jacqueline Belliveau

Most consumers want healthcare price information to plan how they will pay for patient financial responsibility, not to shop around for lower cost providers, a recent survey revealed. The survey from Accenture showed that just 11 percent of the...

Service Prices Drove $933.5B Increase in Healthcare Spending

by Jacqueline Belliveau

Service prices and intensity represented over one-half of the $933.5 billion increase in healthcare spending between 1996 and 2013, a new Journal of the American Medical Association study revealed. Prices and intensity were the primary drivers...

Hospitals, Systems Spend $39B Annually on Regulatory Compliance

by Jacqueline Belliveau

Hospitals, health systems, and post-acute care providers spend almost $39 billion annually on administrative tasks related to regulatory compliance, the American Hospital Association (AHA) reported. “As a result of this extraordinary burden,...

Tenet Cuts 1,300 Jobs as Part of $150M Cost Reduction Initiative

by Jacqueline Belliveau

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 will implement...

Choosing Wisely Slow to Reduce Low-Value Care, Resource Use

by Jacqueline Belliveau

Participation in the Choosing Wisely campaign has significantly increased since its launch in 2012. But the campaign has yet to realize its goal of decreasing low-value care and resource use, a recent Health Affairs report showed. Researchers...

Over 1,300 Hospitals Urge CMS to Withdraw 340B Drug Payment Cuts

by Jacqueline Belliveau

Over 1,300 rural hospitals and other healthcare organizations that serve low-income communities added their voices to the growing list of stakeholders opposing proposed payment cuts to the 340B Drug Pricing program. CMS proposed in July 2017...

Healthcare Price Growth Hits Lowest Rate in About Two Years

by Jacqueline Belliveau

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...

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...

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