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

Healthcare Spending

Primary Care Job Growth Slows, Affecting Healthcare Spending

by Jacqueline LaPointe

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...

Complex Surgery Costs 10.5% Less With Hospital Consolidation

by Jacqueline LaPointe

Overall healthcare charges for complex pancreatic and hepatic surgeries were 13.4 percent lower in markets with higher levels of hospital consolidation than charges for the same operations in unconcentrated and moderately concentrated...

Hospitals to See 7.61% Rise in 2018 Prescription Drug Rates

by Jacqueline LaPointe

Hospitals and health systems should anticipate a 7.61 percent increase in prescription drug rates in 2018, researchers predicted in a recent Vizient study. Using the group purchasing organization’s 2016 and 2017 data on hospital and...

Free Health Clinics Face ROI, Clinical Efficiency Obstacles

by Jacqueline LaPointe

Free health clinics help uninsured and low-income individuals access affordable care, but two recent studies show that free clinics may face healthcare costs and clinical efficiency challenges. New research in the Journal of the American...

Provider Compensation Rises 2.9%, While Productivity Flattens

by Jacqueline LaPointe

Physicians experienced similar physician compensation increases in 2016 compared to last year, with median compensation rising by 2.9 percent after a 3.1 percent boost in 2015, the most recent AMGA Medical Group Compensation and...

Beth Israel, Lahey Health Ink Final Healthcare Merger Agreement

by Jacqueline LaPointe

Boston-based Beth Israel Deaconess health system and Lahey Health recently finalized a healthcare merger agreement after about seven months of negotiations. Despite several failed attempts at a healthcare merger in the past, the two...

Healthcare Costs Up 47.2% Despite Little Change in Utilization

by Jacqueline LaPointe

Healthcare costs increased 47.2 percent from $246 per individual per month in 1996 and 1997 to $362 per individual per month in 2011 and 2012 despite healthcare utilization and the number of individuals seeking care remaining relatively...

Designing Care Models to Treat High-Need, High-Cost Patients

by Jacqueline LaPointe

A recent report from the National Academy of Medicine (NAM) explored how healthcare organizations can identify high-need, high-cost patients and implement care models that appropriately address the needs of the population to reduce...

Group Purchasing Increases Healthcare Supply Chain Savings

by Jacqueline LaPointe

Group purchasing organizations (GPOs) increased healthcare supply chain savings between 10 percent and 18 percent by reducing transaction costs and supplier prices, a recent Healthcare Supply Chain Association (HSCA) study revealed. The...

Pediatric Healthcare Costs 35% Less at Community Health Centers

by Jacqueline LaPointe

Pediatric healthcare costs were $1,133 on average among children primarily using community health centers for care versus $1,750 among children seeing other providers, representing a 35 percent difference, a recent Geiger Gibson/RCHN...

Targeting Healthcare Cost Cuts Slows Revenue Cycle Performance

by Jacqueline LaPointe

Health system and hospital revenue cycle fell behind in key performance areas, such as claim denials management and bad debt, because the organizations prioritized healthcare cost reductions over revenue cycle performance, a recent...

Hospital Execs Look to Operations to Control Healthcare Costs

by Jacqueline LaPointe

With 78 percent of hospital leaders stating that rising healthcare costs are their primary concern in 2017, the leaders agreed that reviewing and optimizing existing operational and clinical processes was the hospital’s top strategy...

Do Financial Benchmarks Truly Measure ACO Savings, Spending?

by Jacqueline LaPointe

Healthcare stakeholders should not use financial benchmarks developed by CMS to evaluate actual accountable care organization (ACO) savings, three Harvard Medical School experts in a recent Health Affairs blogpost. As Medicare ACOs grow...

96% of Healthcare Execs Report Rise in Inpatient Drug Spending

by Jacqueline LaPointe

Approximately 64 percent of healthcare executives reported that inpatient drug spending at their organization significantly increased over the past five years, a recent Premier Inc survey revealed. Another 32 percent said that it...

Healthcare Prices, Spending, Employment Decline in Early 2017

by Jacqueline LaPointe

Recent research from the Altarum Institute showed that healthcare prices, spending, and employment are all trending downward after a three-year period of healthcare spending acceleration. Healthcare employment growth declined by 10,000...

Seeing PCP As Main Provider Lowered Medicare Spending by 9%

by Jacqueline LaPointe

Using a primary care provider versus a specialist as the predominant provider of care and care coordination resulted in similar clinical outcomes for Medicare beneficiaries. But Medicare spending was $1,781 lower per beneficiary, a recent...

Top 4 Patient Financial Responsibility Collection Methods

by Jacqueline LaPointe

The top priority for providers is to deliver high-quality healthcare services to their patients. But the recent rise in patient financial responsibility and healthcare consumerism has forced some providers to bump patient collections to...

Payment Plans Tackle Hospital Patient Collection Challenges

by Jacqueline LaPointe

The growing popularity of high-deductible health plans has wedged many healthcare organizations between a rock and a hard place. Healthcare organizations are struggling to implement patient collection strategies that acquire all of a...

Lab Experts Help Providers Reduce Low-Value Resource Use, Costs

by Jacqueline LaPointe

Collaboration between laboratory medicine experts and clinicians is critical to reducing unnecessary and low-value resource use for value-based purchasing success, the American Association For Clinical Chemistry (AACC) recently...

Only 40% of ED Providers Identified Accurate Healthcare Costs

by Jacqueline LaPointe

Emergency department providers have little understanding of the healthcare costs associated with common visits, a recent Journal of the American Osteopathic Association study revealed. The survey of over 400 healthcare professionals...

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