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

Healthcare Spending

How Clinicians Add Value to Healthcare Supply Chain Management

by Jacqueline LaPointe

Engaging clinical staff is key to adding value to healthcare supply chain management, according to three supply chain leaders at MaineHealth, a recent ECRI Institute Healthcare Supply Chain Achievement award recipient. The healthcare...

Healthcare Framework Aims to Drop Low-Value Resource Use, Costs

by Jacqueline LaPointe

Healthcare organizations looking to reduce low-value resource use and healthcare costs should implement a framework that addresses the patient and clinician interaction, according to a recent Journal of Hospital Medicine report. Four...

Cloud-Based Healthcare Supply Chain Management Drives Market

by Jacqueline LaPointe

The healthcare supply chain management market should be worth up to $2.22 billion by 2021 as healthcare organizations face increasing pressure to advance operational efficiency and profitability, according to a recent Markets and Markets...

Do NP, PA Ordering Habits Lead to Higher Healthcare Costs?

by Jacqueline LaPointe

Nurse practitioners and physician assistants did not contribute to higher healthcare costs by ordering more ancillary or expensive services compared to primary care providers, a recent American Journal of Managed Care study uncovered. The...

Post-Acute Care Network Key to Value-Based Purchasing Success

by Jacqueline LaPointe

Health systems should develop a post-acute care network and strategy to succeed in value-based purchasing models, a recent Deloitte survey indicated. The survey of 36 executives from health systems, payers, post-acute care organizations,...

High-Cost Patients Widely Distributed Across Hospitals, Markets

by Jacqueline LaPointe

A recent American Journal of Managed Care study attempting to understand why some patients incur higher healthcare costs than others found that high-cost patients were evenly spread across providers and healthcare markets. Using a 20...

Is Billing Some Patients at Hospital Chargemaster Rates Legal?

by Jacqueline LaPointe

Contract law does not uphold the medical billing practice of charging uninsured or out-of-network insured patients hospital chargemaster rates that are not based on actual healthcare costs or market-negotiated prices, argued authors of a...

Healthcare Price Variation a Challenge for State, Local Leaders

by Jacqueline LaPointe

Local leaders may be better positioned to solve healthcare cost challenges than the federal government since healthcare price variation was more significant by state and local markets, a new Health Care Cost Institute (HCCI) and Robert...

Brigham and Women’s Offers Buyouts to Lower Healthcare Costs

by Jacqueline LaPointe

Boston-based Brigham and Women’s Hospital recently presented 1,600 employees with a voluntary buyout option in an effort to control the facility’s healthcare costs, a local news source reported. Hospital officials reassured...

Key Ways to Start A Hospital Revenue Cycle Turnaround Process

by Jacqueline LaPointe

Healthcare executives often point to market factors for lackluster hospital revenue cycle performance. But lagging accounts receivable days and shrinking hospital margins usually indicate that it is time for an internal hospital revenue...

Prescription Drug Rates Remain Top Healthcare Supply Chain Issue

by Jacqueline LaPointe

Almost all health system executives (99 percent) in a recent Premier survey agreed that rising prescription drug rates continue to plague their healthcare supply chain. The winter 2017 survey of 91 C-suite executives at health systems...

Hospitals Maintain Test Use Despite Healthcare Price Transparency

by Jacqueline LaPointe

Increasing healthcare price transparency for providers did not result in fewer laboratory tests ordered or lower healthcare costs, a recent JAMA Internal Medicine study found. “In this year-long randomized clinical trial conducted...

32 Orgs to Cut Healthcare Costs, Use Under CMS Community Demo

by Jacqueline LaPointe

As part of the Accountable Health Communities Model, CMS recently selected 32 organizations to participate in two of the three program tracks that aim to lower healthcare costs and utilization by fostering clinical and community service...

Healthcare Costs Rise With Regional Post-Acute Care Variations

by Jacqueline LaPointe

Despite receiving similar post-acute care services overall, rural hospital patients tend to undergo more skilled nursing facility treatment than home health care versus urban hospital patients, contributing to higher healthcare costs,...

Is Radiation Overuse Contributing to Higher Healthcare Costs?

by Jacqueline LaPointe

Oncologists could have saved over $164 million in healthcare costs if they had adhered to clinical guidelines and prescribed shorter radiation treatment for some breast cancer patients, a recent Journal of Oncology Practice study...

Patient Collection Rates Drop as Out-of-Pocket Costs Go Up

by Jacqueline LaPointe

Hospitals collect significantly less from patients with higher out-of-pocket costs, a Crowe Horwath study confirmed. The study revealed that collection rates for patient accounts with balances greater than $5,000 were four times lower than...

NJ Quality Improvement Model Lowers Healthcare Costs by $641M

by Jacqueline LaPointe

Hospitals in New Jersey reduced healthcare costs by over $641 million between 2012 and 2016 after implementing a statewide quality improvement initiative, the New Jersey Hospital Association (NJHA) recently reported. Under the Affordable...

Out-of-Pocket Healthcare Spending Rose 65% at Freestanding EDs

by Jacqueline LaPointe

Freestanding emergency departments are becoming a popular alternative care setting for common conditions, such as upper respiratory infections. But a recent study in the Annals of Emergency Medicine found that median prices for...

Managing Healthcare Costs, Data Analytics Top C-Suite Priorities

by Jacqueline LaPointe

Under the Trump administration, the healthcare industry is bracing for some significant policy changes, such as a potential Affordable Care Act repeal. Despite the political change, healthcare executives still plan to make healthcare cost...

Healthcare Spending Varies More by Provider Than Hospital

by Jacqueline LaPointe

A recent JAMA Internal Medicine study uncovered that healthcare spending varied more across individual providers than across hospitals. Based on Medicare data on hospitalized beneficiaries from 2011 to 2014, researchers from several...

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