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

Healthcare Spending

Diabetes Clinic Lowers Healthcare Costs More Than PCP Visits

by Jacqueline LaPointe

A California-based health system reduced healthcare costs by 2.5 percent more for diabetes patients by implementing a clinic that brings endocrinologists and pharmacists together to better manage medically complex diabetic patients, a...

78% of Hospital Staff Still Face Manual Supply Chain Management

by Jacqueline LaPointe

Hospitals may not be operating with the most efficient healthcare supply chain management tools, a recent Cardinal Health and SERMO survey found. Only 17 percent of hospital staff reported that their facility installed an automated...

Asthma Education Model Lowers Resource Use, Healthcare Costs

by Jacqueline LaPointe

Asthma education programs can help providers to significantly reduce unnecessary resource use and healthcare costs by boosting patient knowledge about chronic disease management, a recent American Journal of Managed Care study...

Hospital Costs Fall Despite Overall Healthcare Spending Growth

by Jacqueline LaPointe

Medicare spending growth on both inpatient and outpatient services hit an all-time low for the first time in 17 years, with inpatient hospital costs notably decreasing by 1.9 percent since 2015, the American Hospital Association (AHA)...

More Primary Care Leads to Less End-of-Life Medicare Spending

by Jacqueline LaPointe

Regions with more primary care providers saw less Medicare spending on end-of-life care compared to areas with less primary care practices, a recent Annals of Family Medicine study found. Medicare spending during the last two years of life...

Medicare Spending on Drug Coverage Tripled from 2010 to 2015

by Jacqueline LaPointe

Medicare spending on prescription drugs under the Part D catastrophic coverage program more than tripled from 2010 to 2015, increasing from $10.8 billion to $33.2 billion, the Office of the Inspector General (OIG) recently reported. The...

HRSA Adds $5K Fines for 340B Prescription Drug Rate Overcharging

by Jacqueline LaPointe

Drug manufacturers participating in the 340B Drug Pricing Program who intentionally charge hospitals prescription drug rates higher than established ceiling prices will face a $5,000 penalty per instance, a new Health Resources and...

OR Cost Scorecards Help Reduce Healthcare Supply Chain Costs

by Jacqueline LaPointe

Healthcare supply chain costs dropped by 6.54 percent per case in surgical departments that provided surgeons with monthly cost scorecards and had a financial incentive to reduce surgical supply chain spending, a new study in JAMA Surgery...

Price, Utilization Increases Upped Healthcare Spending by 4.5%

by Jacqueline LaPointe

Healthcare spending for privately insured individuals increased by 4.6 percent because of rising prices for outpatient, inpatient, and professional care services as well as prescription drugs, the Health Care Cost Institute (HCCI) recently...

Employing More Physician Assistants Reduces Healthcare Costs

by Jacqueline LaPointe

Adding more physician assistants to hospitalist care teams can lower healthcare costs while maintaining quality of care, a new study in the Journal of Clinical Outcomes Management contended. Researchers found that a hospitalist care team...

How Broader Primary Care Teams Can Decrease Healthcare Costs

by Jacqueline LaPointe

Developing broader primary care teams that interact with specific patient populations can save healthcare costs and realize a return on investment, according to a recent PricewaterhouseCoopers (PwC) analysis. For example, a primary care...

Primary Care Initiative Continues to Reduce Medicare Spending

by Jacqueline LaPointe

The Comprehensive Primary Care Initiative (CPC) continued to improve quality of care and reduce Medicare spending in 2015 even though the initiative has yet to generate net healthcare savings, according to an official CMS blog post. In...

AHA Calls for Hospital Access to Prescription Drug Rate Info

by Jacqueline LaPointe

The American Hospital Association (AHA) recently urged the Health Resources and Services Administration (HRSA) to grant hospitals in the 340B Drug Pricing Program more access to prescription drug rate information. In a comment letter on a...

Hospitals Saw 23% Rise in Inpatient Prescription Drug Spending

by Jacqueline LaPointe

Hospital inpatient prescription drug spending has increased by 23.4 percent from 2013 to 2015, reported a recent study from the University of Chicago’s NORC. The increases in spending have left most providers struggling to manage...

GAO: Healthcare Spending Data from CMS Inaccessible, Unreliable

by Jacqueline LaPointe

CMS should make healthcare spending data for skilled nursing facilities more accessible to public stakeholders and ensure the expenditure information is reliable, the Government Accountability Office (GAO) advised the federal agency in a...

Medical Device Reps in OR Sway Healthcare Supply Chain Costs

by Jacqueline LaPointe

Medical device sales representatives may act as key resources for surgeons on the latest technological advances and how to properly use specific devices, but the close relationship may actually be driving up healthcare supply chain costs,...

Pharma Payments Influence Prescription Drug Spending

by Jacqueline LaPointe

Payments from pharmaceutical manufacturers may be more influential on physician prescribing habits than concerns over the rise in prescription drug spending, according to a recent study in the BMJ. Researchers found that small payments...

Cardiac Care Bundled Payment Model to Generate Modest Savings

by Jacqueline LaPointe

The recently proposed Medicare bundled payment model for cardiac care will likely bring only modest shared savings or losses to participants, according to a study from Avalere Health. About 85 percent of providers that will be required to...

Monitoring Care Delivery Key to Reducing Healthcare Costs

by Jacqueline LaPointe

Lowering actual healthcare costs that providers incur while delivering care to patients is the key to making healthcare more affordable, according to a new Chilmark Research study. While payers are reforming claims reimbursement models to...

Medicare ACOs Reduce Healthcare Spending On Complex Patients

by Jacqueline LaPointe

While one of the primary goals of joining an accountable care organization (ACO) is to coordinate care in effort to reduce healthcare spending, many Medicare ACO participants have seen early benefits from the alternative payment...

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