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

Healthcare Spending

End-of-Life Medicare Spending 25% Higher for Younger Seniors

by Jacqueline LaPointe

For most providers, it is not surprising that Medicare spending tends to increase in the last year of a beneficiary’s life, especially since this population is more likely to experience a serious illness and multiple chronic...

$2.75B in Unexpected Healthcare Spending Impacts VA Budget

by Jacqueline LaPointe

The Department of Veteran’s Affairs (VA) has encountered $2.75 billion in unanticipated healthcare spending  during the 2015 fiscal year due to an increase in community care program participation and new hepatitis C drugs,...

Providers Spend $15.4B to Report on Healthcare Quality Measures

by Catherine Sampson

General internists, family physicians, cardiologists, and orthopedists spend more than $15.4 billion annually to report on healthcare quality measures set by payers, according to a report from Health Affairs. Annually, these four types of...

Providers Prioritize Quality Care, Not Lower Healthcare Costs

by Jacqueline LaPointe

By now, many healthcare providers are partaking in some form of value-based care, which aims to foster quality care while reducing healthcare costs. To achieve this, value-based care relies on care coordination to decrease unnecessary...

Do Nurse Practitioners Increase Healthcare Spending Rates?

by Catherine Sampson

While the use of independent nurse practitioners (NPs) is often seen as an important way to drive down healthcare spending rates, a new report from researchers at the University of California San Francisco indicates that the...

Affordable Care Act Increases Spending For Newly Insured

by Catherine Sampson

As the Affordable Care Act (ACA) brings more patients into the healthcare system, spending is on the rise, especially on chronic diseases, such as diabetes, heart disease and depression. Blue Cross Blue Shield (BCBS) backs this point in a...

Cancer Costs Don’t Rise Faster than Other Healthcare Spending

by Jacqueline LaPointe

Cancer-related healthcare costs have increased at almost the same rate as non-cancer healthcare spending since 2004, according to a recent study by Milliman and the Community Oncology Alliance. The study counteracts the common misbelief...

$628K Awarded to Boost US Healthcare Spending Research

by Jacqueline LaPointe

The Peterson Center on Healthcare has awarded a $628,000 grant to the University of Washington’s Institute for Health Metrics and Evaluation (IHME) to analyze US healthcare spending and predict future spending trends, a recent...

Medicare Spending Increases Slightly under Affordable Care Act

by Jacqueline LaPointe

In 2014, Medicare spending for personal healthcare expenditures only increased by 2.4 percent per person and decreased by 3.6 percent for Medicaid, a recent report by the Department of Health and Human Services (HHS) stated. In...

Revenue Cycle Management Must Change for Community Hospitals

by Jacqueline LaPointe

Community hospitals in Massachusetts will continue to close if they do not make appropriate changes to their revenue cycle management strategies, a study reveals. The study, released by the Health Policy Commission (HCP) in Massachusetts,...

Why Concierge Medicine Programs Boost Patient Satisfaction

by Vera Gruessner

Due to the many complications of healthcare reform and the many quality care initiatives being established by federal agencies and payers, both new and well-established alternative healthcare delivery models are cropping up. Concierge...

CMS Awards Equipment Contracts to Reduce Medicare Spending

by Jacqueline LaPointe

CMS continues to reduce Medicare spending by awarding contracts to successful bidders for Medicare’s Round 2 and national mail-order recompetes and releasing new single payment amounts for the Durable Medical Equipment, Prosthetics,...

Direct Physical Therapy Access Could Reduce Healthcare Costs

by Vera Gruessner

When it comes to healthcare costs, the federal government, medical providers, and payers are attempting to reduce rising spending and adopt value-based care reimbursement.  A number of different strategies have been implemented...

9.4 Million Fewer Americans Struggle to Pay Medical Bills

by Vera Gruessner

Several years after the implementation of the Patient Protection and Affordable Care Act, the results seem to be showing that fewer Americans are struggling with paying medical bills and more than ever before have gained health insurance...

Accountable Care Organizations Responsible for Drug Spending

by Vera Gruessner

Accountable care organizations consist of a network in which payers, primary care physicians, and specialists work together to improve the health of a population. To dive deeper into one of the type of specialists seeking to enhance care...

How Do High-Deductible Plans Affect Value-Based Care Goals?

by Jacqueline DiChiara

Value-based care outcomes are shaped by a variety of factors – but especially the ever influential high-deductible health plan (HDHP). The recent significant increase of HDHPs across the healthcare industry is apparently tied...

How to Slash Common Healthcare Supply Chain Management Costs

by Jacqueline DiChiara

Healthcare supply chain management strategies are generally tied to keeping costs low. But with an apparently broken system still in place, this is not a simple task. Whereas other industries seem to have made supply chain progress,...

How Provider Interaction Reduces Claims Reimbursement Waste

by Jacqueline DiChiara

Reducing claims reimbursement waste demands a closer look at the inner workings of the medical billing environment and how to improve provider interactions. A lack of communication may be a leading cause of claims reimbursement waste and...

Medical Billing Needs Revenue Cycle Management Transparency

by Jacqueline DiChiara

Medical billing problems, such as unpaid medical bills, the acquisition of medical debt, and a detrimental impact on care access, are negatively affecting the healthcare industry. Twenty percent of over 1,200 surveyed adults had...

Affordable Care Act Creates Tax-Funded Expenditure Majority

by Jacqueline DiChiara

Over 64 percent of healthcare spending is tied to tax-funded expenditures, according to new data from the American Journal of Public Health. This reported number apparently contradicts commonplace perceptions about the cost of...

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