Healthcare Spending

Hospital Drug Spending to Increase 3.59%, Vizient Estimates

by Jacqueline LaPointe

Hospital drug spending will increase by 3.59 percent through next year, indicating a “continuation of the sustained modest growth” observed over the last several years, according to the...

CO Healthcare Costs Keep Climbing Due to Hospital Cost-Shifting

by Jacqueline LaPointe

Hospital cost-shifting is behind rising healthcare costs in Colorado, according to a new report from the state’s Department of Health Care Policy & Financing. The report found that, despite...

Hospital Price Transparency Services Scratch Surface of Spending

by Jacqueline LaPointe

A recent analysis conducted by the Health Care Cost Institute (HCCI) is raising questions about the efficacy of a consumer-centered hospital price transparency requirement slated to take effect next...

Entering the Next Phase of Value-Based Care, Payment Reform

by Jacqueline LaPointe

“What healthcare providers really want is to do is the right thing for their patients. They just need sustainable financial support for doing that,” health economist Mark McClellan, MD, PhD, said at the start of an interview...

CMMI Alternative Payment Models Won’t Save As Much as CBO Projects

by Samantha McGrail

Medicare will save approximately $18 billion from alternative payment models run by CMS’ Innovation Center (CMMI) between 2017 and 2026, a $16 billion difference compared to predictions from the...

Targeting Superutilizers Does Not Impact Hospital Readmissions

by Jacqueline LaPointe

Just five percent of the population accounts for about one-half of annual healthcare spending, but interventions that target these super-utilizers do little to impact hospital readmissions, according...

US Administrative Healthcare Spending Reached $812B in 2017

by Samantha McGrail

Administrative healthcare spending totaled $812 billion in 2017, representing over one-third (34.2 percent) of total expenditures for physician practices, hospitals, long-term care, and private payers,...

Childbirth Complications Boost Hospital Costs by 20%

by Samantha McGrail

Rise in childbirth complications is increasing overall hospital costs. But US hospitals could save nearly 20 percent of these costs by addressing serious conditions linked to preventable harm and...

Hospital Profitability Declines Due to Weak Volumes, Revenues

by Jacqueline LaPointe

An analysis of November 2019 data from over 800 hospitals revealed weakened hospital profitability as margins significantly declined compared to the previous month. Conducted by consulting firm...

Sutter Health, CA Reach $575M Settlement Over Anti-Trust Concerns

by Samantha McGrail

California Attorney General Xavier Bacerra recently announced a $575 million settlement with Sutter Health to resolve the health system’s alleged anti-trust behaviors, which a class action...

Out-of-Network Billing for Hospital Care Boosts Spending by $40B

by Jacqueline LaPointe

Patients receiving care at in-network hospitals face a significant risk of out-of-network billing for services performed by hospital-based anesthesiologists, pathologists, radiologists, and assistant...

Additional Providers Increase Hospital Length of Stay

by Samantha McGrail

Additional providers caring for patients significantly increase in both cost of care and hospital length of stay, a recent IllumiCare report found. The report emailed to RevCycleIntelligence.com...

National Healthcare Spending Increased to $3.6T in 2018

by Jacqueline LaPointe

National healthcare spending in 2018 grew at a rate of 4.6 percent to $3.6 trillion, which translated to about $11,172 per person, the Office of the Actuary at CMS recently reported. The growth rate...

Patient Acquisition Hinges on Positive Medical Billing Experience

by Jacqueline LaPointe

A recent survey of 1,000 healthcare consumers showed that patients are increasingly valuing the medical billing experience and providers who fail to deliver a positive financial journey may be...

Patients, Providers Recognize Increased Risks From Care Variation

by Jacqueline LaPointe

An overwhelming majority (98 percent) of consumers, hospital executives, physicians, and nurses agreed that healthcare cost and care variations exist. That was the latest finding from Wolters Kluwer,...

Unnecessary Hospital Supply Chain Spending Reaches $25.7B a Year

by Samantha McGrail

About $25.7 billion of hospital supply chain spending is considered unnecessary, a $2.7 billion increase from just two years ago, according to a Navigant analysis.  The analysis of 2,127...

AHA, Others to Sue HHS Over New Hospital Price Transparency Rule

by Samantha McGrail

The AHA announced its decision to sue HHS over the recently finalized hospital price transparency rule, which will require hospitals to disclose their payer-specific negated rates to consumers,...

New Healthcare Price Transparency Rule to Unveil Negotiated Rates

by Jacqueline LaPointe

HHS dropped two healthcare price transparency rules earlier today. The first is a final rule requiring hospitals to make all standard charges, including payer-specific negotiated rates, public in a...

More Execs Set Healthcare Cost Cutting Goals, But Targets Are Small

by Jacqueline LaPointe

More health systems are setting healthcare cost reduction goals, but their modest goals are leading to moderate success, according to a new survey conducted by Kaufman Hall and the Healthcare Financial...

Adventist, St. Joseph Hospital Merger Denied Due to Care Concerns

by Samantha McGrail

California’s Department of Justice of Health recently denied the hospital merger request of Adventist Health System/West and St. Joseph Health System over concerns that the transaction would not...