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

Hospital Revenue Cycle

Pay-for-Performance Models Hurt Safety-Net Hospital Finances

October 25, 2017 - Medicare pay-for-performance models may disproportionately penalize safety-net hospitals and other organizations that serve the most vulnerable patient populations, a new study in Medical Care found. Hospitals in one of the most socioeconomically disadvantaged regions in the nation, the Mississippi Delta, faced growing financial performance gaps compared to their peers after Medicare implemented...


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Trevor Fetter Steps Down as Tenet Healthcare Corp CEO, Director

by Jacqueline Belliveau

Tenet Healthcare Corporation CEO Trevor Fetter stepped down earlier than expected as head of the health system. He also resigned as director of the company, Tenet recently announced. The health system stated in August 2017 that Fetter would no...

2017 Hospital Merger Activity Likely to Beat 102 Deals in 2016

by Jacqueline Belliveau

Healthcare organizations engaged in 87 hospital merger and partnership transaction so far in 2017, a recent Kaufman Hall analysis showed. The most recent data revealed that 29 hospital merger and partnership deals were announced in the third...

Hospital Mergers Take Two or More Years to Produce Cost Savings

by Jacqueline Belliveau

Hospital mergers and acquisitions resulted in immediate decreases in operating expenses per adjusted admission. However, acquired facilities also saw operating revenue decline at a higher rate, leading to falling operating margins for the first...

Tenet Starts Chicago Market Exit with Sale of MacNeal Hospital

by Jacqueline Belliveau

Tenet Healthcare Corporation recently announced that Loyola Medicine has signed a definitive agreement to purchase MacNeal Hospital, one of Tenet’s four hospitals in the Chicago area. Loyola Medicine, an affiliate of Trinity Health, will...

$67.4B in Hospital Community Benefit Outweighs Tax Revenue Loss

by Jacqueline Belliveau

Non-profit hospitals and health systems delivered $67.4 billion in community benefit activities in 2013, representing a benefit 11 times greater than the value of the tax revenue forgone by the tax-exempt status of the healthcare organizations,...

Healthcare Price Growth Hits Lowest Rate in About Two Years

by Jacqueline Belliveau

Healthcare price growth in August 2017 increased by just 1.2 percent compared to the previous year, reaching the lowest growth rate in nearly two years and only three-tenths above the lowest growth rate ever recorded by Altarum Institute’s...

Does Where Freestanding EDs Operate Change Hospital Payer Mix?

by Jacqueline Belliveau

Freestanding emergency departments (EDs) may be altering the payer mix at the equivalent hospital-based facility because the freestanding EDs tend to be located in areas with greater household incomes and insured rates, stated a recent Health...

Physician Advisors Crucial to Navigating Reimbursement Rules

by Jacqueline Belliveau

When physicians are asked why they went into medicine, the classic response is that they wanted to help people. But as value-based reimbursement takes hold and clinical documentation demands increase, providers are finding that the business of...

Cancer Care Costs 60% Higher at Hospitals Vs Independent Orgs

by Jacqueline Belliveau

Hospital-based cancer care for patients undergoing chemotherapy was 60 percent more expensive compared to the same treatment at community-based oncology practices, according to a recent study by Xcenda and Lucio Gordan, MD, Medical Director in...

Hospitals Turn to Bolt-On, Outsourced Revenue Cycle Management

by Jacqueline Belliveau

About 45 percent of large and community hospitals will use multiple core and bolt-on software solutions as part of their organization’s revenue cycle management strategy until 2019, according to a new Black Book survey. On the other hand,...

Health Systems Responsible for 70% of Acute Care Hospitals

by Jacqueline Belliveau

New data from the Agency for Healthcare Research and Quality (AHRQ) showed that most hospitals were part of a health system in 2016. Almost 70 percent of non-federal generate acute care hospitals belonged to a health system, or network of at...

Reps Eye Delay for Medicaid Disproportionate Share Hospital Cuts

by Jacqueline Belliveau

Three House Representatives recently called on their Congressional peers to postpone implementing a rule that would reduce Medicaid Disproportionate Share Hospital (DSH) payments starting on Oct. 1, 2017. The bipartisan letter from Representatives...

Over 50% of Orgs Lack Adequate Healthcare Cost Reduction Goals

by Jacqueline Belliveau

An overwhelming majority of healthcare executives (96 percent) stated that cost transformation is a significant need for their hospital or health system. Yet, over one-half of organizations either do not have a healthcare cost reduction goal...

Revenue Cycle Management, Upgrades Jump to Top Hospital Priority

by Jacqueline Belliveau

Hospitals leaders are pushing revenue cycle management to the top of their priority lists in the last quarter of 2017, a recent Black Book Market Research survey uncovered. Almost three-quarters of struggling hospitals are prioritizing revenue...

Tenet Sells Remaining Philly Hospitals, Announces Divestitures

by Jacqueline Belliveau

Tenet Healthcare Corporation will no longer own hospitals in Philadelphia after the Dallas-based company recently sold Hahnemann University Hospital and St. Christopher’s Hospital for Children for $170 million. The national healthcare organization...

Key Strategies for Health Systems to Achieve Economies of Scale

by Jacqueline Belliveau

Companies from across industries use economies of scale to realize cost savings. While hospitals and health systems are borrowing the economic concept to reduce spending, many healthcare organizations have encountered challenges with achieving...

In IRS First, Non-Profit Hospital Loses Status Under ACA Rules

by Jacqueline Belliveau

The IRS recently revoked a rural hospital’s non-profit status for failure to meet new community health needs assessment requirements under the Affordable Care Act. According to an IRS letter dated Feb. 14, 2017, the unnamed hospital lost...

Exploring Key Components of the Healthcare Revenue Cycle

by Jacqueline Belliveau

The healthcare revenue cycle encompasses “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue,” according to the Healthcare Financial Management Association...

Post-Acute Care Payment Reform Threatens Rural Hospitals

by Jacqueline Belliveau

A proposed unified Medicare reimbursement for post-acute care services and value-based care payment models, such as accountable care organizations (ACOs) and bundled payments, may propel rural hospital closures as the reforms lower their post-acute...

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