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

Hospital Revenue Cycle

Hospitals Lagging with Healthcare Cost Transformation Efforts

October 17, 2018 - Healthcare cost transformation is a top hospital and health system need. But less than one in five executives reported cost reductions of more than five percent in any priority area in the last year, a new Kaufman Hall survey shows. “US hospitals are facing increasing pressures, so these percentages need to be much, much higher,” Lance Robinson, Managing Director at Kaufman...


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Senator Urges FTC to Investigate Hospital Contracting Practices

by Jacqueline LaPointe

Senate Judiciary Committee Chairman Chuck Grassley (R-IA) recently called on the Federal Trade Commission (FTC) to investigate whether hospitals and payers in the US are deliberately engaging in anticompetitive hospital contracting...

4 Hospital Business Models for Consumer-Centric Healthcare

by Jacqueline LaPointe

When a member of Gurpreet Singh’s family broke his wrist, they didn’t go to a hospital emergency room or an academic medical. Instead, the family headed to an urgent care center to triage the situation and develop a care...

Hospital Prices in Colorado Increase 76% As Expansions Continue

by Jacqueline LaPointe

Hospital prices in Colorado increased 76 percent over a seven-year period as profits rose to some of the highest in the nation, preliminary data from the state’s Department of Health Care Policy and Financing showed. Initial...

GAO Finds Uptick in Rural Hospital Closures as Inpatient Use Falls

by Jacqueline LaPointe

Sixty-four rural hospitals closed between 2013 and 2017, more than double the number of rural hospitals closures in the prior five-year period, the Government Accountability Office (GAO) recently reported. Rural hospital closures are not...

Care Variation Reduction Key to Improving Care Quality, Costs

by Jacqueline LaPointe

Higher care quality and care variation reduction result in lower healthcare costs, according to a new Advisory Board analysis. Analyzing healthcare cost and quality data from 468 hospitals from April 2014 to March 2017, the...

Baylor Scott & White, Memorial Hermann Eye Hospital Merger Deal

by Jacqueline LaPointe

Two major non-profit health systems in Texas recently announced their plans for a hospital merger, which is expected to advance cost-effective patient care in the state. Baylor Scott & White Health, a non-profit based in Dallas,...

CMS Clarifies Healthcare Price Transparency Rules for Hospitals

by Jacqueline LaPointe

CMS recently expanded on new healthcare price transparency requirements for hospitals in a series of frequently asked questions (FAQs) published on its website. The FAQs cover which hospitals are subject to the new requirements, the...

End-to-End Revenue Cycle Management Key to Success at Ascension

by Jacqueline LaPointe

The healthcare revenue cycle contains many moving parts. Hospitals and health systems typically rely on a patchwork of technologies and best practices to ensure everything from patient access and registration to medical billing and...

Hospital Financial Performance Lags with Revenue Cycle Outsourcing

by Jacqueline LaPointe

Revenue cycle outsourcing may not be the financial answer hospitals are looking for, according to a recent analysis from the public accounting, consulting, and technology firm Crowe. The analysis of data from more than 1,000 hospitals...

CFOs Expect Higher Hospital Labor Costs As Staffing Shortages Loom

by Jacqueline LaPointe

About 78 percent of healthcare finance leaders expect hospital labor costs to grow in the next 12 months as the industry faces a worsening shortage of healthcare professionals, a new survey shows. The survey of over 100 CFOs and...

Quantifying Financial Distress to Stop Hospital Bankruptcy, Closure

by Jacqueline LaPointe

More healthcare organizations will face financial troubles, and possibly a hospital bankruptcy or closure, in the coming years as the healthcare industry undergoes major changes. Changes that will result in lower reimbursement rates, more...

Hospital Employment, Medical Group Participation Increases in 2018

by Jacqueline LaPointe

Hospital employment is trending up, with 64 percent of medical professionals in a recent survey by the Medicus Firm reporting being employed by a hospital, medical group, or other healthcare facility in 2018. The percentage of employed...

A Provider-Sponsored Health Plan Is A Hospital’s Natural Next Step

by Jacqueline LaPointe

Many hospitals and health systems are bypassing the ultimate opportunity to gain greater control of the outcomes and costs of their patients. That opportunity is developing their own provider-sponsored health plan, according to Geisinger...

Hospitals to See More 340B Drug Pricing Program Oversight, Azar Says

by Jacqueline LaPointe

According to HHS Secretary Alex Azar, hospitals should expect greater transparency and oversight of the 340B Drug Pricing Program to track how the program’s benefits are used to improve care for low-income and vulnerable...

Hospital Revenue from Patient Financial Responsibility Up 88%

by Jacqueline LaPointe

Total hospital revenue attributable to patient financial responsibility after insurance increased 88 percent between 2012 and 2017, a new TransUnion Healthcare analysis uncovered. The growth in hospital revenue stemming from patient...

21% of Orgs Do Not Have a Hospital Bad Debt Recovery Process

by Jacqueline LaPointe

Even though two-thirds of organizations have up to $10 million in hospital bad debt, some still do not have strategies in place to recover the revenue owed to the organization, a new survey from Sage Growth Partners found. The...

Automated Physician Queries Improve Clinical Documentation at WMHS

by Jacqueline LaPointe

Accurate claims reimbursement hinges on complete clinical documentation, and therefore, quick responses to physician queries regarding medical record documentation and coding. This is especially true in Maryland’s unique hospital...

Would For-Profit Hospital Ownership Improve Quality, Costs in NY?

by Jacqueline LaPointe

New York maintains strict ownership laws that have essentially eliminated for-profit hospital ownership in the state. However, a new report shows that the non-profit hospital model in New York has not led to improved care quality or...

Medicare Fund for Hospital Care to Run Out Sooner Than Expected

by Jacqueline LaPointe

The Medicare fund used to reimburse hospitals under Part A is slated to become insolvent by 2026, three years earlier than last year’s projection, a new report by the Trustees of Medicare and Social Security revealed. The...

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