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

Hospital Revenue Cycle

21% of Rural Hospitals at High Financial Risk of Closing

February 20, 2019 - A new analysis from consulting firm Navigant revealed that one-in-five rural hospitals is at high risk of closing based on their current financial position. The analysis of publicly available data explored the financial viability and community essentiality of over 2,000 rural hospitals across the country. And researchers found troubling results, including the fact that 430 hospitals...


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Finding Medicaid Eligibility Cuts Hospital Bad Debt by 10%

by Jacqueline LaPointe

Extending insurance discovery efforts to insured patients can boost a hospital’s Medicare bad debt recovery by as much as ten percent annually, a new analysis shows. Identifying insured patients who are also eligible for Medicaid...

Vertical Integration in Healthcare Doesn’t Boost Care Quality

by Jacqueline LaPointe

A new study from Rice University’s Baker Institute for Public Policy shows vertical integration in healthcare has little to no impact on care quality. Performance on a range of measures, including hospital readmissions rates, was...

Providers Seek Prescription Price Transparency, Patient Cost Data

by Jacqueline LaPointe

Providers want to boost prescription price transparency to lower costs and improve care quality, a new survey of over 500 healthcare professionals uncovered. The Engine Group and Surescripts survey showed that 78 percent of professionals...

Hospital Cost Accounting Tool to Cut Costs, Boost Value-Based Care

by Jacqueline LaPointe

The Healthcare Financial Management Association (HFMA) is making a hospital cost accounting roadmap available to all providers looking to reduce variation, waste, and inefficiency. The leading healthcare finance group recently partnered...

Clinical Documentation and Coding Top Revenue Cycle Vulnerability

by Jacqueline LaPointe

Hospital leaders are concerned that their organization’s clinical documentation and coding processes are vulnerable to errors that could result in lost or decreased revenue, according to a recent survey. Consulting firm and...

Baylor Scott & White, Memorial Hermann End Hospital Merger Talks

by Jacqueline LaPointe

Two large non-profit health systems in Texas are calling off a potential $14 billion hospital merger deal five months after signing a letter of intent to combine. In a joint statement, Baylor Scott & White Health and Memorial Hermann...

Hospital Prices Increased Faster Than Physician Prices, Study Finds

by Jacqueline LaPointe

EDITOR'S NOTE: This article has been updated with a statement from the American Hospital Association. Hospital prices increased much more quickly than physician prices for both inpatient and outpatient care from 2007 to 2014,...

Reducing the Rate of Hospital-Acquired Conditions Saved $7.7B

by Jacqueline LaPointe

A significant reduction in hospital-acquired conditions (HACs) saved providers $7.7 billion in hospital costs since 2014, the Agency for Healthcare Research and Quality (AHRQ) recently reported. New data from AHRQ and CMS shows providers...

CHI, Dignity Finalize Hospital Merger, Introduce CommonSpirit

by Jacqueline LaPointe

After over a year of negotiations, Catholic Health Initiatives (CHI) and Dignity Health recently finalized their hospital merger deal to create one of the largest non-profit health systems. The health systems jointly announced the...

Would New Care Access Standards Pave the Way for VA Privatization?

by Jacqueline LaPointe

Veterans may be able to seek more private healthcare under a new proposed rule from the Department of Veterans Affairs (VA), which Secretary Robert Wilkie says is a move to improve care quality for veterans, not VA privatization. Released...

Only 13% of Hospital CFOs Prepared for Value-Based Reimbursement

by Jacqueline LaPointe

Fewer hospital CFOs are prepared to manage the financial impact of evolving business conditions, such as value-based reimbursement and care delivery models, a new survey finds. Consulting firm Kaufman Hall recently surveyed CFOs and other...

Partners HealthCare CEO David Torchiana to Leave in Spring 2019

by Jacqueline LaPointe

The head of the largest health system in Massachusetts recently announced that he will step down later this year. David Torchiana, MD, plans to retire April 29, 2019, after serving as the chief executive of Partners HealthCare since 2015,...

Healthcare Merger and Acquisition Activity Up 14.4% in 2018

by Jacqueline LaPointe

Healthcare merger and acquisition activity in 2018 broke some records, PricewaterhouseCoopers (PwC) reports. Specifically, quarterly deal volumes exceeded 300 merger and acquisition transactions twice. The year ended with providers,...

Loyola Medicine, Palos Health Consider Hospital Merger Deal

by Jacqueline LaPointe

Two Chicago area health systems are considering an official hospital merger after four years of engaging in a strategic partnership. Palos Health and Loyola Medicine jointly announced on Jan. 21, 2019 that the health systems signed a...

Small Hospital Boosts Bottom Line Through Patient Access Automation

by Jacqueline LaPointe

“The patient access area is where everything starts, and that mindset is what led to our success.” That was the sentiment of Deonne Henry, the Vice President of Revenue Cycle at Magnolia Regional Health Center in Mississippi....

Tenet Healthcare Plans to Outsource 1,000+ Positions to Cut Costs

by Jacqueline LaPointe

The country’s largest for-profit hospital system is looking to significantly expand their offshore healthcare workforce in the next year or two. Local news source Dallas News recently reported that the large hospital system is...

Hospital Merger and Acquisition Deals Got Bigger in 2018

by Jacqueline LaPointe

The average size in revenue of the sellers in hospital merger and acquisition deals grew at a compound annual growth rate (CAGR) of 13.8 percent since 2008, reaching $409 million in 2018, consulting firm Kaufman Hall recently...

CMS: We Must Do More Than New Healthcare Price Transparency Rule

by Jacqueline LaPointe

Hospitals may have to publish a list of their standard charges online, but that doesn’t have to be their only step to increase healthcare price transparency, CMS Administrator Seema Verma recently stressed. “While many...

Opioid Overdose Care Totals $1.94B in Annual Hospital Costs

by Jacqueline LaPointe

The opioid crisis is hitting hospital costs, a recent analysis by healthcare improvement company Premier uncovered. Approximately $1.94 billion in annual hospital costs were attributable to patients who experienced an opioid overdose...

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