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

Hospital Revenue Cycle

Prescription Drug Rates Remain Top Healthcare Supply Chain Issue

by Jacqueline LaPointe

Almost all health system executives (99 percent) in a recent Premier survey agreed that rising prescription drug rates continue to plague their healthcare supply chain. The winter 2017 survey of 91 C-suite executives at health systems...

Value-Based Reimbursement Spurs 8% Hospital Merger Growth

by Jacqueline LaPointe

Value-based reimbursement trends drove health system and hospital merger activity to increase 8 percent compared to the first quarter of 2016, Anu Singh, a Managing Director at Kaufman, Hall & Associates, recently told...

Hospitals Maintain Test Use Despite Healthcare Price Transparency

by Jacqueline LaPointe

Increasing healthcare price transparency for providers did not result in fewer laboratory tests ordered or lower healthcare costs, a recent JAMA Internal Medicine study found. “In this year-long randomized clinical trial conducted...

How Adding Physician Assistants Improves Hospital Revenue Cycle

by Jacqueline LaPointe

Physician assistants are key players on hospital care teams, but leveraging staffing levels and care delivery capabilities may improve hospital revenue cycle. Many hospital leaders and physicians face greater care delivery,...

CMS Calls On Rural Hospitals to Join Alternative Payment Model

by Jacqueline LaPointe

CMS is seeking applicants to participate in a new round of the Rural Community Hospital Demonstration Program that tests a cost-based alternative payment model among small rural hospitals. Lawmakers authorized a five-year extension of the...

Boost Healthcare Competition to Drive Down Prices, Up Quality

by Jacqueline LaPointe

The lack of healthcare competition stemming from recent healthcare merger and acquisition trends resulted in higher prices and lower care quality, industry experts recently argued in a Carnegie Mellon University’s Heinz College white...

AHA: Uncompensated Care Costs Worksheet Inaccurate, Inconsistent

by Jacqueline LaPointe

The American Hospital Association (AHA) recently called on CMS to audit and modify the hospital cost report, Worksheet S-10, before the federal agency uses the report to determine each hospital’s uncompensated care costs and...

Medicaid Expansion Linked to $5M Annual Hospital Revenue Boost

by Jacqueline LaPointe

Hospital revenue in Medicaid expansion states increased by $5 million annually per facility after states chose to extend Medicaid coverage to more individuals, a recent Robert Wood Johnson Foundation and Urban Institute report showed. The...

IL Supreme Court Maintains Non-Profit Hospital Tax Exemption

by Jacqueline LaPointe

The Illinois Supreme Court recently legally voided an appellate court’s decision that non-profit hospital tax exemption was unconstitutional. In Illinois, non-profit hospitals qualify for property tax exemption if the value of all...

NJ Quality Improvement Model Lowers Healthcare Costs by $641M

by Jacqueline LaPointe

Hospitals in New Jersey reduced healthcare costs by over $641 million between 2012 and 2016 after implementing a statewide quality improvement initiative, the New Jersey Hospital Association (NJHA) recently reported. Under the Affordable...

How to Prepare for Alternative Payment Model Implementation

by Jacqueline LaPointe

Implementing interoperable health IT infrastructure and a staffing model that aligns with value-based care requirements are key to successfully participating in an alternative payment model, Marjie Harbrecht, MD, a Medical Group...

Tracking Key Hospital Revenue Cycle Metrics to Up Profitability

by Jacqueline LaPointe

As the value-based reimbursement transition rolls on, many hospitals have adopted “If you can measure it, you can manage it” as their new motto. But how can providers and executives measure hospital revenue cycle...

Hospitals Seek Independent Docs for Referrals, Healthcare Revenue

by Jacqueline LaPointe

A recent SCI Solutions survey found that 58 percent of independent providers do not have one or more preferred referral hospital partners, suggesting a major healthcare revenue opportunity for health systems and hospitals. Out of the 549...

AHA, FAH Oppose Proposed Physician Self-Referral Law Changes

by Jacqueline LaPointe

The American Hospital Association (AHA) and the Federation of American Hospitals (FAH) recently urged lawmakers to oppose a proposed bill that would extend physician self-referral allowances to physician-owned hospitals. In late February,...

Higher Hospital Costs Stem from ICU Overuse for Some Conditions

by Jacqueline LaPointe

Healthcare providers may be able to decrease hospital costs by avoiding ICU admissions for some patients with chronic obstructive pulmonary disease (COPD), exacerbation of heart failure (HF), and acute myocardial infarction (AMI), a recent...

Healthcare C-Suite, Earned Incentive Compensation Down in 2016

by Jacqueline LaPointe

Median healthcare CEO compensation in terms of total cash value remained relatively the same for non-physician executives in 2016, while physician CEOs faced a 3.9 percent reduction, a recent AMGA Consulting survey found. The survey of 78...

78% of Hospital Staff Still Face Manual Supply Chain Management

by Jacqueline LaPointe

Hospitals may not be operating with the most efficient healthcare supply chain management tools, a recent Cardinal Health and SERMO survey found. Only 17 percent of hospital staff reported that their facility installed an automated...

Hospital Costs Fall Despite Overall Healthcare Spending Growth

by Jacqueline LaPointe

Medicare spending growth on both inpatient and outpatient services hit an all-time low for the first time in 17 years, with inpatient hospital costs notably decreasing by 1.9 percent since 2015, the American Hospital Association (AHA)...

Hospitals, Health Systems Eye Financial Snags in ACA Repeal

by Kyle Murphy, PhD

In identical letters to the Trump Administration and Congress, the American Hospital Association and other state and regional associations are urging members of both branches of the federal government to continue working on...

How a Rural Hospital Used Health IT, EHR to Stay Independent

by Jacqueline LaPointe

In a time of declining claims reimbursement rates and value-based care, rural hospitals are struggling more than ever to improve their healthcare revenue cycle management strategies. For many rural hospitals, the decision oftentimes comes...

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