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

Hospital Revenue Cycle

Bon Secours, Mercy Health Engaging in Hospital Merger Talks

by Jacqueline LaPointe

Maryland-based Bon Secours Health System recently announced its intent to engage in a hospital merger deal with Mercy Health in Ohio and Kentucky. The Catholic health systems are currently engaged in merger talks, with a final deal...

Patient Education Boosts Revenue, Quality for Joint Replacements

by Jacqueline LaPointe

Offering interactive patient education pre- and post-total joint replacement surgery is key to improving patient outcomes and generating new revenue, a multi-specialty hospital system in the Twin Cities area recently found. An estimated 7...

State Green Lights Partners, Mass. Eye and Ear Hospital Merger

by Jacqueline LaPointe

Massachusetts public health officials recently approved a proposed hospital merger between the state’s largest hospital system, Partners HealthCare, and specialty hospital Massachusetts Eye and Ear. The Public Health Council...

Addressing Regulatory Burden, Patient Payments Top HIMSS18 Trends

by Jacqueline LaPointe

Healthcare finance professionals can bet on discussing compliance, innovative health IT systems, and patient financial responsibility at the 2018 HIMSS Annual Conference and Exhibition (HIMSS18) in Las Vegas. Over 45,000 healthcare...

Financial Challenges Continue to Trouble Community Hospital CEOs

by Jacqueline LaPointe

Financial challenges continued to keep community hospital CEOs up at night in 2017, according to a recent American College of Healthcare Executives (ACHE) survey. Once again, hospital leaders identified financial obstacles as the top...

Flexibility, Value-Based Payment Key to Rural Hospital Success

by Jacqueline LaPointe

Health policies should provide rural hospitals with the flexibility to develop healthcare services that meet community needs and the value-based payment and funding structures to support tailored services, the Bipartisan Policy Center...

Health Systems Form Drug Company to Combat Rising Costs, Shortages

by Jacqueline LaPointe

Intermountain Healthcare, Ascension, SSM Health, and Trinity Health recently announced that they will create a non-profit generic drug company to reduce prescription costs and alleviate critical drug shortages. With consulting services...

Hospital Closures Increased in States Without Medicaid Expansion

by Jacqueline LaPointe

Hospitals in Medicaid expansion states were six times, or about 84 percent, less likely to face hospital closures than their peers in non-expansion states, a new Health Affairs study showed. The hospital closure rate decreased by 0.33 per...

3 Strategies to Reduce Hospital Readmission Rates, Costs

by Jacqueline LaPointe

Providers understand that high hospital readmission rates spell trouble for patient outcomes. But excessive rates may also threaten a hospital's financial health, especially in a value-based reimbursement...

6 Major Hospital Merger Deals Making Headlines in 2018

by Jacqueline LaPointe

In 2017, the healthcare industry saw a boom of hospital merger announcements. And many of those deals are set to close in 2018 pending federal and state regulatory review. Hospital merger and acquisition activity last year was well on its...

4 Key Ways to Improve Healthcare Revenue Cycle Management

by Jacqueline LaPointe

“There is always room for improvement” should be healthcare revenue cycle management’s mantra. Declining claims reimbursement rates, the shift to value-based purchasing, and evolving health policies keep revenue cycle...

Top 10 ICU Diagnoses Driving Up Healthcare Costs, Care Variations

by Jacqueline LaPointe

Cardiac procedures and sepsis dominated the list of top ten intensive care unit (ICU) diagnoses that represented the greatest opportunity for hospitals to reduce healthcare costs and care variations for ICU length of stay, a recent Premier...

Advocate, Aurora and Dignity Health, CHI Sign Hospital Merger Deals

by Jacqueline LaPointe

The healthcare market in Chicago is bracing for some major changes starting with the recently announced hospital merger between Advocate Health Care and Wisconsin-based Aurora Health Care. The largest health system in Illinois revealed...

ED Spending Increases 85% As Hospitals Code for More Severe Cases

by Jacqueline LaPointe

Emergency department spending per member rose 85 percent between 2009 and 2015 primarily because of hospitals coding and billing for a greater number of high severity cases, new Health Care Cost Institute (HCCI) data revealed. Spending on...

Private Payer A/R, Denials Performance Troubles Hospital Revenue

by Jacqueline LaPointe

Small differences in private payer performance on claims reimbursement and denials can challenge hospital revenue cycles, a new Crowe Horwath analysis of five major commercial managed care payers uncovered. “Many providers focus...

Value-Based Contracts Rely on Patient Attribution, Data Sharing

by Jacqueline LaPointe

CMS aims to tie 90 percent of Medicare fee-for-service payments to quality by the end of 2018, with one-half of those payments to be paid under a value-based contract with some degree of financial risk. With ambitious goals from the...

Hospitals Write Off 90% More Claim Denials, Costing up to $3.5M

by Jacqueline LaPointe

Hospitals strengthened key revenue cycle components over the past two years, but claims denials represented a major threat to their financial health, the recent Revenue Cycle Survey from Advisory Board revealed. Health systems and...

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

by Jacqueline LaPointe

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...

Trevor Fetter Steps Down as Tenet Healthcare Corp CEO, Director

by Jacqueline LaPointe

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...

2017 Hospital Merger Activity Likely to Beat 102 Deals in 2016

by Jacqueline LaPointe

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...

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