Accountable care organizations (ACOs) were created to push the industry away from fee-for-service towards value-based care. Through care coordination and a shared savings payment model, ACOs strive to...
Coordination is key to the online retail industry. From the moment you click “order” on Amazon or Walmart.com, the retailer instantly starts packaging and mailing your item, providing you...
Last week, CMS Administrator Seema Verma reported that CMS approved the applications for 53 new accountable care organizations (ACOs) to join the Medicare Shared Savings Program (MSSP) starting on Jan....
For an academic health system with 8,000 employees and $2.9 billion in revenue, running an efficient revenue cycle is paramount.
Nebraska Medicine is a large academic health system with two hospitals...
There is always room for improvement in the hospital revenue cycle, according to Rodney Adams, a revenue cycle leader with over 15 years of experience and the current associate administrator of finance...
HHS recently made moves to update the Stark Law and Anti-Kickback Statute, two healthcare fraud rules created decades ago that have prevented physicians, hospitals, and other healthcare providers from...
Accountable care organization (ACO) success was no stranger to physicians at Advocate Health Care and Aurora Health Care. Now that the two major health systems are combined, the new...
Leaders consider North Valley Hospital in Whitefish, Montana a community hospital. But for revenue cycle management staff at the non-profit, critical access hospital with 25 beds, that sense of...
As one of the largest non-profit health systems in the country, Banner Health relies on hundreds of contracts to ensure providers have the supplies they need to deliver high-quality care, and now spend...
Hospitals rejoiced last week after a federal judge decided to toss Medicare’s most recent attempt to expand a site-neutral payment policy that would have reduced payments to hospital outpatient...
Leaders from payer and provider organizations are developing strategies to address rising healthcare costs in 2020 through price transparency and more consumer-focused initiatives, according to...
Physician practices and hospital outpatient clinics treat a similar number of commercially insured patients needing physician-administered drugs, but hospitals receive a larger share of the gross...
A physician’s top priority is always to deliver the highest quality care possible to patients. But in an increasingly sophisticated and difficult healthcare market, the providers are now finding...
Each stakeholder brings their own definition of value to the table when developing alternative payment models, which incent providers through value-based payments to deliver care that aligns with the...
At a time when operating income is falling for most hospitals and practices, Atrius Health, Inc., the largest non-profit independent medical group in New England, is reporting a $38.7 million operating...
Recent healthcare price transparency rules have pulled back the veil on the hospital chargemaster, calling into question hospital chargemaster management best practices.
Once considered a trade secret...
Hospital mergers and acquisitions have the potential to improve affordability, care access, and innovation. But rapid growth has not necessarily helped patients pay their growing financial...
The Trump Administration touted a new executive order on hospital price transparency as a “historic action … fundamentally changing the nature of the healthcare marketplace.” But...
Value-based payment reform will be the key to lowering healthcare costs and improving care quality, according to health economist Michael Chernew, PhD.
At AHIP’s 2019 Institute & Expo in...
The healthcare industry is moving beyond just the development and adoption of alternative payment models (APMs), according to Aparna Higgins, a former leader at the Health Care Payment Learning and...
