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

Medicare Spending

Healthcare Spending Growth Slows, Increasing 3.9% in 2017

December 6, 2018 - Healthcare spending grew at a rate of 3.9 percent in 2017, slowing to rates observed during the 2008 to 2013 period, CMS actuaries recently reported. The analysis from the Office of the Actuary at CMS, published by Health Affairs, showed that healthcare spending growth continues to slow. Growth slowed for the second consecutive year after healthcare spending accelerated 4.8 percent in...


More Articles

New Medicare Reimbursement for Lab Tests May Overpay by Billions

by Jacqueline LaPointe

A new Medicare reimbursement system for clinical laboratory tests could increase spending for the public healthcare program by over $11 billion by 2020, a new Government Accountability Office (GAO) report shows. The federal watchdog found...

Steady, Moderate Growth for Healthcare Prices and Spending in 2018

by Jacqueline LaPointe

Healthcare prices and spending are seeing steady, but moderate growth, the Altarum Center for Value in Health Care recently reported. Healthcare prices increased just two percent in the second quarter of 2018, bringing healthcare price...

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...

Medicare Spending Greater on Patients in Downside Risk MSSP ACOs

by Jacqueline LaPointe

Moving accountable care organizations (ACOs) to Medicare Shared Savings Program (MSSP) tracks with downside financial risk may not help the accountable care initiative generate savings, according to a new analysis from the Center for...

Site-Neutral Medicare Reimbursement Too Low for LTCHs, AHA Argues

by Jacqueline LaPointe

Site-neutral Medicare reimbursement for long-term care hospitals (LTCHs) will cover less than half the actual costs of care for qualifying cases, the American Hospital Association (AHA) recently told CMS. The Bipartisan Budget Act of 2013...

MD All-Payer Alternative Payment Model Met Medicare Spending Goal

by Jacqueline LaPointe

The Maryland All-Payer alternative payment model has already met and exceeded its five-year goal of reducing Medicare spending on hospitals by $330 million and the state is on its way to achieving care quality improvement goals, the...

Medicare Spending, Prices Drive Healthcare Spending Growth

by Jacqueline LaPointe

The healthcare share of the economy should reach 19.7 percent by 2026 as the average annual rate of national healthcare spending growth rate and Medicare spending accelerates, the CMS Office of the Actuary recently projected. The data,...

Medicare Spends $3.1B More on Hospital-Employed Physicians

by Jacqueline LaPointe

Total Medicare spending on four cardiology, orthopedic, and gastroenterology services increased by $3.1 billion between 2012 and 2015 because of the growing number of hospital-employed physicians, a recent Physicians Advocacy...

Service Prices Drove $933.5B Increase in Healthcare Spending

by Jacqueline LaPointe

Service prices and intensity represented over one-half of the $933.5 billion increase in healthcare spending between 1996 and 2013, a new Journal of the American Medical Association study revealed. Prices and intensity were the primary...

MSSP ACOs Decreased Spending by $1B, Improved Care Quality

by Jacqueline LaPointe

Accountable care organizations (ACOs) participating in the first three years of the Medicare Shared Savings Program (MSSP) reduced Medicare spending, with a net reduction of almost $1 billion, according to a new OIG report. The analysis...

Seeing PCP As Main Provider Lowered Medicare Spending by 9%

by Jacqueline LaPointe

Using a primary care provider versus a specialist as the predominant provider of care and care coordination resulted in similar clinical outcomes for Medicare beneficiaries. But Medicare spending was $1,781 lower per beneficiary, a recent...

High-Cost Patients Widely Distributed Across Hospitals, Markets

by Jacqueline LaPointe

A recent American Journal of Managed Care study attempting to understand why some patients incur higher healthcare costs than others found that high-cost patients were evenly spread across providers and healthcare markets. Using a 20...

32 Orgs to Cut Healthcare Costs, Use Under CMS Community Demo

by Jacqueline LaPointe

As part of the Accountable Health Communities Model, CMS recently selected 32 organizations to participate in two of the three program tracks that aim to lower healthcare costs and utilization by fostering clinical and community service...

Healthcare Spending Varies More by Provider Than Hospital

by Jacqueline LaPointe

A recent JAMA Internal Medicine study uncovered that healthcare spending varied more across individual providers than across hospitals. Based on Medicare data on hospitalized beneficiaries from 2011 to 2014, researchers from several...

More Primary Care Leads to Less End-of-Life Medicare Spending

by Jacqueline LaPointe

Regions with more primary care providers saw less Medicare spending on end-of-life care compared to areas with less primary care practices, a recent Annals of Family Medicine study found. Medicare spending during the last two years of life...

Medicare Spending on Drug Coverage Tripled from 2010 to 2015

by Jacqueline LaPointe

Medicare spending on prescription drugs under the Part D catastrophic coverage program more than tripled from 2010 to 2015, increasing from $10.8 billion to $33.2 billion, the Office of the Inspector General (OIG) recently reported. The...

CMS Reveals Medicare-Medicaid Accountable Care Organization

by Jacqueline LaPointe

CMS recently unveiled a Medicare-Medicaid accountable care organization (ACO) model that will allow participating providers in the Medicare Shared Savings Program to take on accountability for Medicaid costs and quality of care for...

Primary Care Initiative Continues to Reduce Medicare Spending

by Jacqueline LaPointe

The Comprehensive Primary Care Initiative (CPC) continued to improve quality of care and reduce Medicare spending in 2015 even though the initiative has yet to generate net healthcare savings, according to an official CMS blog post. In...

Higher Medicare Reimbursement Not Related to Better Quality

by Jacqueline LaPointe

According to a recent study in JAMA Surgery, Medicare reimbursement amounts for patients who were rescued from surgical complications were two to three times greater at the highest cost-of-rescue hospitals, even though patient outcomes...

X

Join 30,000 of your peers and get free access to all webcasts and exclusive content

Sign up for our free newsletter:

Our privacy policy


no, thanks

Continue to site...