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

Medicare Spending

Medicare Advantage Value-Based Care Arrangements Up Revenue

by Jacqueline DiChiara

Healthcare providers have yet to recognize the significant yet untapped potential of Medicare Advantage value-based care arrangements to increase revenue, according to a study from Deloitte.  Health plans are apparently stressed,...

CMS Reports SNF Payment Incentives May Cut Medicare Spending

by Jacqueline DiChiara

Medicare spending is falling, according to an annual report from the Centers for Medicare & Medicaid Services (CMS) that assessed how to reduce avoidable hospitalizations for long-stay nursing facility residents. Well-targeted...

CMS Tackles Medicare Spending, Medicaid Financial Incentives

by Jacqueline DiChiara

Medicare and Medicaid spending demands closer alignment for healthcare providers to better manage costs, according to a new report from the Centers for Medicare & Medicaid Services (CMS). A CMS/state partnership Capitated...

Value-Based Incentives Enrich Accountable Care Organizations

by Jacqueline DiChiara

Pay-for-performance incentives positively sway physician behavior when it comes to value-based care advancement, according to a new JAMA Pediatrics study. Financial incentives tied to value-based reimbursement advance basic health measures,...

Medicare Spending Up, Medicare Shared Savings Requires Risk

by Jacqueline DiChiara

Medicare spending is on the rise as the sizable impact of high-priced drugs on healthcare spending evolves. Accountable Care Organizations (ACOs) appear to be either in, out, or somewhere in between on the financial risk spectrum. Will ACOs take...

Why Medicare Reform Means Maintaining Low Cost, Readmissions

by Jacqueline DiChiara

Medicare reform must boldly empower seniors to better control their healthcare spending, according to an October report from Devon M. Herrick, PhD, Senior Fellow at the National Center for Policy Analysis. Herrick presents a tri-fold...

NAMD Pens Medicare Part B Letter Urging Congress to Act Now

by Jacqueline DiChiara

The National Association of Medicaid Directors (NAMD) penned a letter yesterday to various leaders of the Senate Committee on Finance, House Committee on Ways and Means and House Energy and Commerce Committee "respectfully" urging Congress...

70 Healthcare Groups Pen Medicare Part B Letter to Congress

by Jacqueline DiChiara

Medicare Part B, which helps pay for the majority of outpatient services, is in the midst of heated Congressional conversation. As RevCycleIntelligence.com reported last week, according to predictions via a personal interview with the...

CMS Awards $110M in ACA Funds to Cut Avoidable Readmissions

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has awarded $110 million to 17 national, regional, and state hospital associations and health system organizations to help slash preventable hospital readmissions. CMS’ Partnership...

Can Cost Sharing Models Improve Medicare Spending Issues?

by Sara Heath

Although Medicare is reportedly fiscally solvent until 2030, some researchers say the program contributes to healthcare industry woes at a large extent. According to Devon M. Herrick, PhD, Health Economist and Senior Fellow at the National Center...

JPandS Talks Medicare Costs, Physician Deficit, Cadillac Tax

by Jacqueline DiChiara

Along with the fiftieth anniversary of Medicare comes reflection. A recent series of writings within the fall issue of the Journal of American Physicians and Surgeons (JPandS) highlights numerous flaws within medicine and the greater healthcare...

Hospitals Dodge Financial Penalty with Medicare ACA Loophole

by Jacqueline DiChiara

According to the Affordable Care Act (ACA), hospitals demonstrating low quality measures face financial penalties under Medicare. However, due to a discovered loophole as confirmed within a new Health Affairs study, hospitals are...

Medicare, Affordable Care Act Spending Discussion Continues

by Jacqueline DiChiara

Medicare and the Affordable Care Act's (ACA) financial future is perhaps nothing more than a cyclone of ever-evolving opinions. A recent RevCycleIntelligence.com article, Will Medicare Part D Prescription Drug Plans Stabilize, has been...

SNFs to Receive Funds Via Proposed Rural Healthcare Bill

by Sara Heath

New legislation may be able to alleviate the healthcare and Medicare costs that have for so long caused issues regarding access to care in rural areas. Skilled nursing facilities (SNFs) may see an increase in funding thanks to a proposed bill...

CMS Answers ICD-10 FAQs for Healthcare Providers

by Sara Heath

ICD-10 implementation will begin on October 1, 2015, and as such, the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) announced that, in order to ease the transition, they will be flexible when filing...

As Medicare Turns 50, Does It Still Make Financial Sense?

by Sara Heath

As Medicare’s 50th birthday approaches, critics begin to question whether the program should be rescued and updated for today’s health economy, or if it should be phased out and eventually dissolved, according to a news...

CMS’s UDI Claim Form Inclusion Strengthens Medicare Spending

by Jacqueline DiChiara

The simple concept of labeling is a vital yet overlooked aspect of the healthcare industry. More attention to the identification of medical devices as they are distributed and utilized is needed to strengthen the industry’s collective...

Senate Finance Committee, NKF Address Medicare Spending

by Jacqueline DiChiara

The vast majority of Medicare dollars – 93 percent – accounts for chronic illness. As reported by RevCycleIntelligence.com, a recent legislative proposal from the Senate Finance Committee aims to dramatically improve care for rurally-based...

Senate Finance Committee, Conway, Address Medicare Spending

by Jacqueline DiChiara

Medicare beneficiaries with chronic conditions will hopefully receive greater assistance due to a new legislative proposal from the Senate Finance Committee. The committee will soon acquire stakeholder input regarding a bipartisan legislation...

HHS Launches Health Care Payment Learning and Action Network

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) Secretary Sylvia M. Burwell met with President Obama to launch the Health Care Payment Learning and Action Network. An estimated 2800 payers, providers, employers, patients, states, consumer groups,...

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