Out-of-Pocket Healthcare Spending

1% of People Account for 22% of Total Healthcare Spending

by Jacqueline LaPointe

The majority of total healthcare spending is concentrated in a small percentage of the population, according to a new statistical brief from the Agency for Healthcare Research and Quality...

20% of Elective Surgery Patients Receive a Surprise Medical Bill

by Samantha McGrail

Privately insured patients who receive care from in-network physicians may receive surprise bills from out-of-network clinicians they did not choose when undergoing common surgeries, according to a...

Physicians Propose 5 Quality Measures to Improve Medical Billing

by Samantha McGrail

Medical billing quality is a type of medical quality and should be tracked the same way healthcare organizations track medical complication rates and other quality indicators, two physicians from Johns...

Childbirth Complications Boost Hospital Costs by 20%

by Samantha McGrail

Rise in childbirth complications is increasing overall hospital costs. But US hospitals could save nearly 20 percent of these costs by addressing serious conditions linked to preventable harm and...

Sutter Health, CA Reach $575M Settlement Over Anti-Trust Concerns

by Samantha McGrail

California Attorney General Xavier Bacerra recently announced a $575 million settlement with Sutter Health to resolve the health system’s alleged anti-trust behaviors, which a class action...

Providers Charges Higher for Specialists with Most Surprise Bills

by Samantha McGrail

Specialists who can surprise bill – emergency medicine and ancillary physicians – had significantly higher provider charges compared to Medicare payment rates versus other specialists, a...

Patient Financial Responsibility a Problem for Heart Disease

by Samantha McGrail

Nearly one in eight individuals nationwide with common heart diseases choose not to take their prescriptions, delayed filling prescriptions, or took a lower dose than prescribed because of patient...

Patient Financial Responsibility Increased 12% from 2017 to 2018

by Jacqueline LaPointe

Patient financial responsibility increased by 12 percent for inpatient, outpatient, and emergency department care in 2018 despite consumers transitioning to lower cost settings, revealed a new...

White House to Issue Healthcare Price Transparency Next Week

by Kyle Murphy, PhD

The Trump Administration will issue an executive order on healthcare price transparency on Monday, according to the Wall Street Journal. Stephanie Armour reports that the Trump Administration...

Patient Financial Experience the New Focus for Revenue Cycle Tech

by Jacqueline LaPointe

Hospitals and practices have traditionally relied on public and private payers to cover the bulk of patient charges and costs for their services. Everything from their revenue cycle technologies to billing workflows has been tailored to...