Practice Management

22 States Want CMS to Repeal Healthcare Vaccine Mandate

by Jacqueline LaPointe

The healthcare vaccine mandate from CMS is no longer needed, according to attorneys general from nearly half the states. A coalition of attorneys general from 22 states have filed a petition under the...

Providers Vary When Measuring Return on Investment of RCM Automation

by Victoria Bailey

Healthcare providers vary widely in how, when, and what they measure for return on investment (ROI) of revenue cycle management (RCM) automation, according to a survey from the Healthcare Financial...

Aggressive Medical Debt Collection, Other Proposed Never Events

by Jacqueline LaPointe

Hospitals work hard to avoid “never events,” or serious, largely preventable, and harmful events identified by the National Quality Forum (NQF). These never events include performing...

KFF: Varying Hospital Charity Care Policies Influence Spending

by Victoria Bailey

Half of all hospitals reported spending 1.4 percent or less of their operating expenses on charity care in 2020, but spending varied due to different state-level charity care policies, according to...

Financial Challenges Persist for Hospitals, Physicians in September

by Victoria Bailey

Hospitals and physician practices continued to face financial challenges in September, as expenses outpaced revenue and operating margins remained negative, according to data from Kaufman...

COVID-19 Labor Shortages Impacted Reproductive Health Workforce

by Jacqueline LaPointe

Access to contraception and abortion services is up in the air after the Supreme Court overturned Roe v. Wade earlier this year, but a new study published in JAMA Network Open suggests that access to...

How UT Health East Texas Addresses Healthcare’s Waste Problem

by Jacqueline LaPointe

The US healthcare system has a waste problem. Recent research published in JAMA confirmed that about a quarter of healthcare spending in the country can be attributed to waste, with wasteful spending totaling up to $935 billion. Waste is...

KLAS Rates Provider Credentialing Solution Efficiency

by Jacqueline LaPointe

Healthcare organizations have tapped vendors for provider credentialing solutions to increase efficiency, but not all companies are created equal, a new KLAS report suggests. “Credentialing...

Revenue Cycle Management Software Investments On The Rise

by Jacqueline LaPointe

Healthcare providers are doubling down on software investments and they are putting their money on revenue cycle management solutions to address key challenges, according to a new report from KLAS and...

Why Text-to-Pay is a Key Resource in the Patient Collections Toolbox

by Jacqueline LaPointe

The revenue cycle management department at MainStreet Family Care in Alabama has a mission, and that is to give patients every opportunity to pay their financial responsibility. “We give the patient every opportunity that we can and...

Practices Most Frustrated With Prior Auths, Then No Surprises Act

by Jacqueline LaPointe

Prior authorizations are still the top regulatory burden according to executives from group practices, while No Surprises Act compliance has debuted on the list this year as the second most burdensome...

CMS Seeks Input on National Directory of Healthcare Providers

by Jacqueline LaPointe

CMS is looking for stakeholder feedback on establishing the first, national directory of healthcare providers and services, according to an unpublished Federal Register notice. In the request for...

Hospital Margins Remained Negative in August Despite Revenue Increases

by Victoria Bailey

Health system finances will likely remain unstable for the rest of the year, as rising patient volumes and revenues were not enough to offset negative hospital margins in August 2022, according to a...

Most Nonprofit Hospitals Updated Charity Care Policies During Pandemic

by Victoria Bailey

Nonprofit hospitals were more likely to make positive changes to their charity care policies rather than restrictive updates during the COVID-19 pandemic, according to a study published in JAMA Network...

Physician-Led Hospitals Advance Care Quality, Market Competition

by Victoria Bailey

Physician-led hospitals improve care quality and lower patient costs by driving market competition, making them an effective option to combat healthcare consolidation, according to a study conducted by...

New Paper Claims Hospital Prices Are “Bleeding Americans Dry”

by Jacqueline LaPointe

A new paper from the patient advocacy group Families USA is taking aim at hospitals and health systems. The report claims that high hospital prices are “bleeding Americans dry” as these...

HHS Requests Stakeholder Feedback on Good Faith Estimate Requirements

by Victoria Bailey

HHS, along with three other federal agencies, has issued a request for information (RFI) to gather stakeholder feedback on the advanced explanation of benefits (AEOB) and good faith estimate (GFE)...

Healthcare Compliance Will Be a Challenge in Post-PHE World

by Victoria Bailey

The COVID-19 public health emergency (PHE) declaration was accompanied by several waivers and flexibilities that made it easier for healthcare providers to care for patients amid a global pandemic. Expanded telehealth coverage, Stark Law...

Predictive Analytics Streamline Hospital Operations at Seattle Children’s

by Jacqueline LaPointe

There are several Seattle Children’s Hospitals. No, you can’t physically go to these other “hospitals” for world-class pediatric care, but the organizations are helping to make Seattle Children’s more...

Uninsured Rate Falling as Public Coverage Increases

by Jacqueline LaPointe

It stands to reason that providers are treating more patients with health insurance. A new report from the US Census Bureau shows that the percentage of people covered by some type of health insurance...