Nearly one-third of providers report a negative experience with payer audits, with one in ten reporting that they spend over $1 million in administrative costs annually, according to a recent Frost and...
The Department of Justice recovered over $3 billion from False Claims cases in the 2019 fiscal year, with $2.6 billion coming form healthcare fraud schemes.
In a recent announcement, the Justice...
Medicare Advantage enrollees had a 2.8 percentage point lower probability of being admitted to a highly rated hospital compared to traditional Medicare enrollees, according to a report from Brown...
The national disparity between gross charges for hospital procedures is substantial, at an average of 297 percent difference between the lowest and highest gross charge for each individual procedure,...
Administrative healthcare spending totaled $812 billion in 2017, representing over one-third (34.2 percent) of total expenditures for physician practices, hospitals, long-term care, and private payers,...
Beaumont Health and Summa Health signed a definitive hospital merger agreement to make Summa Health a subsidiary of Beaumont Health after the two organizations signed a letter of intent last...
The American Medical Association (AMA) recently issued a checklist for physician practices to use when adopting evaluation and management (E/M) coding and documentation changes slated to take effect...
Many hospitals and health systems tout the quality of care benefits of merger and acquisition deals. But a new study from researchers at Harvard University found that hospital acquisitions had little...
HHS’ Office of Inspector General (OIG) is taking steps toward “much needed reform” of Medicare fraud laws, but more can be done to remove the value-based care barriers presented by...
Healthcare Price transparency tools can provide accurate real-time estimates of ambulatory procedures. And a new cost estimation tool showed an 83.9 percent accuracy rate among patients, according to a...
Seven healthcare organizations in Michigan recently signed on to participate in a new shared-risk payment model with Blue Cross Blue Shield of Michigan that will hold the providers accountable for...
Additional providers caring for patients significantly increase in both cost of care and hospital length of stay, a recent IllumiCare report found.
The report emailed to RevCycleIntelligence.com...
The prominence of value-based incentives in physician compensation programs increased by five to seven percent from 2018 to 2019 across four major specialty categories, according to a SullivanCotter...
An overwhelming majority (98 percent) of consumers, hospital executives, physicians, and nurses agreed that healthcare cost and care variations exist.
That was the latest finding from Wolters Kluwer,...
Through the Health Resources and Services Administration (HRSA), HHS is providing $319 million in scholarship and loan repayment awards for dental, medical, and behavioral health to boost the...
Adjusting Medicaid payments for social determinants of health would help address the broader social needs of children and cost restraints at safety-net hospitals, according to researchers from the...
HHS recently awarded nearly $107 million to 1,273 health centers across the country to support quality improvement, as well as care efficiency and value-based care, according to an official...
Commercial accountable care organizations (ACOs) in California are outperforming two common provider network arrangements in terms of care quality and total cost of care, according to a recent analysis...
A new study by the Dartmouth Institute for Health Policy and Clinical Practice shows that Department of Veterans Affairs (VA) hospitals are providing care as good as or better than their peers in the...
Higher care quality and care variation reduction result in lower healthcare costs, according to a new Advisory Board analysis.
Analyzing healthcare cost and quality data from 468 hospitals from...
