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

Revenue Cycle Management

Automating Healthcare Contract Management Improves Business Ops

November 15, 2017 - Improving care access at hospitals is key to ensuring the health of pregnant women and their babies. But the business operations behind improving care access, such as employee and vendor contract management, must be as efficient as possible to support physicians and their care teams on the clinical side. This was the case at OB Hospitalist Group (OBHG) in South Carolina. The organization operates...


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Type of Provider Data Presented Influences Patient Volume, Choice

by Jacqueline Belliveau

Healthcare consumers who initially prioritized appointment availability when choosing a physician were four times more likely to select a physician based on provider data on quality performance and clinical expertise when presented with more...

How Did Providers Respond to Demand After the Affordable Care Act?

by Jacqueline Belliveau

Provider organizations employed additional staff, especially advanced practice clinicians, and expanded facilities and hours in response to increased care demands from more insured patients under the Affordable Care Act, a new Urban Institute...

Tenet Cuts 1,300 Jobs as Part of $150M Cost Reduction Initiative

by Jacqueline Belliveau

Tenet Healthcare Corporation recently announced the elimination of approximately 1,300 jobs as part of the health system’s effort to reduce annual operating costs by $150 million by the end of 2018. The Dallas-based health system will implement...

Healthcare Merger, Acquisition Activity to Rise Despite Slow Q3

by Jacqueline Belliveau

Healthcare mergers and acquisition activity in the third quarter of 2017 may be down by 11 percent compared to last year and 6 percent compared to last quarter. But deal volume still reached over 200 announced transactions for the twelfth quarter...

Health Centers Use Business Tactics to Compete with Private Orgs

by Jacqueline Belliveau

Federally qualified health centers (FQHCs) are the backbone of the healthcare safety net. But rising competition from hospitals and other healthcare organizations may be the straw that breaks that back. FHQCs receive enhanced Medicare and Medicaid...

Pay-for-Performance Models Hurt Safety-Net Hospital Finances

by Jacqueline Belliveau

Medicare pay-for-performance models may disproportionately penalize safety-net hospitals and other organizations that serve the most vulnerable patient populations, a new study in Medical Care found. Hospitals in one of the most socioeconomically...

Trevor Fetter Steps Down as Tenet Healthcare Corp CEO, Director

by Jacqueline Belliveau

Tenet Healthcare Corporation CEO Trevor Fetter stepped down earlier than expected as head of the health system. He also resigned as director of the company, Tenet recently announced. The health system stated in August 2017 that Fetter would no...

2017 Hospital Merger Activity Likely to Beat 102 Deals in 2016

by Jacqueline Belliveau

Healthcare organizations engaged in 87 hospital merger and partnership transaction so far in 2017, a recent Kaufman Hall analysis showed. The most recent data revealed that 29 hospital merger and partnership deals were announced in the third...

Hospital Mergers Take Two or More Years to Produce Cost Savings

by Jacqueline Belliveau

Hospital mergers and acquisitions resulted in immediate decreases in operating expenses per adjusted admission. However, acquired facilities also saw operating revenue decline at a higher rate, leading to falling operating margins for the first...

Tenet Starts Chicago Market Exit with Sale of MacNeal Hospital

by Jacqueline Belliveau

Tenet Healthcare Corporation recently announced that Loyola Medicine has signed a definitive agreement to purchase MacNeal Hospital, one of Tenet’s four hospitals in the Chicago area. Loyola Medicine, an affiliate of Trinity Health, will...

$67.4B in Hospital Community Benefit Outweighs Tax Revenue Loss

by Jacqueline Belliveau

Non-profit hospitals and health systems delivered $67.4 billion in community benefit activities in 2013, representing a benefit 11 times greater than the value of the tax revenue forgone by the tax-exempt status of the healthcare organizations,...

Does Where Freestanding EDs Operate Change Hospital Payer Mix?

by Jacqueline Belliveau

Freestanding emergency departments (EDs) may be altering the payer mix at the equivalent hospital-based facility because the freestanding EDs tend to be located in areas with greater household incomes and insured rates, stated a recent Health...

Order History, Machine Ownership Leads to Low-Value Imaging

by Jacqueline Belliveau

Providers are more likely to order costly, low-value imaging services if they have a history of ordering the services, a high rate of imaging in another low-value clinical situation, and an ownership stake in the imaging equipment, uncovered...

Hospitals Turn to Bolt-On, Outsourced Revenue Cycle Management

by Jacqueline Belliveau

About 45 percent of large and community hospitals will use multiple core and bolt-on software solutions as part of their organization’s revenue cycle management strategy until 2019, according to a new Black Book survey. On the other hand,...

Healthcare Workforce Demand Growing Faster than Provider Supply

by Jacqueline Belliveau

The demands of the healthcare workforce are significantly outpacing the supply of new doctors available, especially for primary care providers, a recent Merritt Hawkins survey uncovered. The survey of 935 physicians in their final year of residency...

Healthcare RCM Vendors ZirMed and Navicure Announce Merger

by Jacqueline Belliveau

Healthcare revenue cycle management vendors Navicure and ZirMed recently announced that the organizations signed a definitive agreement to merge. Navicure will supposedly acquire ZirMed in a deal that values at about $750 million, sources told...

Over 50% of Orgs Lack Adequate Healthcare Cost Reduction Goals

by Jacqueline Belliveau

An overwhelming majority of healthcare executives (96 percent) stated that cost transformation is a significant need for their hospital or health system. Yet, over one-half of organizations either do not have a healthcare cost reduction goal...

Revenue Cycle Management, Upgrades Jump to Top Hospital Priority

by Jacqueline Belliveau

Hospitals leaders are pushing revenue cycle management to the top of their priority lists in the last quarter of 2017, a recent Black Book Market Research survey uncovered. Almost three-quarters of struggling hospitals are prioritizing revenue...

Federally Qualified Health Centers Troubled By Rising Competition

by Jacqueline Belliveau

About 61 percent of leaders at federally qualified health centers (FQHCs) anticipate competition to rise in the next year, threatening their revenue cycle and financial stability, a recent Sage Growth Partners (SGP) survey revealed. The survey...

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