News

HPSA Program Did Not Affect Physician Shortages or Health Outcomes

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Although health professional shortage area (HPSA) designations aim to improve access to care by alleviating staffing challenges, a Health Affairs study found that most HPSA counties remained physician...

Revenue Cycle Sets Sights on Autonomous Coding, Claims Automation

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Revenue cycle leaders at top healthcare organizations are prioritizing automation, with autonomous coding and claims management at the top of their wish lists, a new KLAS report reveals. KLAS surveyed...

More Provider Orgs Have Value-Based Contracts With Private Payers

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More provider organizations are participating in value-based contracts outside Medicare, as three-quarters of respondents were under contracts with commercial and Medicare Advantage plans in 2022, a...

27% of Adults Face At Least One Healthcare Affordability Challenge

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Healthcare affordability is significantly impacting low- and middle-income families, but healthcare financial strain is becoming a more widespread issue for US families, a new study published in Health...

Labor Expenses Hurt Hospital Financial Performance

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Workforce challenges continue to dampen hospital financial performance as labor expenses remain high, according to the latest “National Hospital Flash Report” from healthcare consulting...

Consumer Credit Scores Improve After Medical Debt is Wiped from Reports

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After major credit bureaus stopped reporting medical debt collections less than a year old and less than $500, consumers saw improvements in their credit scores, according to data from the Urban...

CMS Will Issue OPPS Providers Lump-Sum Payments to Remedy 340B Losses

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Hospital Outpatient Prospective Payment System (OPPS) providers participating in the 340B drug pricing program will receive a one-time lump-sum payment to offset losses between calendar years (CYs)...

CMS Finalizes 1.25% Cut To Medicare Physician Fee Schedule

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CMS has released the Medicare Physician Fee Schedule (PFS) final rule for calendar year (CY) 2024, finalizing a 1.25 percent overall reduction for physician services next year. The federal agency...

CMS Finalizes a $140M Increase to Medicare Home Health Payment Rates

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After initially proposing a decrease, CMS has finalized a 0.8 percent increase in Medicare payment rates for home health agencies in 2024, boosting reimbursement by $140 million compared to 2023. The...

Hospital Outpatient Revenue Growth Contributes to Positive Margins

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Hospital outpatient revenue is growing as patients seek healthcare services in less expensive settings, a performance trends report from Strata Decision Technology and Syntellis Performance Solutions...

CMS Boosts End-Stage Renal Disease Medicare Rates by 2.1%

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CMS recently released the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) final rule for 2024, which includes a 2.1 percent Medicare rate hike for renal dialysis services furnished to...

Surprise Billing Proposals Aim to Streamline IDR Process

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The Biden-Harris Administration has released a proposed rule to improve the independent dispute resolution (IDR) process for surprise billing by addressing payer-provider communication and adjusting...

How Do Healthcare Organizations Feel About Autonomous Coding?

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Autonomous coding can help streamline revenue cycle processes and reduce administrative burden, but over half of surveyed healthcare finance leaders are not familiar with it, while others do not fully...

States Boosting Medicaid Payment Rates for Home Healthcare Amid Shortages

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Most states have increased Medicaid payment rates for home healthcare providers as the sector grapples with staffing shortages, according to a KFF issue brief. The COVID-19 pandemic exacerbated...

Patient Access, Registration Errors Lead to Most Claim Denials

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Hospitals and health systems are facing more claim denials as front-end revenue cycle processes lead to errors. A recent survey conducted by the Healthcare Financial Management Association’s...

Diverse Medical Students More Likely to Practice in Underserved Areas

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Less than 30 percent of medical students planned to practice in underserved areas between 2019 and 2021; those who did were more likely to be students of color, women, and part of the LGBTQ community,...

Reducing Barriers to MIPS, Advanced APMs Could Promote Participation

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Reducing barriers to Advanced Alternative Payment Model (APM) participation for physicians in rural areas could help promote value-based care and control rising Medicare spending, according to research...

Physician-Owned Hospitals Could Save Medicare Over $1B

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Physician-owned hospitals treated some of the most expensive Medicare beneficiaries at lower costs compared to traditional hospitals despite seeing similar patient populations, according to a recent...

Henry Ford, Ascension Michigan to Form Joint Venture

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Henry Ford Health System and Ascension Michigan have signed an agreement to enter a joint venture that would bring together Ascension’s southeast Michigan and Genesys healthcare facilities and...

Lower Payment Rates May Help Curb Medicare Spending on Post-Acute Care

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As Medicare Part A is expected to become insolvent by 2033, Congress should reduce Medicare spending on post-acute care by lowering payment rates to skilled nursing facilities (SNFs), home healthcare...