CMS has launched a new care delivery model to address maternal health outcomes and increase pregnancy and postpartum care access.
The Transforming Maternal Health (TMaH) model will run for ten years...
US healthcare spending picked back up last year, reaching a total of $4.5 trillion in 2022, according to the latest numbers from CMS.
Healthcare spending growth accelerated, growing by 4.1 percent in...
The US House of Representatives has passed a bill to improve healthcare price transparency and establish site-neutral payment policies for drug administration.
The Lower Costs, More Transparency Act...
R1 RCM Inc. recently announced plans to acquire the technology-driven revenue cycle management company Acclara from Providence.
The revenue cycle management solutions vendor signed a definitive...
2023 has been a big year for healthcare revenue integrity, with teams managing about four times more external payer audits in the last year.
The finding from the latest “MDaudit Annual Benchmark...
COVID-19 surges in 2020 led to increased occupancy in inpatient settings and intensive care units (ICUs) and declining surgical occupancy rates, creating unstable financial conditions for hospitals, a...
Changes in physician practice ownership resulted in lower patient care quality and poorer patient-provider relationships, according to a survey from NORC at the University of Chicago, commissioned by...
Eight leading healthcare industry groups are urging CMS to abandon proposed restrictions on provider-based Medicaid funding sources, citing coverage and cost consequences if the proposals are...
Healthcare revenue cycle leaders may need to readjust their patient collection strategy to help consumers understand and pay their medical bills, a new survey suggests.
The survey of over 1,000...
Hospital financial performance improved in October, signaling continued stabilization in the wake of the COVID-19 pandemic, according to the latest “National Hospital Flash Report” from...
California-based health system Emanate Health has filed a lawsuit alleging that UnitedHealth Group’s Optum violated antitrust laws and engaged in anti-competitive practices regarding physician...
Most surgical healthcare professionals participating in the Merit-based Incentive Payment System (MIPS) earned bonus payments in 2021, with urologists seeing the highest adjustment, a study published...
The share of Medicare Part D claims eligible for discounts in the 340B drug pricing program increased from 1.7 percent to 9.6 percent between 2013 and 2020, a study published in JAMA Health Forum...
PeaceHealth, a Washington-based non-profit health system, has agreed to pay $4 million to 4,000 patients after it failed to disclose charity care policies before collecting payments.
The agreement...
Hospitals and health systems have seen a significant spike in claim denials as Medicare Advantage and commercial payers deny more of their reimbursement.
A new analysis of data from over 1,300...
Financial leaders at healthcare organizations are interested in using generative artificial intelligence (AI) to streamline revenue cycle operations, according to a survey from AKASA.
The survey...
Healthcare organizations are becoming more familiar with value-based care, but opportunities remain to improve and expand upon the care delivery model, according to a survey conducted by Sage Growth...
Commercial payments for inpatient stays associated with COVID-19 in 2020 were higher for health system-affiliated and high-quality hospitals, a study published in JAMA Health Forum found.
When the...
Regulatory burdens in healthcare, such as prior authorizations, surprise billing requirements, and audits and appeals, are taking resources away from patient care as practices face more...
Healthcare organizations need to understand financial performance to maintain access to high-quality, cost-efficient care — a level of care that is central to both the value-based care journey...
