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

Practice Management News

Sutter Health Destroys Evidence for Case on High Healthcare Prices

November 20, 2017 - A state judge ruled that California-based Sutter Health intentionally destroyed 192 boxes of documents that pertained to a lawsuit accusing the health system of inflating healthcare prices and practicing anticompetitive behavior. In the ruling, obtained by California Healthline, San Francisco County Superior Court Judge Curtis E.A. Karnow stated that “the destruction was done knowing...


Articles

Consumers Use Healthcare Price Info for Budgeting, Not Shopping

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Most consumers want healthcare price information to plan how they will pay for patient financial responsibility, not to shop around for lower cost providers, a recent survey revealed. The survey from Accenture showed that just 11 percent of the...

Automating Healthcare Contract Management Improves Business Ops

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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...

Providers Who Accept Pharma Gifts Prescribe More Expensive Drugs

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Providers in the DC area who received gifts from the pharmaceutical industry tended to prescribe more drugs per patient, including more expensive, branded medications, than their peers who did not accept gifts, a recent PLoS One study showed....

Service Prices Drove $933.5B Increase in Healthcare Spending

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Service prices and intensity represented over one-half of the $933.5 billion increase in healthcare spending between 1996 and 2013, a new Journal of the American Medical Association study revealed. Prices and intensity were the primary drivers...

Type of Provider Data Presented Influences Patient Volume, Choice

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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?

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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...

Hospitals, Systems Spend $39B Annually on Regulatory Compliance

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Hospitals, health systems, and post-acute care providers spend almost $39 billion annually on administrative tasks related to regulatory compliance, the American Hospital Association (AHA) reported. “As a result of this extraordinary burden,...

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

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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

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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

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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...

Trevor Fetter Steps Down as Tenet Healthcare Corp CEO, Director

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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...

GAO Finds Physician Productivity, Staffing Issues at VA Centers

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Incomplete and inconsistent data on physician productivity and staffing challenges the Veteran’s Health Administration’s (VHA) ability to determine if the federal department has enough providers to address the growing health needs...

2017 Hospital Merger Activity Likely to Beat 102 Deals in 2016

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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

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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

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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...

Provider Data Integrity Key to Directory Accuracy, Value-Based Care

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Providers and their payers oftentimes have a love-hate relationship. Payers boost the number of patients walking through physician office doors using provider directories as well as reimburse providers for treating those patients. But navigating...

$67.4B in Hospital Community Benefit Outweighs Tax Revenue Loss

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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?

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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...

Physician Advisors Crucial to Navigating Reimbursement Rules

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When physicians are asked why they went into medicine, the classic response is that they wanted to help people. But as value-based reimbursement takes hold and clinical documentation demands increase, providers are finding that the business of...

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