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

Practice Management News

Health Systems Form Drug Company to Combat Rising Costs, Shortages

January 22, 2018 - Intermountain Healthcare, Ascension, SSM Health, and Trinity Health recently announced that they will create a non-profit generic drug company to reduce prescription costs and alleviate critical drug shortages. With consulting services with the VA, the four health systems, representing over 450 hospitals across the US, aim for the new drug company to be an FDA-approved entity that will either...


Global Healthcare RCM Software Market to Reach $43.3B by 2022


The global market for healthcare revenue cycle management software will grow at a compound annual growth (CAGR) rate of 6.9 percent from 2017 to 2022, researchers from Future Market Insights recently predicted. At that growth rate, they estimate...

Prescription Drug Rates Continue to Challenge Cancer Centers


Prescription drug rates and the costs of new treatment modalities continued to challenge cancer centers, according to the most recent Trending Now in Cancer Care survey from the Association of Community Cancer Centers (ACCC). For the second year...

CDC Urges Providers to Improve Asthma Care as Costs Soar to $81.9B


The annual costs of asthma care, including medical expenses, absenteeism, and mortality, cost the US economy $81.9 billion in 2013, researchers from the Centers for Disease Control and Prevention (CDC) recently reported. And that value may be...

Healthcare Costs, Outcomes Vary When VA Outsources Cardiac Care


Veterans seeking cardiac care at community hospitals may lower their travel expenses, but they also face varying healthcare costs and mortality rates by stepping outside the VA’s healthcare system, a recent JAMA Cardiology study revealed....

6 Major Hospital Merger Deals Making Headlines in 2018


In 2017, the healthcare industry saw a boom of hospital merger announcements. And many of those deals are set to close in 2018 pending federal and state regulatory review. Hospital merger and acquisition activity last year was well on its way...

Care Coordination, Community Health Workers Reduce ED Costs, Use


Average direct emergency department costs dropped 15 percent for frequent emergency department users after Brigham and Women’s hospital implemented a care coordination program using community health workers, according to a recent study...

4 Key Ways to Improve Healthcare Revenue Cycle Management


“There is always room for improvement” should be healthcare revenue cycle management’s mantra. Declining claims reimbursement rates, the shift to value-based purchasing, and evolving health policies keep revenue cycle leaders...

Hospital Discharge Patterns Trouble Skilled Nursing Facilities


Hospital discharge patterns under value-based reimbursement models are troubling the revenue cycles of skilled nursing facilities, causing operating margins and occupancy rates to significantly decline in 2016, consulting firm CliftonLarsonAllen...

Long-Term Healthcare Spending Doesn’t Aid Heart Attack Survival


Healthcare spending on 180 days of heart attack care grew 14.4 percent since 1999, but patient morality rates remained constant for heart attack patients after the 30-day discharge period when the bulk of spending growth occurred, a recent JAMA...

74% of Younger Patients Underpay Patient Financial Responsibility


Nearly three-quarters of younger individuals did not pay their patient financial responsibility in full in 2016, a recent Transunion survey found. Millennials, or individuals between 23 and 37 years old, were significantly less likely to completely...

Physician Groups Pay $33M To Settle Healthcare Fraud Claims


Two physician groups will pay over $33 million to settle healthcare fraud allegations that the groups received illegal kickback payments for patient referrals to hospitals owned by former Health Management Associates (HMA), the Department of...

KLAS: athenahealth, Aprima Earn Top Marks for Ambulatory RCM


Aprima, athenahealth, and NextGen Healthcare topped the list for overall performance and most consistently satisfactory ambulatory revenue cycle management (RCM) services among large and small practices in 2017, according to a new KLAS Research...

Top 10 ICU Diagnoses Driving Up Healthcare Costs, Care Variations


Cardiac procedures and sepsis dominated the list of top ten intensive care unit (ICU) diagnoses that represented the greatest opportunity for hospitals to reduce healthcare costs and care variations for ICU length of stay, a recent Premier Inc....

Management, Job Perception Drive Healthcare Employee Turnover


Senior leadership, employee perceptions of their job, and management are the top drivers of voluntary healthcare employee turnover, research firm SMD recently reported. High healthcare employee turnover is a major challenge for hospitals and...

Top 4 Healthcare Revenue Cycle, Finance Trends to Watch in 2018


As 2017 comes to an end, hospital and practice leaders are preparing their priority lists and agenda items for next year. The top four healthcare revenue cycle and finance trends that should appear on 2018 agendas include voluntary Medicare alternative...

Healthcare RCM, Medicare Reimbursement Dominate 2017 Stories


From the Quality Payment Program’s launch to the Affordable Care Act debate, the healthcare finance world saw an abundance of change and uncertainty in 2017. In the face of payment reform and political debates, healthcare leaders focused...

Predictive Analytics Improve Nursing Schedules, Saving Mercy $4.3M


Even with 40,000 physicians, nurses, and other employees, St. Louis-based Mercy Health still relied on staffing agencies and employee incentives to fill critical nursing schedule gaps until a predictive analytics platform helped operations leaders...

Advocate, Aurora and Dignity Health, CHI Sign Hospital Merger Deals


The healthcare market in Chicago is bracing for some major changes starting with the recently announced hospital merger between Advocate Health Care and Wisconsin-based Aurora Health Care. The largest health system in Illinois revealed its intentions...

ED Spending Increases 85% As Hospitals Code for More Severe Cases


Emergency department spending per member rose 85 percent between 2009 and 2015 primarily because of hospitals coding and billing for a greater number of high severity cases, new Health Care Cost Institute (HCCI) data revealed. Spending on high...

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