While the recent growth in patient financial responsibility has providers thinking about healthcare costs when making care decisions, many still do not think they should be held accountable for the costs of care, a recent survey showed.
A...
The proposed hospital merger between Beth Israel Deaconess Medical Center and Lahey Health is facing pushback from the Massachusetts Attorney General despite a previous endorsement from a key state board.
Local news sources are reporting...
Providers are in the business of keeping their patients healthy. But confusing payer contracts riddled with “legalese” and other complicated provisions can get in the way of improving patient outcomes.
Payer contracts define...
The global healthcare claims management market is slated to reach $13.93 billion by 2023, up from a valuation of $10.16 billion in 2017, MarketsandMarkets recently reported.
The significant projected growth in the healthcare claims...
The HHS Office of the Inspector General (OIG) and Department of Justice (DoJ) recently announced the largest healthcare fraud takedown to date, with over 600 defendants charged with participating in fraud schemes amounting to about $2...
Total hospital revenue attributable to patient financial responsibility after insurance increased 88 percent between 2012 and 2017, a new TransUnion Healthcare analysis uncovered.
The growth in hospital revenue stemming from patient...
Faced with the pressure to reduce healthcare costs as the elderly population rapidly grows, providers plan to shift elder care from hospitals and skilled nursing facilities to the home, healthcare experts explained.
According to CMS and...
As the physician shortage worsens, provider organizations are increasingly relying on non-physician providers to fill the gap. And they are paying nursing staff, physician assistants, and other employees more to make up for it.
The...
Care quality improvements require hospitals to invest their money, time, and staff. The investment may be large, but for two children’s hospitals it paid off, saving the organizations millions and reducing costly accidents and...
Even though two-thirds of organizations have up to $10 million in hospital bad debt, some still do not have strategies in place to recover the revenue owed to the organization, a new survey from Sage Growth Partners found.
The...
The Trump Administration’s recent move to impose tariffs on goods imported from China could have a serious impact on healthcare supply chains, healthcare improvement company Premier Inc. said in a statement.
“Premier is...
PwC’s Health Research Institute (HRI) predicts medical costs for employers to grow 6 percent in 2019 as healthcare mergers and more convenient care access options drive up healthcare costs and utilization.
The medical cost trend is...
Demand for primary care physicians remains strong as provider organizations transition to population health management. But organizations are increasingly seeking medical specialists for healthcare employment, a new analysis...
Accurate claims reimbursement hinges on complete clinical documentation, and therefore, quick responses to physician queries regarding medical record documentation and coding. This is especially true in Maryland’s unique hospital...
New York maintains strict ownership laws that have essentially eliminated for-profit hospital ownership in the state. However, a new report shows that the non-profit hospital model in New York has not led to improved care quality or...
A multi-disciplinary workgroup is calling for provider data standardization to ensure accurate provider information is available for connecting patients with providers, licensing providers, and paying for services.
The Provider Data...
Federal and state governments are ramping up efforts to increase hospital price transparency as consumers become more responsible for their healthcare costs under high-deductible health plans.
However, provider organizations are...
Tennessee-based Vanderbilt University Medical Center (VUMC) may have reported increased revenue in the first nine months of the 2018 fiscal year, but the medical center finished with lower operating income compared to last year because of...
Hospitals have improved patient outcomes for total joint replacements, but the facilities still have a way to go with reducing healthcare cost variation for both hip and knee implants, a new Premier analysis revealed.
The study of almost...
The tides are starting to turn when it comes to EHR satisfaction among registered nurses. Only 69 percent of the providers now feel the EHR system is disruptive to the nursing workflow compared to 84 percent in the third quarter of 2016, a...