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Management Summit.
4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM WILL HOSPITAL PATIENT VISITS RETURN TO NORMAL IN 2021? January 29, 2021 - Hospitals still have some time before they recover from historic patient visit reductions during the COVID-19 pandemic in 2020, according to a new analysis.. Hospital patient visits are unlikely to return to pre-pandemic volumes in 2021 and are likely to stay at lower levels throughout the new year, the analysis released earlier this week by TransUnion Healthcare revealed. BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, CMS DELAYS CODIFYING DEFINITION OF “REASONABLE AND NECESSARY” May 20, 2021 - CMS announced that it will delay the effective date of a final rule updating the definition of “reasonable and necessary” and the guidelines surrounding the Medicare Coverage of Innovative Technology (MCIT) pathway. This delay is intended to give CMS time to address stakeholder issues that surfaced during its public commentperiod.
TOP VALUE-BASED PAYMENT CHALLENGES FOR SKILLED NURSING November 26, 2019 - As long-term and post-acute care (LTPAC) programs transition to value-based payment options, various challenges arise for skilled-nursing facilities (SNFs) and other long-term and post-acute care (LTPAC) clinicians, according to an Advancing Excellence in Long-Term Care Collaborative report on VBP programs.. Chief among the challenges is lack of inclusivity, stated the PRIVATE EQUITY FIRMS INCREASINGLY BUYING PHYSICIAN PRACTICES February 25, 2020 - Private equity firms acquired 355 physician practices from 2013 to 2016, and the number of acquisitions rose exponentially during the period, according to research published in JAMA.. The research letter from experts at the Oregon Health & Science University, Wharton School of the University of Pennsylvania, and Johns Hopkins University found that 1,426 sites and VALUE-BASED CARE REDUCES COSTS BY 5.6%, IMPROVES CARE QUALITY June 18, 2018 - Value-based care strategies are starting to achieve the goals of the Triple Aim, payers reported in a new ORC International study commissioned by Change Healthcare.. The analysis of 120 payers across a range of organization size and type revealed that medical costs fell 5.6 percent, on average, under value-based care models, while care quality and patient engagement also PRE-ACCESS CENTER COLLECTS MORE PATIENT FINANCIAL The scripts are working for St. Luke’s. Prior to all the improvements and the creation of the pre-access center, the hospital was collecting about $400,000 a year in timely service payments. Now, the hospital exceeds $1 million a year in patient payments and the hospital is pushing for $2 million in 2019. “You need to invest inthe front
REVENUE CYCLE MANAGEMENT AND June 7, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM WILL HOSPITAL PATIENT VISITS RETURN TO NORMAL IN 2021? January 29, 2021 - Hospitals still have some time before they recover from historic patient visit reductions during the COVID-19 pandemic in 2020, according to a new analysis.. Hospital patient visits are unlikely to return to pre-pandemic volumes in 2021 and are likely to stay at lower levels throughout the new year, the analysis released earlier this week by TransUnion Healthcare revealed. BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, CMS DELAYS CODIFYING DEFINITION OF “REASONABLE AND NECESSARY” May 20, 2021 - CMS announced that it will delay the effective date of a final rule updating the definition of “reasonable and necessary” and the guidelines surrounding the Medicare Coverage of Innovative Technology (MCIT) pathway. This delay is intended to give CMS time to address stakeholder issues that surfaced during its public commentperiod.
TOP VALUE-BASED PAYMENT CHALLENGES FOR SKILLED NURSING November 26, 2019 - As long-term and post-acute care (LTPAC) programs transition to value-based payment options, various challenges arise for skilled-nursing facilities (SNFs) and other long-term and post-acute care (LTPAC) clinicians, according to an Advancing Excellence in Long-Term Care Collaborative report on VBP programs.. Chief among the challenges is lack of inclusivity, stated the PRIVATE EQUITY FIRMS INCREASINGLY BUYING PHYSICIAN PRACTICES February 25, 2020 - Private equity firms acquired 355 physician practices from 2013 to 2016, and the number of acquisitions rose exponentially during the period, according to research published in JAMA.. The research letter from experts at the Oregon Health & Science University, Wharton School of the University of Pennsylvania, and Johns Hopkins University found that 1,426 sites and VALUE-BASED CARE REDUCES COSTS BY 5.6%, IMPROVES CARE QUALITY June 18, 2018 - Value-based care strategies are starting to achieve the goals of the Triple Aim, payers reported in a new ORC International study commissioned by Change Healthcare.. The analysis of 120 payers across a range of organization size and type revealed that medical costs fell 5.6 percent, on average, under value-based care models, while care quality and patient engagement also PRE-ACCESS CENTER COLLECTS MORE PATIENT FINANCIAL The scripts are working for St. Luke’s. Prior to all the improvements and the creation of the pre-access center, the hospital was collecting about $400,000 a year in timely service payments. Now, the hospital exceeds $1 million a year in patient payments and the hospital is pushing for $2 million in 2019. “You need to invest inthe front
VALUE-BASED CARE NEWS Remote Patient Monitoring, Telehealth Support Value-Based Contracts. May 25, 2021 by Jacqueline LaPointe. The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services HOW PROVIDERS CAN IMPROVE PATIENT FINANCIAL EXPERIENCE June 09, 2021 - In the wake of COVID-19, calls for patient financing flexibility, a shift to digital payment methods, and a need for increased bill transparency have providers changing course when it comes to improving patient financial experience.. Two recent reports, one from Patientco and another by VisitPay, revealed new insights on the impact of the pandemic on patient financial TOP HEALTHCARE FRAUD TAKEDOWNS OF 2020 Feds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including hospital managers, laboratory owners, billers, and recruiters, for their alleged involvement in a pass-through billing scheme using struggling rural hospitals in theSouth.
REPORT IDENTIFIES MARKETS RIPE FOR PAYVIDER ADOPTION, GROWTH 1 day ago · June 10, 2021 - “Payvider” adoption is increasing but some areas are riper for growth than others, according to a recent analysis by healthcare consulting firm Guidehouse.. A payvider is a provider organization that operates its own health plans. But the payvider model also includes other risk-based collaborations between payers and providers, such as direct employment of physicians by CMS INCREASES MEDICARE PAYMENTS FOR AT-HOME COVID-19 June 09, 2021 - Medicare payments will increase by $35 per dose for providers who administer at-home COVID-19 vaccinations for Medicare beneficiaries, CMS announced today. In alignment with President Biden’s goal of ensuring vaccine accessibility, this increase will incentivize providers and allow beneficiaries who cannot leave their homes the opportunity to receive the vaccine. OVER THIRD OF HOSPITAL EXECS REPORT CLAIM DENIAL RATES June 07, 2021 - Hospital claim denial rates are at an all-time high, signaling a need for better claims denial management, a recent survey from Harmony Healthcare reveals. The healthcare industry has seen a 20 percent increase in claim denial rates in the past five years, and the COVID-19 pandemic has only worsened the trend. REVENUE CYCLE OUTSOURCING SOLVES STAFFING CHALLENGES FOR 1 day ago · June 10, 2021 - The billing team at Tucson Gastroenterology was meeting a bar of excellence, according to Julie Wester, contract administrator at the Arizona-based specialty practice. But that bar was threatened when long-time staff members were starting to retire. “Some people had been there for a long time, like 19 years, and they were retiring and moving on,” Westerrecently told
51 ORGANIZATIONS JOIN NEW DIRECT CONTRACTING OPPORTUNITY The 51 participants, otherwise known as Direct Contract Entities, will take part in the model’s implementation year from Oct. 1, 2020, through March 31, 2021. November 05, 2020 - CMS recently announced that 51 organizations will take part in a new directing contracting opportunity that will test what the agency calls the “next evolutionof
ONE MEDICAL WILL EXPAND CARE WITH ACQUISITION OF IORA HEALTH June 08, 2021 - One Medical has announced its plans to acquire human-centric, value-based primary care group Iora Health.. The agreement will allow One Medical, a human-centered and technology-powered primary care organization, and Iora Health to work together to accelerate and expand their missions to improve healthcare for consumers, employers, payers, providers, and health ALTERNATIVE PAYMENT MODELS NEWS AND RESOURCES FOR CMS Announces 184 Participants For ET3 Model, New Funding. March 16, 2021 by Jacqueline LaPointe. CMS has shared the final list of 184 public and private ambulance providers and suppliers selected to participate in the agency’s Emergency Triage, Treat, and Transport (ET3) Model, an alternative payment model that encourages REVENUE CYCLE MANAGEMENT AND June 7, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
MEDICAID PHYSICIAN REIMBURSEMENT RATES LAG MEDICARE February 10, 2021 - Medicaid physician reimbursement is significantly lower than commercial payer and even Medicare payments for the same services despite growing enrollment in the public healthcare program, reveals a new Urban Institute study.. The study recently published in Health Affairs found that Medicaid physician reimbursement in the fee-for-service portion of the program was ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION By Jacqueline LaPointe. January 25, 2021 - Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477 ACOs are participating in Medicare’s flagship ACO program in 2021, down from 517 ACOs in2020.
4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, TOP HEALTHCARE FRAUD TAKEDOWNS OF 2020 Feds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including hospital managers, laboratory owners, billers, and recruiters, for their alleged involvement in a pass-through billing scheme using struggling rural hospitals in theSouth.
KEY COVID-19 CLAIM DENIAL TRENDS ARISING FROM THE CARES ACT July 06, 2020 - The Coronavirus Aid, Relief, and Economic Security (CARES) Act was developed to provide the healthcare resources needed to fight COVID-19. Signed into law March 27, 2020, the Act was designed to provide fast and direct economic assistance for US workers and their families, small businesses, and to preserve jobs.. Under the CARES Act, group health plans and health insurance 5 KEY WAYS TO ENSURE HOSPITAL COMPLIANCE PROGRAM CONSISTENCY 2. Write out policies, procedures, and schedules. Having policies, procedures, and schedules detailed in a compliance handbook or other official document is key to program consistency. OIG advises healthcare boards to establish “a comprehensive policy and objectives to define your quality improvement and patient safetyprogram.”.
GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTS The organizations could reduce supply-related purchasing costs by 13.1 percent for hospitals and nursing homes, the analysis shows. With GPOs significantly reducing supply chain costs, Dobson DaVanzo & Associates economists estimate that the organizations will reduce total healthcare spending for hospitals and nursing homes by up to $456.6 REVENUE CYCLE MANAGEMENT AND June 7, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION By Jacqueline LaPointe. January 25, 2021 - Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477 ACOs are participating in Medicare’s flagship ACO program in 2021, down from 517 ACOs in2020.
MEDICAID PHYSICIAN REIMBURSEMENT RATES LAG MEDICARE February 10, 2021 - Medicaid physician reimbursement is significantly lower than commercial payer and even Medicare payments for the same services despite growing enrollment in the public healthcare program, reveals a new Urban Institute study.. The study recently published in Health Affairs found that Medicaid physician reimbursement in the fee-for-service portion of the program was 4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM 51 ORGANIZATIONS JOIN NEW DIRECT CONTRACTING OPPORTUNITY The 51 participants, otherwise known as Direct Contract Entities, will take part in the model’s implementation year from Oct. 1, 2020, through March 31, 2021. November 05, 2020 - CMS recently announced that 51 organizations will take part in a new directing contracting opportunity that will test what the agency calls the “next evolutionof
TOP HEALTHCARE FRAUD TAKEDOWNS OF 2020 Feds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including hospital managers, laboratory owners, billers, and recruiters, for their alleged involvement in a pass-through billing scheme using struggling rural hospitals in theSouth.
BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, 5 KEY WAYS TO ENSURE HOSPITAL COMPLIANCE PROGRAM CONSISTENCY 2. Write out policies, procedures, and schedules. Having policies, procedures, and schedules detailed in a compliance handbook or other official document is key to program consistency. OIG advises healthcare boards to establish “a comprehensive policy and objectives to define your quality improvement and patient safetyprogram.”.
GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTS The organizations could reduce supply-related purchasing costs by 13.1 percent for hospitals and nursing homes, the analysis shows. With GPOs significantly reducing supply chain costs, Dobson DaVanzo & Associates economists estimate that the organizations will reduce total healthcare spending for hospitals and nursing homes by up to $456.6 HOW COVID-19 IS IMPACTING THE HEALTHCARE REVENUE CYCLE March 10, 2020 - As entire nations encourage their populations to stay inside to avoid COVID-19, healthcare providers are more active than ever in response to the outbreak of the novel coronavirus. This activity is having a significant impact on the healthcare revenue cycle and provider finances. According to the latest situation report from the World Health Organization, there are over REPORT IDENTIFIES MARKETS RIPE FOR PAYVIDER ADOPTION, GROWTH 15 hours ago · June 10, 2021 - “Payvider” adoption is increasing but some areas are riper for growth than others, according to a recent analysis by healthcare consulting firm Guidehouse.. A payvider is a provider organization that operates its own health plans. But the payvider model also includes other risk-based collaborations between payers and providers, such as direct employment of physicians by VALUE-BASED CONTRACTING 101: PREPARING, NEGOTIATING, AND June 01, 2021 - The Triple Aim. The Quadruple Aim. Right care at the right place at the right time. Whether one works in a hospital or small independent practice, healthcare providers are leaning on these concepts to deliver valuable care to their patients, and that is in its simplest form: care that results in the best patient outcomes at the lowest possible cost to the patient and the system. HOW PROVIDERS CAN IMPROVE PATIENT FINANCIAL EXPERIENCE 1 day ago · June 09, 2021 - In the wake of COVID-19, calls for patient financing flexibility, a shift to digital payment methods, and a need for increased bill transparency have providers changing course when it comes to improving patient financial experience.. Two recent reports, one from Patientco and another by VisitPay, revealed new insights on the impact of the pandemic on patient financial behaviors CMS INCREASES MEDICARE PAYMENTS FOR AT-HOME COVID-19 June 09, 2021 - Medicare payments will increase by $35 per dose for providers who administer at-home COVID-19 vaccinations for Medicare beneficiaries, CMS announced today. In alignment with President Biden’s goal of ensuring vaccine accessibility, this increase will incentivize providers and allow beneficiaries who cannot leave their homes the opportunity to receive the vaccine. BEFORE COVID-19, HEALTHCARE SPENDING INCREASED BY 4.6% June 07, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports.. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research OVER THIRD OF HOSPITAL EXECS REPORT CLAIM DENIAL RATES June 07, 2021 - Hospital claim denial rates are at an all-time high, signaling a need for better claims denial management, a recent survey from Harmony Healthcare reveals. The healthcare industry has seen a 20 percent increase in claim denial rates in the past five years, and the COVID-19 pandemic has only worsened the trend. REVENUE CYCLE OUTSOURCING SOLVES STAFFING CHALLENGES FOR 18 hours ago · June 10, 2021 - The billing team at Tucson Gastroenterology was meeting a bar of excellence, according to Julie Wester, contract administrator at the Arizona-based specialty practice. But that bar was threatened when long-time staff members were starting to retire. “Some people had been there for a long time, like 19 years, and they were retiring and moving on,” Westerrecently told
ONE MEDICAL WILL EXPAND CARE WITH ACQUISITION OF IORA HEALTH June 08, 2021 - One Medical has announced its plans to acquire human-centric, value-based primary care group Iora Health.. The agreement will allow One Medical, a human-centered and technology-powered primary care organization, and Iora Health to work together to accelerate and expand their missions to improve healthcare for consumers, employers, payers, providers, and health REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS March 24, 2021 - Washington-based Astria Health recently filed a complaint in bankruptcy court against Cerner, blaming the EHR and revenue cycle management vendor for the health system’s financial demise and the closure of its medical center last year. Astria Health contended in the complaint filed Monday that Cerner and its subsidiary, Cerner RevWorks LLC, made “intentional REVENUE CYCLE MANAGEMENT AND June 7, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
MEDICAID PHYSICIAN REIMBURSEMENT RATES LAG MEDICARE February 10, 2021 - Medicaid physician reimbursement is significantly lower than commercial payer and even Medicare payments for the same services despite growing enrollment in the public healthcare program, reveals a new Urban Institute study.. The study recently published in Health Affairs found that Medicaid physician reimbursement in the fee-for-service portion of the program was ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION By Jacqueline LaPointe. January 25, 2021 - Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477 ACOs are participating in Medicare’s flagship ACO program in 2021, down from 517 ACOs in2020.
4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, TOP HEALTHCARE FRAUD TAKEDOWNS OF 2020 Feds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including hospital managers, laboratory owners, billers, and recruiters, for their alleged involvement in a pass-through billing scheme using struggling rural hospitals in theSouth.
KEY COVID-19 CLAIM DENIAL TRENDS ARISING FROM THE CARES ACT July 06, 2020 - The Coronavirus Aid, Relief, and Economic Security (CARES) Act was developed to provide the healthcare resources needed to fight COVID-19. Signed into law March 27, 2020, the Act was designed to provide fast and direct economic assistance for US workers and their families, small businesses, and to preserve jobs.. Under the CARES Act, group health plans and health insurance 5 KEY WAYS TO ENSURE HOSPITAL COMPLIANCE PROGRAM CONSISTENCY 2. Write out policies, procedures, and schedules. Having policies, procedures, and schedules detailed in a compliance handbook or other official document is key to program consistency. OIG advises healthcare boards to establish “a comprehensive policy and objectives to define your quality improvement and patient safetyprogram.”.
GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTS The organizations could reduce supply-related purchasing costs by 13.1 percent for hospitals and nursing homes, the analysis shows. With GPOs significantly reducing supply chain costs, Dobson DaVanzo & Associates economists estimate that the organizations will reduce total healthcare spending for hospitals and nursing homes by up to $456.6 REVENUE CYCLE MANAGEMENT AND June 7, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
MEDICAID PHYSICIAN REIMBURSEMENT RATES LAG MEDICARE February 10, 2021 - Medicaid physician reimbursement is significantly lower than commercial payer and even Medicare payments for the same services despite growing enrollment in the public healthcare program, reveals a new Urban Institute study.. The study recently published in Health Affairs found that Medicaid physician reimbursement in the fee-for-service portion of the program was ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION By Jacqueline LaPointe. January 25, 2021 - Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477 ACOs are participating in Medicare’s flagship ACO program in 2021, down from 517 ACOs in2020.
4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, TOP HEALTHCARE FRAUD TAKEDOWNS OF 2020 Feds charge 10 individuals in $1.4B rural hospital billing scheme. One of the largest healthcare fraud takedowns in 2020 involved charges against 10 individuals, including hospital managers, laboratory owners, billers, and recruiters, for their alleged involvement in a pass-through billing scheme using struggling rural hospitals in theSouth.
KEY COVID-19 CLAIM DENIAL TRENDS ARISING FROM THE CARES ACT July 06, 2020 - The Coronavirus Aid, Relief, and Economic Security (CARES) Act was developed to provide the healthcare resources needed to fight COVID-19. Signed into law March 27, 2020, the Act was designed to provide fast and direct economic assistance for US workers and their families, small businesses, and to preserve jobs.. Under the CARES Act, group health plans and health insurance 5 KEY WAYS TO ENSURE HOSPITAL COMPLIANCE PROGRAM CONSISTENCY 2. Write out policies, procedures, and schedules. Having policies, procedures, and schedules detailed in a compliance handbook or other official document is key to program consistency. OIG advises healthcare boards to establish “a comprehensive policy and objectives to define your quality improvement and patient safetyprogram.”.
GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTS The organizations could reduce supply-related purchasing costs by 13.1 percent for hospitals and nursing homes, the analysis shows. With GPOs significantly reducing supply chain costs, Dobson DaVanzo & Associates economists estimate that the organizations will reduce total healthcare spending for hospitals and nursing homes by up to $456.6 HOW COVID-19 IS IMPACTING THE HEALTHCARE REVENUE CYCLE March 10, 2020 - As entire nations encourage their populations to stay inside to avoid COVID-19, healthcare providers are more active than ever in response to the outbreak of the novel coronavirus. This activity is having a significant impact on the healthcare revenue cycle and provider finances. According to the latest situation report from the World Health Organization, there are over REPORT IDENTIFIES MARKETS RIPE FOR PAYVIDER ADOPTION, GROWTH 14 hours ago · June 10, 2021 - “Payvider” adoption is increasing but some areas are riper for growth than others, according to a recent analysis by healthcare consulting firm Guidehouse.. A payvider is a provider organization that operates its own health plans. But the payvider model also includes other risk-based collaborations between payers and providers, such as direct employment of physicians by VALUE-BASED CONTRACTING 101: PREPARING, NEGOTIATING, AND June 01, 2021 - The Triple Aim. The Quadruple Aim. Right care at the right place at the right time. Whether one works in a hospital or small independent practice, healthcare providers are leaning on these concepts to deliver valuable care to their patients, and that is in its simplest form: care that results in the best patient outcomes at the lowest possible cost to the patient and the system. HOW PROVIDERS CAN IMPROVE PATIENT FINANCIAL EXPERIENCE 1 day ago · June 09, 2021 - In the wake of COVID-19, calls for patient financing flexibility, a shift to digital payment methods, and a need for increased bill transparency have providers changing course when it comes to improving patient financial experience.. Two recent reports, one from Patientco and another by VisitPay, revealed new insights on the impact of the pandemic on patient financial behaviors BEFORE COVID-19, HEALTHCARE SPENDING INCREASED BY 4.6% June 07, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports.. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research CMS INCREASES MEDICARE PAYMENTS FOR AT-HOME COVID-19 1 day ago · June 09, 2021 - Medicare payments will increase by $35 per dose for providers who administer at-home COVID-19 vaccinations for Medicare beneficiaries, CMS announced today. In alignment with President Biden’s goal of ensuring vaccine accessibility, this increase will incentivize providers and allow beneficiaries who cannot leave their homes the opportunity to receive the vaccine. OVER THIRD OF HOSPITAL EXECS REPORT CLAIM DENIAL RATES June 07, 2021 - Hospital claim denial rates are at an all-time high, signaling a need for better claims denial management, a recent survey from Harmony Healthcare reveals. The healthcare industry has seen a 20 percent increase in claim denial rates in the past five years, and the COVID-19 pandemic has only worsened the trend. REVENUE CYCLE OUTSOURCING SOLVES STAFFING CHALLENGES FOR 16 hours ago · June 10, 2021 - The billing team at Tucson Gastroenterology was meeting a bar of excellence, according to Julie Wester, contract administrator at the Arizona-based specialty practice. But that bar was threatened when long-time staff members were starting to retire. “Some people had been there for a long time, like 19 years, and they were retiring and moving on,” Westerrecently told
ONE MEDICAL WILL EXPAND CARE WITH ACQUISITION OF IORA HEALTH June 08, 2021 - One Medical has announced its plans to acquire human-centric, value-based primary care group Iora Health.. The agreement will allow One Medical, a human-centered and technology-powered primary care organization, and Iora Health to work together to accelerate and expand their missions to improve healthcare for consumers, employers, payers, providers, and health REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS March 24, 2021 - Washington-based Astria Health recently filed a complaint in bankruptcy court against Cerner, blaming the EHR and revenue cycle management vendor for the health system’s financial demise and the closure of its medical center last year. Astria Health contended in the complaint filed Monday that Cerner and its subsidiary, Cerner RevWorks LLC, made “intentional REVENUE CYCLE MANAGEMENT AND June 7, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
MEDICAID PHYSICIAN REIMBURSEMENT RATES LAG MEDICARE February 10, 2021 - Medicaid physician reimbursement is significantly lower than commercial payer and even Medicare payments for the same services despite growing enrollment in the public healthcare program, reveals a new Urban Institute study.. The study recently published in Health Affairs found that Medicaid physician reimbursement in the fee-for-service portion of the program was TOP HEALTHCARE FRAUD TAKEDOWNS OF 2020 December 30, 2020 - 2020 will not only go down in the history books as the year COVID-19 hit, but also as a historic year for healthcare fraud takedowns.. The Department of Justice recently reported that it has charged over 300 individuals this year for their involvement in healthcare fraud, waste, and abuse schemes that resulted in more than $6 billion in false and fraudulent claims – the BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, KEY COVID-19 CLAIM DENIAL TRENDS ARISING FROM THE CARES ACT July 06, 2020 - The Coronavirus Aid, Relief, and Economic Security (CARES) Act was developed to provide the healthcare resources needed to fight COVID-19. Signed into law March 27, 2020, the Act was designed to provide fast and direct economic assistance for US workers and their families, small businesses, and to preserve jobs.. Under the CARES Act, group health plans and health insurance 4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION New data from CMS shows that ACO participation in the Shared Savings Program declined again under the Trump administration in 2021, hittinga new low of
5 KEY WAYS TO ENSURE HOSPITAL COMPLIANCE PROGRAM CONSISTENCY 5 Key Ways to Ensure Hospital Compliance Program Consistency Implementing a consistent hospital compliance program is key to cultivating a culture of compliance that minimizes revenue risks, so providers can focus on high-value care. GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTS May 20, 2019 - Group purchasing organizations (GPOs) save the healthcare system up to $34.1 billion annually, with hospitals and nursing homes seeing a significant portion of the supply chain savings, a new analysis finds.. Released by the Healthcare Supply Chain Association (HSCA) on May 15, the analysis performed by Dobson DaVanzo & Associates examines National Health Expenditure REVENUE CYCLE MANAGEMENT AND June 7, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
MEDICAID PHYSICIAN REIMBURSEMENT RATES LAG MEDICARE February 10, 2021 - Medicaid physician reimbursement is significantly lower than commercial payer and even Medicare payments for the same services despite growing enrollment in the public healthcare program, reveals a new Urban Institute study.. The study recently published in Health Affairs found that Medicaid physician reimbursement in the fee-for-service portion of the program was TOP HEALTHCARE FRAUD TAKEDOWNS OF 2020 December 30, 2020 - 2020 will not only go down in the history books as the year COVID-19 hit, but also as a historic year for healthcare fraud takedowns.. The Department of Justice recently reported that it has charged over 300 individuals this year for their involvement in healthcare fraud, waste, and abuse schemes that resulted in more than $6 billion in false and fraudulent claims – the BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, 4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM KEY COVID-19 CLAIM DENIAL TRENDS ARISING FROM THE CARES ACT July 06, 2020 - The Coronavirus Aid, Relief, and Economic Security (CARES) Act was developed to provide the healthcare resources needed to fight COVID-19. Signed into law March 27, 2020, the Act was designed to provide fast and direct economic assistance for US workers and their families, small businesses, and to preserve jobs.. Under the CARES Act, group health plans and health insurance ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION New data from CMS shows that ACO participation in the Shared Savings Program declined again under the Trump administration in 2021, hittinga new low of
5 KEY WAYS TO ENSURE HOSPITAL COMPLIANCE PROGRAM CONSISTENCY 5 Key Ways to Ensure Hospital Compliance Program Consistency Implementing a consistent hospital compliance program is key to cultivating a culture of compliance that minimizes revenue risks, so providers can focus on high-value care. GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTS May 20, 2019 - Group purchasing organizations (GPOs) save the healthcare system up to $34.1 billion annually, with hospitals and nursing homes seeing a significant portion of the supply chain savings, a new analysis finds.. Released by the Healthcare Supply Chain Association (HSCA) on May 15, the analysis performed by Dobson DaVanzo & Associates examines National Health Expenditure HOW COVID-19 IS IMPACTING THE HEALTHCARE REVENUE CYCLE March 10, 2020 - As entire nations encourage their populations to stay inside to avoid COVID-19, healthcare providers are more active than ever in response to the outbreak of the novel coronavirus. This activity is having a significant impact on the healthcare revenue cycle and provider finances. According to the latest situation report from the World Health Organization, there are over HOW PROVIDERS CAN IMPROVE PATIENT FINANCIAL EXPERIENCE 1 day ago · June 09, 2021 - In the wake of COVID-19, calls for patient financing flexibility, a shift to digital payment methods, and a need for increased bill transparency have providers changing course when it comes to improving patient financial experience.. Two recent reports, one from Patientco and another by VisitPay, revealed new insights on the impact of the pandemic on patient financial behaviors VALUE-BASED CONTRACTING 101: PREPARING, NEGOTIATING, AND June 01, 2021 - The Triple Aim. The Quadruple Aim. Right care at the right place at the right time. Whether one works in a hospital or small independent practice, healthcare providers are leaning on these concepts to deliver valuable care to their patients, and that is in its simplest form: care that results in the best patient outcomes at the lowest possible cost to the patient and the system. BEFORE COVID-19, HEALTHCARE SPENDING INCREASED BY 4.6% June 07, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports.. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research OVER THIRD OF HOSPITAL EXECS REPORT CLAIM DENIAL RATES June 07, 2021 - Hospital claim denial rates are at an all-time high, signaling a need for better claims denial management, a recent survey from Harmony Healthcare reveals. The healthcare industry has seen a 20 percent increase in claim denial rates in the past five years, and the COVID-19 pandemic has only worsened the trend. CMS INCREASES MEDICARE PAYMENTS FOR AT-HOME COVID-19 1 day ago · June 09, 2021 - Medicare payments will increase by $35 per dose for providers who administer at-home COVID-19 vaccinations for Medicare beneficiaries, CMS announced today. In alignment with President Biden’s goal of ensuring vaccine accessibility, this increase will incentivize providers and allow beneficiaries who cannot leave their homes the opportunity to receive the vaccine. KEY COVID-19 CLAIM DENIAL TRENDS ARISING FROM THE CARES ACT July 06, 2020 - The Coronavirus Aid, Relief, and Economic Security (CARES) Act was developed to provide the healthcare resources needed to fight COVID-19. Signed into law March 27, 2020, the Act was designed to provide fast and direct economic assistance for US workers and their families, small businesses, and to preserve jobs.. Under the CARES Act, group health plans and health insurance ONE MEDICAL WILL EXPAND CARE WITH ACQUISITION OF IORA HEALTH 1 day ago · June 08, 2021 - One Medical has announced its plans to acquire human-centric, value-based primary care group Iora Health.. The agreement will allow One Medical, a human-centered and technology-powered primary care organization, and Iora Health to work together to accelerate and expand their missions to improve healthcare for consumers, employers, payers, providers, and health REVENUE CYCLE OUTSOURCING SOLVES STAFFING CHALLENGES FOR 37 minutes ago · June 10, 2021 - The billing team at Tucson Gastroenterology was meeting a bar of excellence, according to Julie Wester, contract administrator at the Arizona-based specialty practice. But that bar was threatened when long-time staff members were starting to retire. “Some people had been there for a long time, like 19 years, and they were retiring and moving on,” Westerrecently told
REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS March 24, 2021 - Washington-based Astria Health recently filed a complaint in bankruptcy court against Cerner, blaming the EHR and revenue cycle management vendor for the health system’s financial demise and the closure of its medical center last year. Astria Health contended in the complaint filed Monday that Cerner and its subsidiary, Cerner RevWorks LLC, made “intentional REVENUE CYCLE MANAGEMENT AND June 1, 2021 - President Joe Biden has requested an increase in the HHS budget next year to strengthen public health infrastructure and crisis-related needs, among other top health spending proposals. The president’s budget for fiscal year (FY) 2022—Biden’s first since taking office—requests a total of $6 trillion. Of that, the president requested $133.7 billion for the HHS REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
VALUE-BASED CARE NEWS Remote Patient Monitoring, Telehealth Support Value-Based Contracts. May 25, 2021 by Jacqueline LaPointe. The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services 4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTSGROUP PURCHASING ORGANIZATION DIRECTORY The organizations could reduce supply-related purchasing costs by 13.1 percent for hospitals and nursing homes, the analysis shows. With GPOs significantly reducing supply chain costs, Dobson DaVanzo & Associates economists estimate that the organizations will reduce total healthcare spending for hospitals and nursing homes by up to $456.6 ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION By Jacqueline LaPointe. January 25, 2021 - Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477 ACOs are participating in Medicare’s flagship ACO program in 2021, down from 517 ACOs in2020.
HOW WILL AUTOMATION, AI IMPACT HEALTHCARE EMPLOYMENT?AUTOMATION IMPACT ON JOBSAUTOMATION IMPACT ON SOCIETYAUTOMATION IN HEALTHCARE INDUSTRYEXAMPLES OF AUTOMATION IN HEALTHCAREECONOMIC IMPACT OF AUTOMATIONIMPACT AUTOMATION INC January 30, 2019 - Increased use of automation and artificial intelligence is slated to replace millions of jobs and tasks in the near future. However, healthcare employment is relatively safe from automation, according to a new report from the Brookings Metropolitan Policy Program.. The report, titled Automation and Artificial Intelligence: How machines are affecting people and places, looks VALUE-BASED CARE REDUCES COSTS BY 5.6%, IMPROVES CARE QUALITY June 18, 2018 - Value-based care strategies are starting to achieve the goals of the Triple Aim, payers reported in a new ORC International study commissioned by Change Healthcare.. The analysis of 120 payers across a range of organization size and type revealed that medical costs fell 5.6 percent, on average, under value-based care models, while care quality and patient engagement also NO REIMBURSEMENT IMPEDES SOCIAL DETERMINANTS OF HEALTH10 SOCIAL DETERMINANTS OF HEALTH12 SOCIAL DETERMINANTS OF HEALTHFIVE SOCIAL DETERMINANTS OF HEALTH No Reimbursement Impedes Social Determinants of Health Progress A lack of direct reimbursement was the top factor standing in the way of social determinants of health progress, followed by inability to demonstrate ROI, a survey shows. REVENUE CYCLE MANAGEMENT AND June 1, 2021 - President Joe Biden has requested an increase in the HHS budget next year to strengthen public health infrastructure and crisis-related needs, among other top health spending proposals. The president’s budget for fiscal year (FY) 2022—Biden’s first since taking office—requests a total of $6 trillion. Of that, the president requested $133.7 billion for the HHS REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
VALUE-BASED CARE NEWS Remote Patient Monitoring, Telehealth Support Value-Based Contracts. May 25, 2021 by Jacqueline LaPointe. The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services 4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTSGROUP PURCHASING ORGANIZATION DIRECTORY The organizations could reduce supply-related purchasing costs by 13.1 percent for hospitals and nursing homes, the analysis shows. With GPOs significantly reducing supply chain costs, Dobson DaVanzo & Associates economists estimate that the organizations will reduce total healthcare spending for hospitals and nursing homes by up to $456.6 ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION By Jacqueline LaPointe. January 25, 2021 - Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477 ACOs are participating in Medicare’s flagship ACO program in 2021, down from 517 ACOs in2020.
HOW WILL AUTOMATION, AI IMPACT HEALTHCARE EMPLOYMENT?AUTOMATION IMPACT ON JOBSAUTOMATION IMPACT ON SOCIETYAUTOMATION IN HEALTHCARE INDUSTRYEXAMPLES OF AUTOMATION IN HEALTHCAREECONOMIC IMPACT OF AUTOMATIONIMPACT AUTOMATION INC January 30, 2019 - Increased use of automation and artificial intelligence is slated to replace millions of jobs and tasks in the near future. However, healthcare employment is relatively safe from automation, according to a new report from the Brookings Metropolitan Policy Program.. The report, titled Automation and Artificial Intelligence: How machines are affecting people and places, looks VALUE-BASED CARE REDUCES COSTS BY 5.6%, IMPROVES CARE QUALITY June 18, 2018 - Value-based care strategies are starting to achieve the goals of the Triple Aim, payers reported in a new ORC International study commissioned by Change Healthcare.. The analysis of 120 payers across a range of organization size and type revealed that medical costs fell 5.6 percent, on average, under value-based care models, while care quality and patient engagement also NO REIMBURSEMENT IMPEDES SOCIAL DETERMINANTS OF HEALTH10 SOCIAL DETERMINANTS OF HEALTH12 SOCIAL DETERMINANTS OF HEALTHFIVE SOCIAL DETERMINANTS OF HEALTH No Reimbursement Impedes Social Determinants of Health Progress A lack of direct reimbursement was the top factor standing in the way of social determinants of health progress, followed by inability to demonstrate ROI, a survey shows. VALUE-BASED CARE NEWS Remote Patient Monitoring, Telehealth Support Value-Based Contracts. May 25, 2021 by Jacqueline LaPointe. The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services BEFORE COVID-19, HEALTHCARE SPENDING INCREASED BY 4.6% 1 day ago · June 07, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports.. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research VALUE-BASED CONTRACTING 101: PREPARING, NEGOTIATING, AND June 01, 2021 - The Triple Aim. The Quadruple Aim. Right care at the right place at the right time. Whether one works in a hospital or small independent practice, healthcare providers are leaning on these concepts to deliver valuable care to their patients, and that is in its simplest form: care that results in the best patient outcomes at the lowest possible cost to the patient and the system. OVER THIRD OF HOSPITAL EXECS REPORT CLAIM DENIAL RATES 20 hours ago · June 07, 2021 - Hospital claim denial rates are at an all-time high, signaling a need for better claims denial management, a recent survey from Harmony Healthcare reveals. The healthcare industry has seen a 20 percent increase in claim denial rates in the past five years, and the COVID-19 pandemic has only worsened the trend. REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS April 7, 2021 - Six months into the COVID-19 pandemic, mothers of color who held clinical care roles at an academic health center expressed the highest rates of stress related to caregiving, productivity, and career development, according to new workforce management research published in JAMA Network Open that highlights employee disparities. These findings could have serious 51 ORGANIZATIONS JOIN NEW DIRECT CONTRACTING OPPORTUNITY The 51 participants, otherwise known as Direct Contract Entities, will take part in the model’s implementation year from Oct. 1, 2020, through March 31, 2021. November 05, 2020 - CMS recently announced that 51 organizations will take part in a new directing contracting opportunity that will test what the agency calls the “next evolutionof
REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS April 22, 2021 - Nurses face significant supply chain management problems that affect efficiency, patient safety, and hospital margins, according to the annual marketing report from Syft. These findings are based on a February 2021 survey of 50 hospital frontline nurses and 50 nurse leaders. According to the results, 85 percent of nurses said they encounter challenges documenting supplies, REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS March 5, 2021 - Medicare spending on physician services decreased by $9.4 billion, or 19 percent, in the first half of 2020 because of the COVID-19 pandemic, according to a new analysis from the American Medical Association (AMA). The analysis of Medicare Physician Fee Schedule claims from January to June last year found that Medicare spending dropped by as much as 57 percent below AHA LAUNCHES HOSPITAL REVENUE AND CLAIMS COMPARISON TOOL June 04, 2021 - The American Hospital Association (AHA) recently launched the AHA Vitality Index, a data benchmarking tool that provides hospitals with a dashboard to track claims and reimbursements, as well as compare hospital revenue with peers, according to a recent announcement.. Hospitals can anonymously compare their operational and financial performance with that of other REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS February 1, 2021 - Hospitals received just 87 cents for every dollar they spent caring for Medicare patients and 90 cents for every dollar on Medicaid patients in 2019, according to new data from the American Hospital Association (AHA). In total, the Medicare and Medicaid shortfall reached $75.8 billion right before the COVID-19 pandemic hit the US in the first quarter of 2020, the hospital REVENUE CYCLE MANAGEMENT AND June 1, 2021 - President Joe Biden has requested an increase in the HHS budget next year to strengthen public health infrastructure and crisis-related needs, among other top health spending proposals. The president’s budget for fiscal year (FY) 2022—Biden’s first since taking office—requests a total of $6 trillion. Of that, the president requested $133.7 billion for the HHS REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
VALUE-BASED CARE NEWS Remote Patient Monitoring, Telehealth Support Value-Based Contracts. May 25, 2021 by Jacqueline LaPointe. The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services 4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTSGROUP PURCHASING ORGANIZATION DIRECTORY The organizations could reduce supply-related purchasing costs by 13.1 percent for hospitals and nursing homes, the analysis shows. With GPOs significantly reducing supply chain costs, Dobson DaVanzo & Associates economists estimate that the organizations will reduce total healthcare spending for hospitals and nursing homes by up to $456.6 ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION By Jacqueline LaPointe. January 25, 2021 - Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477 ACOs are participating in Medicare’s flagship ACO program in 2021, down from 517 ACOs in2020.
HOW WILL AUTOMATION, AI IMPACT HEALTHCARE EMPLOYMENT?AUTOMATION IMPACT ON JOBSAUTOMATION IMPACT ON SOCIETYAUTOMATION IN HEALTHCARE INDUSTRYEXAMPLES OF AUTOMATION IN HEALTHCAREECONOMIC IMPACT OF AUTOMATIONIMPACT AUTOMATION INC January 30, 2019 - Increased use of automation and artificial intelligence is slated to replace millions of jobs and tasks in the near future. However, healthcare employment is relatively safe from automation, according to a new report from the Brookings Metropolitan Policy Program.. The report, titled Automation and Artificial Intelligence: How machines are affecting people and places, looks VALUE-BASED CARE REDUCES COSTS BY 5.6%, IMPROVES CARE QUALITY June 18, 2018 - Value-based care strategies are starting to achieve the goals of the Triple Aim, payers reported in a new ORC International study commissioned by Change Healthcare.. The analysis of 120 payers across a range of organization size and type revealed that medical costs fell 5.6 percent, on average, under value-based care models, while care quality and patient engagement also NO REIMBURSEMENT IMPEDES SOCIAL DETERMINANTS OF HEALTH10 SOCIAL DETERMINANTS OF HEALTH12 SOCIAL DETERMINANTS OF HEALTHFIVE SOCIAL DETERMINANTS OF HEALTH No Reimbursement Impedes Social Determinants of Health Progress A lack of direct reimbursement was the top factor standing in the way of social determinants of health progress, followed by inability to demonstrate ROI, a survey shows. REVENUE CYCLE MANAGEMENT AND June 1, 2021 - President Joe Biden has requested an increase in the HHS budget next year to strengthen public health infrastructure and crisis-related needs, among other top health spending proposals. The president’s budget for fiscal year (FY) 2022—Biden’s first since taking office—requests a total of $6 trillion. Of that, the president requested $133.7 billion for the HHS REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
VALUE-BASED CARE NEWS Remote Patient Monitoring, Telehealth Support Value-Based Contracts. May 25, 2021 by Jacqueline LaPointe. The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services 4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTSGROUP PURCHASING ORGANIZATION DIRECTORY The organizations could reduce supply-related purchasing costs by 13.1 percent for hospitals and nursing homes, the analysis shows. With GPOs significantly reducing supply chain costs, Dobson DaVanzo & Associates economists estimate that the organizations will reduce total healthcare spending for hospitals and nursing homes by up to $456.6 ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION By Jacqueline LaPointe. January 25, 2021 - Accountable care organization (ACO) participation in the Medicare Shared Savings Program has hit a new low in 2021, according to new data from CMS. The data dropped by CMS this week showed that 477 ACOs are participating in Medicare’s flagship ACO program in 2021, down from 517 ACOs in2020.
HOW WILL AUTOMATION, AI IMPACT HEALTHCARE EMPLOYMENT?AUTOMATION IMPACT ON JOBSAUTOMATION IMPACT ON SOCIETYAUTOMATION IN HEALTHCARE INDUSTRYEXAMPLES OF AUTOMATION IN HEALTHCAREECONOMIC IMPACT OF AUTOMATIONIMPACT AUTOMATION INC January 30, 2019 - Increased use of automation and artificial intelligence is slated to replace millions of jobs and tasks in the near future. However, healthcare employment is relatively safe from automation, according to a new report from the Brookings Metropolitan Policy Program.. The report, titled Automation and Artificial Intelligence: How machines are affecting people and places, looks VALUE-BASED CARE REDUCES COSTS BY 5.6%, IMPROVES CARE QUALITY June 18, 2018 - Value-based care strategies are starting to achieve the goals of the Triple Aim, payers reported in a new ORC International study commissioned by Change Healthcare.. The analysis of 120 payers across a range of organization size and type revealed that medical costs fell 5.6 percent, on average, under value-based care models, while care quality and patient engagement also NO REIMBURSEMENT IMPEDES SOCIAL DETERMINANTS OF HEALTH10 SOCIAL DETERMINANTS OF HEALTH12 SOCIAL DETERMINANTS OF HEALTHFIVE SOCIAL DETERMINANTS OF HEALTH No Reimbursement Impedes Social Determinants of Health Progress A lack of direct reimbursement was the top factor standing in the way of social determinants of health progress, followed by inability to demonstrate ROI, a survey shows. VALUE-BASED CARE NEWS Remote Patient Monitoring, Telehealth Support Value-Based Contracts. May 25, 2021 by Jacqueline LaPointe. The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services BEFORE COVID-19, HEALTHCARE SPENDING INCREASED BY 4.6% 20 hours ago · June 07, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports.. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research VALUE-BASED CONTRACTING 101: PREPARING, NEGOTIATING, AND June 01, 2021 - The Triple Aim. The Quadruple Aim. Right care at the right place at the right time. Whether one works in a hospital or small independent practice, healthcare providers are leaning on these concepts to deliver valuable care to their patients, and that is in its simplest form: care that results in the best patient outcomes at the lowest possible cost to the patient and the system. OVER THIRD OF HOSPITAL EXECS REPORT CLAIM DENIAL RATES 16 hours ago · June 07, 2021 - Hospital claim denial rates are at an all-time high, signaling a need for better claims denial management, a recent survey from Harmony Healthcare reveals. The healthcare industry has seen a 20 percent increase in claim denial rates in the past five years, and the COVID-19 pandemic has only worsened the trend. REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS April 7, 2021 - Six months into the COVID-19 pandemic, mothers of color who held clinical care roles at an academic health center expressed the highest rates of stress related to caregiving, productivity, and career development, according to new workforce management research published in JAMA Network Open that highlights employee disparities. These findings could have serious 51 ORGANIZATIONS JOIN NEW DIRECT CONTRACTING OPPORTUNITY The 51 participants, otherwise known as Direct Contract Entities, will take part in the model’s implementation year from Oct. 1, 2020, through March 31, 2021. November 05, 2020 - CMS recently announced that 51 organizations will take part in a new directing contracting opportunity that will test what the agency calls the “next evolutionof
REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS April 22, 2021 - Nurses face significant supply chain management problems that affect efficiency, patient safety, and hospital margins, according to the annual marketing report from Syft. These findings are based on a February 2021 survey of 50 hospital frontline nurses and 50 nurse leaders. According to the results, 85 percent of nurses said they encounter challenges documenting supplies, REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS March 5, 2021 - Medicare spending on physician services decreased by $9.4 billion, or 19 percent, in the first half of 2020 because of the COVID-19 pandemic, according to a new analysis from the American Medical Association (AMA). The analysis of Medicare Physician Fee Schedule claims from January to June last year found that Medicare spending dropped by as much as 57 percent below AHA LAUNCHES HOSPITAL REVENUE AND CLAIMS COMPARISON TOOL June 04, 2021 - The American Hospital Association (AHA) recently launched the AHA Vitality Index, a data benchmarking tool that provides hospitals with a dashboard to track claims and reimbursements, as well as compare hospital revenue with peers, according to a recent announcement.. Hospitals can anonymously compare their operational and financial performance with that of other REVENUE CYCLE MANAGEMENT HEALTHCARE NEWS February 1, 2021 - Hospitals received just 87 cents for every dollar they spent caring for Medicare patients and 90 cents for every dollar on Medicaid patients in 2019, according to new data from the American Hospital Association (AHA). In total, the Medicare and Medicaid shortfall reached $75.8 billion right before the COVID-19 pandemic hit the US in the first quarter of 2020, the hospital REVENUE CYCLE MANAGEMENT AND June 1, 2021 - President Joe Biden has requested an increase in the HHS budget next year to strengthen public health infrastructure and crisis-related needs, among other top health spending proposals. The president’s budget for fiscal year (FY) 2022—Biden’s first since taking office—requests a total of $6 trillion. Of that, the president requested $133.7 billion for the HHS REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
VALUE-BASED CARE NEWS June 3, 2021 - In a study of over four million Medicare beneficiaries, researchers found that the Comprehensive Care for Joint Replacement (CJR) model may be widening racial and socioeconomic health disparities in total knee and total hip replacement use. Published in JAMA Network Open, the study concluded that payment reform under the CJR model could be causing hospitals to avoid joint 4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTSGROUP PURCHASING ORGANIZATION DIRECTORY May 20, 2019 - Group purchasing organizations (GPOs) save the healthcare system up to $34.1 billion annually, with hospitals and nursing homes seeing a significant portion of the supply chain savings, a new analysis finds.. Released by the Healthcare Supply Chain Association (HSCA) on May 15, the analysis performed by Dobson DaVanzo & Associates examines National Health Expenditure ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION New data from CMS shows that ACO participation in the Shared Savings Program declined again under the Trump administration in 2021, hittinga new low of
HOW WILL AUTOMATION, AI IMPACT HEALTHCARE EMPLOYMENT?AUTOMATION IMPACT ON JOBSAUTOMATION IMPACT ON SOCIETYAUTOMATION IN HEALTHCARE INDUSTRYEXAMPLES OF AUTOMATION IN HEALTHCAREECONOMIC IMPACT OF AUTOMATIONIMPACT AUTOMATION INC January 30, 2019 - Increased use of automation and artificial intelligence is slated to replace millions of jobs and tasks in the near future. However, healthcare employment is relatively safe from automation, according to a new report from the Brookings Metropolitan Policy Program.. The report, titled Automation and Artificial Intelligence: How machines are affecting people and places, looks VALUE-BASED CARE REDUCES COSTS BY 5.6%, IMPROVES CARE QUALITY June 18, 2018 - Value-based care strategies are starting to achieve the goals of the Triple Aim, payers reported in a new ORC International study commissioned by Change Healthcare.. The analysis of 120 payers across a range of organization size and type revealed that medical costs fell 5.6 percent, on average, under value-based care models, while care quality and patient engagement also NO REIMBURSEMENT IMPEDES SOCIAL DETERMINANTS OF HEALTH10 SOCIAL DETERMINANTS OF HEALTH12 SOCIAL DETERMINANTS OF HEALTHFIVE SOCIAL DETERMINANTS OF HEALTH No Reimbursement Impedes Social Determinants of Health Progress A lack of direct reimbursement was the top factor standing in the way of social determinants of health progress, followed by inability to demonstrate ROI, a survey shows. REVENUE CYCLE MANAGEMENT AND June 1, 2021 - President Joe Biden has requested an increase in the HHS budget next year to strengthen public health infrastructure and crisis-related needs, among other top health spending proposals. The president’s budget for fiscal year (FY) 2022—Biden’s first since taking office—requests a total of $6 trillion. Of that, the president requested $133.7 billion for the HHS REMOTE PATIENT MONITORING, TELEHEALTH SUPPORT VALUE-BASED May 25, 2021 - The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue CycleManagement Summit.
VALUE-BASED CARE NEWS June 3, 2021 - In a study of over four million Medicare beneficiaries, researchers found that the Comprehensive Care for Joint Replacement (CJR) model may be widening racial and socioeconomic health disparities in total knee and total hip replacement use. Published in JAMA Network Open, the study concluded that payment reform under the CJR model could be causing hospitals to avoid joint 4 KEY STRATEGIES FOR ACCOUNTABLE CARE ORGANIZATION SUCCESSSEE MORE ON REVCYCLEINTELLIGENCE.COM BIDEN ADMINISTRATION PAUSES KEY VALUE-BASED REIMBURSEMENT March 10, 2021 - The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model webpages.. Among the value-based reimbursement models impacted are the Geographic Direct Contracting Model, Primary Care First Model’s Seriously Ill Population option, GROUP PURCHASING ORGANIZATIONS CUT HOSPITAL SUPPLY COSTSGROUP PURCHASING ORGANIZATION DIRECTORY May 20, 2019 - Group purchasing organizations (GPOs) save the healthcare system up to $34.1 billion annually, with hospitals and nursing homes seeing a significant portion of the supply chain savings, a new analysis finds.. Released by the Healthcare Supply Chain Association (HSCA) on May 15, the analysis performed by Dobson DaVanzo & Associates examines National Health Expenditure ACO PARTICIPATION HITS NEW LOW AS BIDEN ADMINISTRATION New data from CMS shows that ACO participation in the Shared Savings Program declined again under the Trump administration in 2021, hittinga new low of
HOW WILL AUTOMATION, AI IMPACT HEALTHCARE EMPLOYMENT?AUTOMATION IMPACT ON JOBSAUTOMATION IMPACT ON SOCIETYAUTOMATION IN HEALTHCARE INDUSTRYEXAMPLES OF AUTOMATION IN HEALTHCAREECONOMIC IMPACT OF AUTOMATIONIMPACT AUTOMATION INC January 30, 2019 - Increased use of automation and artificial intelligence is slated to replace millions of jobs and tasks in the near future. However, healthcare employment is relatively safe from automation, according to a new report from the Brookings Metropolitan Policy Program.. The report, titled Automation and Artificial Intelligence: How machines are affecting people and places, looks VALUE-BASED CARE REDUCES COSTS BY 5.6%, IMPROVES CARE QUALITY June 18, 2018 - Value-based care strategies are starting to achieve the goals of the Triple Aim, payers reported in a new ORC International study commissioned by Change Healthcare.. The analysis of 120 payers across a range of organization size and type revealed that medical costs fell 5.6 percent, on average, under value-based care models, while care quality and patient engagement also NO REIMBURSEMENT IMPEDES SOCIAL DETERMINANTS OF HEALTH10 SOCIAL DETERMINANTS OF HEALTH12 SOCIAL DETERMINANTS OF HEALTHFIVE SOCIAL DETERMINANTS OF HEALTH No Reimbursement Impedes Social Determinants of Health Progress A lack of direct reimbursement was the top factor standing in the way of social determinants of health progress, followed by inability to demonstrate ROI, a survey shows. VALUE-BASED CONTRACTING 101: PREPARING, NEGOTIATING, AND June 01, 2021 - The Triple Aim. The Quadruple Aim. Right care at the right place at the right time. Whether one works in a hospital or small independent practice, healthcare providers are leaning on these concepts to deliver valuable care to their patients, and that is in its simplest form: care that results in the best patient outcomes at the lowest possible cost to the patient and the system. BEFORE COVID-19, HEALTHCARE SPENDING INCREASED BY 4.6% 13 hours ago · June 07, 2021 - National healthcare spending continued to grow right before the COVID-19 pandemic hit, increasing by 4.6 percent in 2019 to a total of $3.8 trillion, the American Medical Association (AMA) reports.. Broken down, that equates to $11,582 per capita and accounts for 17.7 percent of gross domestic product (GDP), the industry group stated in its latest Policy Research OVER THIRD OF HOSPITAL EXECS REPORT CLAIM DENIAL RATES 9 hours ago · June 07, 2021 - Hospital claim denial rates are at an all-time high, signaling a need for better claims denial management, a recent survey from Harmony Healthcare reveals. The healthcare industry has seen a 20 percent increase in claim denial rates in the past five years, and the COVID-19 pandemic has only worsened the trend. KEY COVID-19 CLAIM DENIAL TRENDS ARISING FROM THE CARES ACT July 06, 2020 - The Coronavirus Aid, Relief, and Economic Security (CARES) Act was developed to provide the healthcare resources needed to fight COVID-19. Signed into law March 27, 2020, the Act was designed to provide fast and direct economic assistance for US workers and their families, small businesses, and to preserve jobs.. Under the CARES Act, group health plans and health insurance 51 ORGANIZATIONS JOIN NEW DIRECT CONTRACTING OPPORTUNITY November 05, 2020 - CMS recently announced that 51 organizations will take part in a new directing contracting opportunity that will test what the agency calls the “next evolution of risk-sharing arrangements.”. The organizations, which are largely medical groups and accountable care organizations (ACOs), will participate in the implementation period of the Direct Contracting model between AHA LAUNCHES HOSPITAL REVENUE AND CLAIMS COMPARISON TOOL June 04, 2021 - The American Hospital Association (AHA) recently launched the AHA Vitality Index, a data benchmarking tool that provides hospitals with a dashboard to track claims and reimbursements, as well as compare hospital revenue with peers, according to a recent announcement.. Hospitals can anonymously compare their operational and financial performance with that of other 3 WAYS TO IMPROVE MEDICAL CODING QUALITY FOR ACCURATE October 09, 2020 - While some have said medical coding sits quietly in the middle of the healthcare revenue cycle, it is a key step that, when done inadequately, can impact each part of the revenue cycle after it. Medical coding quality is crucial to ensuring claims get out the door quickly and reimbursements come back complete. Yet, hospital finance leaders identified clinical documentation SENTARA-CONE HEALTH MERGER CALLED OFF AMID CONSOLIDATION June 03, 2021 - Sentara Healthcare and Cone Health have called off a planned healthcare merger after dozens of public comments poured in raising concerns about hospital consolidation and its impact on prices.. The health systems announced in a mutual statement yesterday that they would no longer move forward with the merger proposed in August of last year. VALUE-BASED INCENTIVES DIDN’T REDUCE HOSPITAL-ACQUIRED July 20, 2020 - Two of Medicare’s value-based incentive programs did not improve the levels or trends of certain hospital-acquired infections, potentially widening the gap between safety-net and non-safety-net hospitals, according to a recent study out of Boston Medical Center and Harvard Pilgrim Health Care Institute.*. The study recently published in JAMA Network Open found that little, if REVENUE CYCLE MANAGEMENT SUCCESS IS ABOUT THE FUNDAMENTALS February 16, 2016 - Revenue cycle management success is the heart of any healthcare organization. Defined as the clinical and administrative management of claims management, payment, and revenue production, revenue cycle management is in essence one large financial circulatory system.. Successful revenue cycle management is truly about going back to the basics, especially when it This website uses a variety of cookies, which you consent to if you continue to use this site. You can read our privacy policy for details about how these cookies are used, and to grant or withdraw your consent for certain types of cookies. Consent and dismiss this banner by clickingagree.
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OIG TO AUDIT $50B IN CORONAVIRUS RELIEF FUNDS GIVEN TO PROVIDERS June 1, 2020 - The Office of the Inspector General (OIG) at HHS recently announced that it will audit the distribution of $50 billion in coronavirus relief funds to hospitals and other eligible healthcare providers. For more coronavirus updates, visit our resource page, updated twice daily by Xtelligent Healthcare Media. In the announcement released at the end of May, the OIG said the audit...Read More...
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AHA ASKS FOR ANOTHER $50B IN CORONAVIRUS RELIEF FOR HOSPITALS June 8, 2020 - The American Hospital Association (AHA) is asking HHS to distribute another $50 billion in coronavirus relief funds as hospitals continue to feel the financial pressure of responding to COVID-19. For more coronavirus updates, visit our resource page, updated twice daily by Xtelligent Healthcare Media. “e urge HHS to distribute additional funds to all hospitals, as well...Read More...
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CMS EXTENDS NEXT GENERATION ACO MODEL, OFFERS APM FLEXIBILITIES June 4, 2020 - As healthcare providers continue to respond to the COVID-19 crisis, CMS is granting key flexibilities to participants in alternative payment models (APMs) managed by the agency’s Innovation Center. CMS Administrator Seema Verma announced yesterday in a Health Affairs blog post that the agency is adjusting APM to address “the uniqueness of the situation.” Among the...Read More...
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HOSPITAL VOLUME RECOVERY SLUGGISH DESPITE MORE OUTPATIENT VISITS June 3, 2020 - The COVID-19 pandemic led to a dramatic reduction in hospital volumes and consequently revenues, but the providers are slowly starting to recover as patients seek more outpatient care, according to new data. For more coronavirus updates, visit our resource page, updated twice daily by Xtelligent Healthcare Media. Hospital visits overall are starting to trend upward, anupdated...
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OIG TO AUDIT $50B IN CORONAVIRUS RELIEF FUNDS GIVEN TO PROVIDERS June 1, 2020 - The Office of the Inspector General (OIG) at HHS recently announced that it will audit the distribution of $50 billion in coronavirus relief funds to hospitals and other eligible healthcare providers. For more coronavirus updates, visit our resource page, updated twice daily by Xtelligent Healthcare Media. In the announcement released at the end of May, the OIG said the audit...Read More...
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AHA ASKS FOR ANOTHER $50B IN CORONAVIRUS RELIEF FOR HOSPITALS June 8, 2020 - The American Hospital Association (AHA) is asking HHS to distribute another $50 billion in coronavirus relief funds as hospitals continue to feel the financial pressure of responding to COVID-19. For more coronavirus updates, visit our resource page, updated twice daily by Xtelligent Healthcare Media. “e urge HHS to distribute additional funds to all hospitals, as well...Read More...
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HOW COVID-19 IMPERILED PHYSICIAN PRACTICES, AND HOW TO SAVE THEM Some have heard the ringing of the death knell for physician practices for years now. Mergers and acquisitions, industry consolidation, value-based care, and the growing presence of private equity firms in healthcare have all threatened the survival of the practice. But the COVID-19 pandemic...Read More...
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HEALTHCARE CFOS LOOKING TO TECHNOLOGY TO BOOST WANING MARGINS Healthcare CFOs do not plan to reduce spending on technology and automation despite a dramatic dip in revenues and margins, according to a recent Black Book survey. For more coronavirus updates, visit our resource page, updated twice... AHA ASKS FOR ANOTHER $50B IN CORONAVIRUS RELIEF FOR HOSPITALS The American Hospital Association (AHA) is asking HHS to distribute another $50 billion in coronavirus relief funds as hospitals continue to feel the financial pressure of responding to COVID-19. For more coronavirus updates, visit...Sponsored by XIFIN
HOW PURPOSE-BUILT RCM SYSTEMS FOR LABS BOOST ENTERPRISE ROI Pairing an enterprise system with a purpose-built revenue cycle management (RCM) platform can improve operational and financial performance for laboratories, particularly ancillary and outreach labs, according to recent insights from IDC... APPEALS COURT NIXES FRAUD CASE AGAINST BAYLOR SCOTT & WHITE HEALTH Texas-based Baylor Scott & White Health has again beat a False Claims Act lawsuit alleging that it inflated medical codes in order to maximize Medicare reimbursement. On May 28, the US Court of Appeals for the 5th Circuit affirmed a... CAREMOUNT’S FOUNDATION FOR ACCOUNTABLE CARE ORGANIZATION SAVINGS In CareMount Health Solutions’ first year as an accountable care organization (ACO) in Medicare’s Next General ACO Model, the organization was one of 38 participants to earn shared savings. That year, the New York-based ACO... CMS EXTENDS NEXT GENERATION ACO MODEL, OFFERS APM FLEXIBILITIES As healthcare providers continue to respond to the COVID-19 crisis, CMS is granting key flexibilities to participants in alternative payment models (APMs) managed by the agency’s Innovation Center. CMS Administrator Seema Verma... PROVIDERS MUST ACT TODAY TO RECEIVE ADDITIONAL CORONAVIRUS RELIEF Providers need to take action by today to be eligible for additional coronavirus relief payments, HHS warned on its website. For more coronavirus updates, visit our resource page, updated twice daily by Xtelligent Healthcare...View all stories
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