Healthcare News & Insights

Like all organizations, healthcare organizations are under mounting pressure to cut costs and increase revenue. Read about the top techniques for improving revenue cycle management and getting the most out of a hospital’s budget.

ACA replacement, bundled payments delayed

The healthcare climate became even more unstable for hospitals recently with two big announcements from the feds: Republicans have withdrawn their first attempt at repealing the Affordable Care Act (ACA), and the Centers for Medicare & Medicaid Services (CMS) has delayed the widespread adoption of bundled payments. 

4 ways a united Republican House, Senate and Presidency will impact healthcare revenue

Now in control of all three branches of the Federal government, the GOP has made it clear its agenda over at least the next two years will focus tightly on deregulation – including with a priority push to effectively defund the Affordable Care Act (ACA). In this guest post, Shawn Yates, director of healthcare product […] [MORE]

The return of the provider-sponsored health plan

“Everything old is new again.” The latest expression of this familiar adage is the return of the provider-sponsored health plan (PSHP). Originally introduced in the 1990s, PSHPs quickly fell out of favor for a variety of reasons. Not the least of which was they simply didn’t make financial sense in a fee-for-service (FFS) world. In […] [MORE]

Bundled payments lowered costs for one health system

The Centers for Medicare & Medicaid Services (CMS) has been reimbursing hundreds of hospitals for joint replacement under a bundled payment model since last year. More evidence is being released concerning just how beneficial bundled payments can be for reducing healthcare costs. 

Bundled payments may be coming for maternity care

Bundled payments are being considered for many different episodes of care with hospitals. The most notable bundled payment model is the joint replacement model created by the Centers for Medicare & Medicaid Services (CMS). But other models are generating interest as well – including a potential bundled payment model for maternity care. 

More hospitals to receive Medicare pay cuts

The feds have started to ramp up the penalties for poor patient outcomes. This year, the Centers for Medicare & Medicaid Services (CMS) included some new conditions in its Hospital-Acquired Condition Reduction program – and more hospitals will feel the pain in their wallets than ever before. 

ACA post-election: Healthcare outlook for hospitals

The news that Donald Trump won the presidential election has created uncertainty in the current healthcare landscape, particularly regarding the future of the Affordable Care Act (ACA). And one big question remains: How will the new administration affect hospitals over the next four years? 

CMS releases final rule for OPPS

The Centers for Medicare & Medicaid Services (CMS) has released its final rule for the 2017 Hospital Outpatient Prospective Payment System (OPPS), and there are quite a few changes your facility needs to know about. 

CMS releases final rule on quality payment program

The Centers for Medicare & Medicaid Services (CMS) has put out its final rule for its new quality payment program, and your hospital’s providers are going to have to change the way they report quality measures to Medicare. 

Bundled payments: Impact on hospitals, employers & patients

Bundled payments are becoming not just the choice for payors, but for employers and the general public as well. A new survey from PricewaterhouseCoopers (PWC) shows just how essential it is for hospitals to get on board with this growing reimbursement trend. 

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