Site-neutral clinic payments, 340B drug program policy, adding procedures to covered list for ambulatory surgery centers all hit hospital margins.
Revenue Cycle Management
Understanding the root causes of financial hardship enables hospital executives to best pick which areas to improve first.
The retail giant has proven it can use data to drive down costs. Is your hospital ready to compete against that?
Oscar says it uses technology to lower cost: More than 60 percent of member interactions with health systems are virtual.
Taking a disciplined approach to re-negotiating contracts with your top vendors enables hospitals to leverage power they might not know they have and achieve immediate results.
The top two priorities boil down to cost and consumerism has surged into the top 5 for 2018, mirroring industry trends.
Quality and Safety
The overall health of the population, more advanced medical equipment and a general lack of awareness regarding the best types of treatment can all affect costs.
Billing and Collections
This is the second year in a row in which the index has found an increase in the potential industry savings that could be achieved with full adoption of electronic transactions.
What looks like a nightmare for hospital finance executives is also an opportunity to reduce excessive losses typically associated with such claims.
Average compensation for CEOs at 22 major medical centers increased by 93 percent, while orthopaedic surgeons saw only a 26 percent increase.
The new communities, targeted at 9 types of attendees, will enable people to navigate the conference year-round.
The custom sensor would measure information from the body beyond heart rate, report says.
Establish clear strategic goals and target a financial return, get the revenue cycle right, and motivate employees accordingly.
Compliance & Legal
Prosecutors for the 10 regional strike forces currently in operation have charged over 3,700 defendants in connection to more than $14 billion in false billings, DOJ says.
Policy and Legislation
Teva Pharmaceuticals is marketing the first approved generic epinephrine auto-injector for the emergency treatment of allergic reactions.
Hospital giving certain patients a nutrition consultation, two-day supply of fresh produce and a prescription for two refills.
Administrator Seema Verma says it's time for ACOs to take on downside risk, in a proposal that would save Medicare $2.2 billion over 10 years.
The practice of palliative care is known to make patients more comfortable and now is proven to shorten hospital stays and lower costs.
The institutions that were studied added more than $562 billion in value to the nation's economy in 2017, including direct and indirect economic impact.
Analytics enable providers to make decisions based on vast amounts of data, resulting in savings.
Anderson will oversee innovation in a group that was formed from the practitioners of RWJBarnabas Health and the Rutgers Health Group.
ICD-10 & Lady
Doctors need to carefully and properly use the HCC codes, which indicate the expected costs for a patient.
Administrator Seema Verma said changes to the program eliminate 25 measures and saves hospitals over 2 million hours of work and $75 million.
Medicare & Medicaid
States are required to get CMS approval for any changes they want to make to their Medicaid programs, no matter how simple.
If consumer choice can be leveraged correctly, it forces physicians, hospitals and health systems to maintain a consistent level of care.
One of the main ways drug spending is mitigated is through market competition from biosimilar and generic drugs.
Organizations are each expanding services to address non-medical factors that can have a significant impact on individual and population health.
With the median annual loss of nearly $450,000 due to theft many practices have plenty of room for improvement, new research from MGMA found.
Pharmacy giant now offering telemedicine services in 10 US states with nationwide expansion planned by year's end.
Mergers & Acquisitions
Investor Carl Icahn says he will vote against $54 billion PBM acquisition as being too high a price.