New CMS ACO model for rural areas October 17, 2014 | Ken Perez, Contributing Writer
raining money
CMS intends to use the ACO Investment Model to encourage MSSP ACOs to move to higher levels of financial risk
This week CMS launched an ACO Investment Model, which will provide up to $114 million in upfront investments, to up to 75 Medicare Shared Savings Program ACOs. The program aims to help ACOs succeed in the MSSP by providing upfront capital to cover startup and ongoing infrastructure costs. More
Inpatient census continues to sink October 16, 2014 | Chris Nerney, Contributing Writer
census ticker
Inpatient utilization was flat or declined in the first half of 2014 for 68 percent of respondents to Kaufman Hall’s survey
While reducing reliance on expensive inpatient care is a sensible goal for hospitals, the transition away from a bricks-and-mortar, fee-for-service model is creating tremendous pressures on chief financial officers. More
Assessing payer-provider transactions October 15, 2014 | Tom Dean, Contributing Writer
stethoscope on credit cards and cash
There are expenses associated with each payment modality, but cost is only one consideration among several
Like many other industries, healthcare is looking to leverage information technology to transform financial payments and automate the posting of accounts payable and accounts receivable processing systems. But which method to choose? More
Improved revenue starts with the patient October 14, 2014 | Monte Sandler, Contributing Writer
money and stethoscope
Patients are now responsible for closer to 30 to 35 percent of their healthcare bill
Healthcare providers are realizing they must create and sustain a more effective revenue cycle to ensure long-term viability. To remain competitive, providers must closely evaluate the current state of their revenue cycle and implement improvement opportunities. More
Chaos in commercial surrogacy tourism October 13, 2014 | Julie Munro, CEO of InterMed Global
Illustration of pregnant woman
Surrogacy tourism, like other medical travel services, is commonly promoted to be a “fraction of the cost” of commercial surrogacy in the US
For those in the medical tourism industry, the issue of "surrogacy tourism" or commercial surrogacy is not an issue of morality. Whatever one believes, there is a need for surrogacy services and people will take chances with the law in order to have children. More
Price transparency is real in one state October 10, 2014 | Martha Bebinger, Contributing Writer
boston, massachusetts
Massachusetts is the first state to require that insurers offer real-time prices by provider in consumer-friendly formats
While a few states are moving toward more healthcare price transparency, none have gone as far as Massachusetts to make the information accessible to consumers. But the most frequent early users of the newly disclosed data are probably providers. More
Medicare patients pay more at CAHs October 09, 2014 | Jordan Rau, Kaiser Health News
patient payment
Many supplemental insurance policies for the elderly pick up the tab, but one in seven Medicare recipients lacks such a policy
Many Medicare beneficiaries treated at primarily rural "critical access" hospitals end up paying between two and six times more for outpatient services than do patients at other hospitals, according to a report released Wednesday by the HHS inspector general. More
Healthcare shifts real estate focus October 08, 2014 | Chris Nerney, Contributing Writer
Hospital sketch
Both patients and providers seek new types of office environments in which to receive and offer healthcare services
The "consumerization" of healthcare is helping to shape trends in healthcare real estate by contributing to significantly less hospital usage in certain regions of the United States. More
Cloud computing and risk October 07, 2014 | Ephraim Schwartz, Contributing Writer
cloud computing
Make sure your contracts are buttoned up with hosts and business associates
When a healthcare provider's data resides on someone else's servers, plenty can go wrong. And HIPAA isn't necessarily the worst of it. Experts offer contracting advice to help head off financial and legal disputes between vendors and providers. More
Future of senior living needs tech October 06, 2014 | Stephanie Bouchard, Managing Editor
Doctor and senior patient
A comprehensive electronic medical record doesn't yet exist to take the industry into care coordination
Savvy financial officers at senior living facilities know that the key to the future of their business is care coordination. Trouble is, financial officers can't unlock that future because the technological key, a comprehensive EMR, is not yet available to the senior living market. More
Today’s Headlines
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The Centers for Medicare & Medicaid Services recent 10-year projection of national health expenditures includes retail spending on prescription drugs, but a more complete picture of pharma... More