Louisiana hospitals adapt to instability October 24, 2014 | Chris Nerney, Contributing Writer
LSU health
From 2012 to 2013 alone, the percentage of net revenues for Louisiana hospitals coming from private insurers fell from 45 percent to 41 percent
Like healthcare facilities across the country, Louisiana's hospitals must confront formidable financial challenges as care delivery models evolve and reimbursement mechanisms change. More
Price transparency picks up speed October 23, 2014 | Emily Newhook, Contributing writer
dollar sign and codes
Raw data on pricing doesn't mean much to the average consumer, who lacks the resources to translate or comprehend it
Though over 30 states have passed or proposed legislation to increase healthcare price transparency, and released median prices for specific services, many supporters of price transparency have pushed for more detailed data. More
Data quality killed my analytics program October 22, 2014 | Michael A. Simon, Contributing Writer
data transfer
The importance of population health management has become apparent to all stakeholders in the healthcare marketplace
Improving the health of at-risk, vulnerable and chronically sick populations remains a massive challenge for healthcare organizations' financial administrators. In order to properly manage complex populations, comprehensive and reliable data on patient health and demographics are required. More
The risks of inpatient price variation October 21, 2014 | Chris Nerney, Contributing Writer
stethoscope over money
Just as there is with quality, there is significant variation in pricing among hospitals
Significant inpatient pricing variation between hospitals in the state of Washington is "putting some consumers at financial risk," according to a recent study by the Washington Health Alliance. But the state's hospitals are questioning the report's conclusions, claiming that price variation should not be surprising. More
'Defensive medicine' a flawed concept October 20, 2014 | Don McCanne, MD, Contributing Writer
doctor calculator
The concept that there is excessive resource-intensive care provided strictly as defensive medicine should be abandoned
An article published last week in the New England Journal of Medicine casts doubt that malpractice reform would reduce the use of supposed "defensive medicine." More
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
Today’s Headlines
The Texas hospital that wrongfully discharged now deceased Ebola patient Thomas Eric Duncan is already experiencing financial repercussions from the clinical slip-ups associated with the deadly virus. More
At the behest of affected patients and providers, Intermountain Healthcare decided to build what it calls a Personalized Care Clinic, an initiative that has the look of a patient-centered medical... More
Two major healthcare organizations in eastern Massachusetts are joining to build a new health system, creating what they term a "unique model" intended to improve care coordination and... More
The hospital merger wave may have slowed down a bit, but for health systems facing financial challenges and looking to evolve clinically, it’s still an option for consideration. More
Flexing its anti-kickback muscles, the federal government is clamping down hard on some profit-focused patient referral and healthcare joint venture practices. More
Commercial insurers inaccurately process about 20 percent of claims filed by medical practices. It's an industry standard that has weathered the test of time -- though not in a good way. More