The Affordable Care Act (aka ObamaCare) requires health plans to spend at least 80 or 85 percent of premiums on medical expenses and quality improvement - 80 percent for small groups and individuals and 85 percent for large groups.
Post date: April 5, 2013
Blog
Implementing a self-pay revenue cycle strategy is probably one of the biggest challenges facing hospital financial executives. As healthcare providers are more focused than ever before on increasing revenue, this issue has become that much more important to a successful overall revenue cycle strategy.
Post date: April 1, 2013
Blog
The more than 300 Practice Management Software vendors in the United States help practices – that range in size from individual doctors to multi-office groups made up of thousands of healthcare professionals – manage their most important operations, both clinically and financially.
Post date: February 15, 2013
Blog
Since legacy rules hamper rather than facilitate the emergence of a useful new technology, perhaps it’s reasonable to look to other mechanisms to nurture telehealth’s growth with financial incentives.
Post date: January 28, 2013
Blog
In Reducing surgical complications: How to make it happen faster, I contrasted the way a hospital gets paid for rework with what happens in a manufacturing environment.
Post date: January 7, 2013
Blog
Today’s environment for self pay collections is increasingly challenging. The complexities of an expanding self pay population and the intricacies of navigating the regulatory landscape of healthcare A/R management require providers to maximize cash collections and maintain a positive patient experience.
Post date: December 31, 2012
Blog
Becoming an accountable care organization (ACO) requires healthcare organizations to approach the revenue cycle with an entirely new mindset.
Post date: December 26, 2012
Blog
Current economic conditions and the changing healthcare landscape present a host of challenges to both patients and healthcare providers.
Post date: December 26, 2012
Blog
Medical real estate has been called a recession resistant industry and compared to commercial real estate, is faring better, especially in terms of vacancies.
Post date: December 14, 2012
Blog
As accountable care organizations (ACOs) and pay-for-performance reimbursement models take on greater prominence, the ability to leverage clinical data is emerging as a key tool in reducing costs and improving patient outcomes.
Post date: December 11, 2012
Blog
The U.S. Supreme Court’s decision on the Patient Protection and Affordable Care Act has brought much-needed clarity to hospitals and other healthcare providers. With the uncertainty gone, providers can now fully assess and plan for the Affordable Care Act’s effect on revenue cycle management.
Post date: September 13, 2012
Blog
We all know that copayments should be collected at time of service. In fact, a pattern of waived co-payments can be considered fraud.
Post date: April 11, 2012
Blog