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Revenue Cycle Management

By Henry Powderly | 09:34 am | December 17, 2014
Colorado-based Catholic Health Initiatives saw its credit rating cut this week when Standard & Poor’s dropped it from a A+ to an A over first quarter losses.
By Anthony Brino | 08:40 am | December 16, 2014
UnitedHealthcare and the University of Texas MD Anderson Cancer Center are piloting an episode of care, or bundled, payment model for patients being treated with head and neck cancers, a collaboration they describe as among the first to use bundled payments in a large, comprehensive oncology center.
By Debra A. McCurdy | 11:26 am | December 15, 2014
Earlier this month, CMS published a final rule that expands the circumstances under which it may deny or revoke the Medicare enrollment of entities and individuals on program integrity grounds. Here are the details.
By Anthony Brino | 10:50 am | December 15, 2014
One of the nation's largest health systems is struggling with its new health insurance business, leading to the first financial loss in 15 years, and adding to other uncertainties.
By Michelle Andrews, Kaiser Health News | 10:00 am | December 12, 2014
Consumers shopping on the health insurance marketplaces will find many plans with out-of-pocket spending limits that are lower than the maximums allowed under the health law, according to an analysis by Avalere Health.
By Brookings Institution | 10:54 am | December 05, 2014
CMS appears to recognize the significant challenges that many ACOs have faced in the Medicare Shared Savings Program, and has proposed a number of changes to the financial performance tracks for ACOs participating in the program.
By Mary Agnes Carey, Kaiser Health News | 10:23 pm | December 03, 2014
National health spending grew 3.6 percent in 2013, the lowest annual increase since the Centers for Medicare and Medicaid Services (CMS) began tracking the statistic in 1960, officials said Wednesday.
By Jennifer Zaino | 10:01 am | December 02, 2014
Patient experience is one component of value-based reimbursement, and hospital finance staff must be aware of the connection, and their role in contributing to the overall patient experience.
By Anthony Brino | 10:57 am | November 26, 2014
The case for collaboration in accountable care networks is getting a boost in the Puget Sound (Wash.) region.
By Henry Powderly | 10:51 am | November 26, 2014
Atlanta's Emory Healthcare will partner with payment financing firm CarePayment to create a flexible payment system as patients continue to be stretched thin by rising deductibles and out-of-pocket expenses.