Revenue Cycle Management

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.

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.

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.

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.

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.

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.

The case for collaboration in accountable care networks is getting a boost in the Puget Sound (Wash.) region.

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.

More healthcare providers are outsourcing end-to-end revenue cycle management amid the change to value-based payment models, a new survey shows. Experts predict the market for RCM outsourcing will approach $10 billion by 2016.

Collaboration with university-based business schools can bring a new perspective to hospital and health system problems, especially when trying to introduce new thinking into an organization.