Revenue Cycle Management
The hospital company said the controversial “two-midnight” rule, which took effect during Q4, did have a negative impact on admissions metrics, but revenue per equivalent admission increased 4.8 percent on a same facility basis.
Hard numbers for return on investment in health IT aren't always measurable, at least in a direct way. Instead, healthcare organizations need to look at both "hard" and "soft" savings when considering a system's ROI.
The next year will be a busy one for all involved in healthcare finance, between handling the influx of patients newly insured under the Affordable Care Act, the ICD-10 coding launch on Oct. 1, the continued proliferation of RAC audits and a variety of Medicare regulations.
In 2007, BCBS of Massachusetts asked Lowell General Hospital to accept a monthly capitated payment to care for its HMO members. The hospital simultaneously saw the potential and recognized the risks.
Business intelligence software can turn your life around - or ruin it. It all depends on how carefully you choose and how well you fold these tools into your overall strategic plan.
Medical costs in commercial plans slowed between August 2012 and August 2013, according to the S&P Healthcare Claims Indices.
Maryland officials have reached what analysts say is an unprecedented deal to limit medical spending and abandon decades of expensively paying hospitals for each extra procedure they perform. If the plan works, Maryland hospitals will be financially rewarded for keeping people out of the hospital.
Business intelligence tools are often touted as business must-haves, but many small medical practices and other small healthcare companies worry about the cost of such tools. BI experts and users say there are affordable options out there.
Based on 2011 data analyzed by the Medical Group Management Association (MGMA), total operating costs per full-time equivalent (FTE) physician rose a modest 1.27 percent since 2010. Hospital/IDS-owned multispecialty medical practices saw more of a cost jump over the same measurement period, MGMA reported, an increase of 6.45 percent.
Bundled payment and payment reform in general are hot topics in healthcare circles, and will prove to be a challenge for many. Jay Sultan, thought leader for payment reform at TriZetto, a healthcare management solutions company, shared with Healthcare Finance News five key ideas for hospital leaders to consider in order to break barriers to successfully implement payment reform at their organizations.