“This will not only lower the cost of prescription drugs and health care for families, it will reduce the deficit and help fight inflation.” — President Biden, in a statement on health-care provisions in pending Senate bill, July 15 After months of negotiations, the president’s expansive “Build Back Better” plan has shrunk to a handful […]
A survey shows that 60% of consumers who look for pricing information seek answers from their insurance companies, but healthcare price transparency should still be a priority for providers. Not many consumers are asking how much healthcare services cost but among those who do, they are seeking answers primarily from their insurance companies, according to […]
Provider profit margins might increase after the COVID-19 pandemic based on three key shifts in payer mix and care delivery. Healthcare providers faced a rough couple of years as the COVID-19 pandemic dampened financial growth, but the post-pandemic future should create a favorable environment for provider profit margins, according to a new report. The report […]
More than 200,000 residents could be at risk of displacement if federal leaders establish minimum staffing requirements for nursing homes. Nursing homes would have to spend up to $10 billion per year and hire almost 188,000 nurses to comply with increased minimum staffing requirements, according to a report from the American Health Care Association (AHCA) […]
Lawmakers are also urging CMS to use its authority to adjust FY23 Medicare IPPS rates, to prevent net decreases. Medicare inpatient reimbursement cuts slated to take effect in the 2023 fiscal year would threaten access to care at hospitals, which are already facing substantially higher costs because of the ongoing COVID-19 pandemic, according to the […]
Health insurer reports second quarter numbers, boosted by performance of subsidiaries UnitedHealthcare and Optum Health. UnitedHealth Group reported a promising second quarter, achieving 13% revenue growth behind member expansion at UnitedHealthcare and value-based arrangements at Optum Health. The payer’s Q2 results were highlighted by revenue growing from $71.3 billion to $80.3 billion year-over-year, while earnings […]
The findings demonstrate a growing interest in digitally transforming outpatient RCM to improve efficiencies and optimize revenue. About 22% of revenue cycle leaders who manage their inpatient revenue cycle management already outsource some of their outpatient RCM, and 12% have ambitions to do so in the future, find a new survey conducted by the Healthcare […]
It includes proposed enhanced payments for the additional costs of purchasing domestically made NIOSH-approved surgical N95 respirators. The Centers for Medicare and Medicaid Services is proposing actions meant to advance health equity and improve access to care in rural communities by establishing policies for Rural Emergency Hospitals (REH) and providing for payment for certain behavioral […]
“The industry needs to think about how EHR technology most effectively leverages data to the patient’s benefit,” says Amanda Hansen. “There’s still work to be done.” Amanda Hansen’s father had diabetes for most of his life, until his death in March 2017. Like many patients, he had to collect his own medical records and carry […]
In addition to physician reimbursement cuts, CMS included changes to the Quality Payment Program in the CY 2023 Medicare Physician Fee Schedule proposed rule. In its recently released calendar year (CY) 2023 Medicare Physician Fee Schedule (PFS) proposed rule, CMS proposed Quality Payment Program (QPP) changes to the Merit-based Incentive Payment System (MIPS) and Advanced […]