Category: Revenue Cycle Management

Provider Profit Margin-Post-Covid

Provider Profit Margins to Grow After COVID-19

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 […]
Learn More
Minimum-Staffing-Requirements-for-Nursing-Homes

Minimum Staffing Requirement for Nursing Homes

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) […]
Learn More
Revenue-Growth-in-Q2-2022

UnitedHealth Group saw a Revenue Growth of 13% in Q2

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 […]
Learn More
Healthcare-Revenue-Goals-in-2022

Healthcare Revenue Goals Falling Short for Many Providers in 2022

Nearly half of CFOs and revenue cycle VPs in a recent survey said their organizations are behind their 2022 healthcare revenue goals. Most provider organizations are behind their 2022 healthcare revenue goals, according to a recent survey of health system and physician group finance leaders. Revenue cycle management technology vendor R1 RCM commission Census wide, […]
Learn More
Update on Medicare Reimbursement for ESRD facilitie image

Update on Medicare Reimbursement for ESRD facilities

The CY23 End-Stage Renal Disease (ESRD) Prospective Payment System Proposed Rule would increase Medicare reimbursement rates, among other policy changes. CMS recently proposed the Calendar Year 2023 End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Proposed Rule, which would boost Medicare reimbursement for ESRD facilities and refine a new mandatory value-based purchasing program. The proposed […]
Learn More
Permanent Medicare Payment Adjustment for Home Health

Permanent Payment Adjustment for Home Health

The federal agency released the Home Health Prospective Payment System Rate Update proposed rule for CY23, which aims to permanently adjust Medicare payment based on PDGM. CMS proposes updated Medicare payment for home health agencies CMS is looking to apply a permanent prospective payment adjustment to the home health 30-day period payment rate to account […]
Learn More
why-medicares-trustees-say-physician-pay-system-unsustainable

Why Medicare’s trustees say the physician pay system is unsustainable

Medicare’s trustees have issued a report (PDF) that reckons with the consequences that patients could face as a result of the physician payment system’s long-term unsustainability. Your Powerful Ally The AMA helps physicians build a better future for medicine, advocating in the courts and on the Hill to remove obstacles to patient care and confront […]
Learn More
three-disruptive-digital-healthcare-trends-to-watch-for-the-rest-of-2022

Three disruptive digital healthcare trends to watch for the rest of 2022

More than two years into the pandemic, the healthcare industry has been altered tremendously. The future of healthcare will need to be convenient and designed around a patient’s unique needs. As major retail outlets and pharmacy chains continue to disrupt traditional care delivery, the race is on to transform care, reduce costs, and improve access […]
Learn More
How Medicare Out-of-Pocket Healthcare Spending Cap May Impact Beneficiaries

How Medicare Out-of-Pocket Healthcare Spending Cap May Impact Beneficiaries

A Medicare out-of-pocket healthcare spending cap could halve out-of-pocket spending for beneficiaries, but could boost overall traditional Medicare spending. By implementing a $5,000 spending cap in traditional Medicare, policymakers might be able to halve out-of-pocket healthcare spending for high-spending Medicare beneficiaries, but they risk an increase in overall Medicare spending, a study from Urban Institute […]
Learn More
x