Category: Revenue Cycle Management

UnitedHealth Group saw a Revenue Growth of 13% in Q2

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 […]
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Healthcare Revenue Goals Falling Short for Many Providers 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, […]
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Update on Medicare Reimbursement for ESRD facilities

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 […]
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Permanent 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 […]
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Why Medicare’s trustees say the physician pay system is 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 […]
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How physicians can untangle the web of relationships essential for value-based care success

How physicians can untangle the web of relationships essential for value-based care success

Primary care physicians (PCPs) and other physicians continue to migrate away from the traditional fee-for-service (FFS) reimbursement model toward value-based and risk-bearing care models that reward better outcomes and reduced healthcare costs. Value-based care (VBC) contracts are projected by McKinsey to cover nearly 65 million Americans, or 22% of insured lives, by 2025, up from […]
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Healthcare spending could drop $11.4B next year if ACA premium subsidies expire, research finds

Healthcare spending could drop $11.4B next year if ACA premium subsidies expire, research finds

Healthcare spending could drop by more than $11.4 billion next year if enhanced premium tax credits enacted in the American Rescue Plan expire, new research finds. Hospital spending would decline by $3.8 billion, while spending on physician practice services would drop by $1.3 billion, according to a report from the Robert Wood Johnson Foundation and […]
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Healthcare Finance Leaders Facing Revenue Cycle Workforce Shortages

Healthcare Finance Leaders Facing Revenue Cycle Workforce Shortages

More than 400 healthcare finance leaders reported having revenue cycle workforce shortages, with almost 20 percent seeing 30 or more vacancies. Healthcare finance leaders are experiencing revenue cycle workforce shortages, with one in four reporting that they need to hire more than 20 employees to fully staff their department, according to a survey commissioned by […]
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5 Benefits of Addressing Payment Integrity Before Payments Are Ever Made

5 Benefits of Addressing Payment Integrity Before Payments Are Ever Made

Payment integrity in Medicaid—the concerted effort to keep tight control over fraud, waste and abuse—can be addressed at any stage in the claim cycle. Of course, the earlier it is addressed, the easier it is for health plans to avoid improper payments and the administrative burden of recovering them. And while pre-payment integrity programs maximize […]
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