Revenue Cycle Strategist September 2019
HFMA's Revenue Cycle Strategist newsletter's September 2019 issue includes articles on price transparency, revenue cycle digital transformation, chargemaster, revenue integrity and rising patient out-of-pocket costs.
Verma pushes back on hospital transparency concerns
In response to concerns hospital advocates have raised about several price and quality transparency initiatives proposed by the Trump administration, one of the administration’s senior healthcare leaders said it will double down on those efforts.
8 tips to identify potential issues with the chargemaster
Reviewing billing edits and claim denials, as well as scheduling quarterly chargemaster reviews can help healthcare providers proactively identify potential challenges.
Making price transparency easy for patients
Proactive providers are preparing for additional price transparency requirements to ensure they not only comply with government regulations, but also provide patients with enough information to make informed healthcare decisions.
Rural hospital meeting among next week’s key healthcare events
Healthcare finance policy events for the week of Sept. 16.
Analysis: Why Walmart should be on your list of disrupters
A review of why Walmart should be on your list of disrupters.
Analysis: Groupon for healthcare services fills a void for consumer-focused pricing
It should be no surprise to U.S. healthcare providers that Groupons are available for healthcare services given the high cost of healthcare and lack of price transparency.
NFP hospital revenue growth tops expense growth for first time in three years: Moody’s
For 2018, one credit rating agency found not-for-profit hospitals’ revenues increased faster than expenses.
Analysis: Optum to empower its physicians via advanced analytics to improve care and coordinate referrals
Once OptumHealth links its physician network to data it gleans from its data analytics engine, referrals from Optum employed and aligned providers will move from high-cost providers to lower-cost, more conservative ones.
Analysis: Health plans, physician practices align to manage population health and reduce total cost of care
A discussion of strategies health plans are deploying to align with physicians, manage referrals, improve outcomes and reduce the total cost of care as the U.S. healthcare system transitions to population health-based payment models.