Payment Reimbursement and Managed Care

Why people and process are the keys to revenue cycle innovation

Michael Duke, an author and partner within the commercial healthcare segment at Guidehouse, discusses how people and process should take precedence over technology in revenue cycle. He also talks about how sponsor organization Red Dot can assist teams that are struggling with motor vehicle accident accounts.

Erika Grotto April 15, 2022

Your patients’ missed screening means advanced cancer: Here’s how to get patients back and how to treat them in the comfort of their own homes

Dr. Andrew Hertler, chief medical officer at New Century Health, discusses what healthcare organizations can do to catch up on patients' missed cancer screenings. He also shares new developments in oncology that could see patients receiving treatment at home or doing virtual follow-up care.

Erika Grotto April 15, 2022

More than 2 years into the pandemic, the issue of deferred care continues to affect the healthcare industry

Concerns about the implications of deferred care continue to grow as healthcare organizations establish their strategies for a post-pandemic landscape.

Nick Hut April 14, 2022

CMS issues FY23 proposed payment rules for hospices, inpatient psychiatric facilities and inpatient rehabilitation facilities

CMS has released proposed FY23 rules governing prospective payments to hospices, inpatient psychiatric facilities and inpatient rehabilitation facilities.

Nick Hut April 8, 2022

Claims submitted to HRSA’s COVID-19 funds for uninsured and underinsured patients soon won’t be paid

Funds used to reimburse providers for supplying COVID-19-related services to the uninsured and underinsured will expire soon if Congress doesn’t act.

Nick Hut March 31, 2022

Marcus Whitney: 3 healthcare innovation trends that leaders should keep an eye on

The workforce shortage, the behavioral health movement and value-based care are areas with the most momentum among early-stage investors.

Marcus Whitney March 30, 2022

Healthcare spending projections for the next decade reflect an expectation of steadying trends post-pandemic

CMS actuaries say the healthcare spending spike of 2020 will be tempered across sectors and payers in upcoming years.

Nick Hut March 30, 2022

News Briefs: Federal funding bill addresses hospitals’ 340B eligibility concerns, extends telehealth waivers

A monthly roundup of top news for healthcare finance professionals.

Nick Hut March 29, 2022

Healthcare News of Note: Staffing shortages in hospitals and healthcare settings are ‘actively jeopardizing’ patient safety, says ECRI

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Staffing shortages top the list of patient safety concerns, nearly a third of surveyed nurses said they may leave their direct patient care jobs, and MA plans collected $12 billion more in 2020 than traditional Medicare.

Deborah Filipek March 28, 2022

Bringing the healthcare back to healthcare

Affording greater freedom to physicians to practice medicine by easing administrative strictures on them may be the best strategy for ultimately promoting cost effectiveness of health, says Martin Bluth. But physicians also should be well educated in the economics and business of healthcare.

Martin Bluth March 25, 2022
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