Healthcare News of Note: Healthcare insurers owe hospitals billions of dollars in payments and are putting more patients in a bind with retroactive claim denials, says Kaiser Health News
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Insurers are behind in billions of dollars in payments to hospitals, the strain on clinicians and staff grows amid the pandemic, and CFO duties involve more digital activities and investor relations.
The CEO of one of the smallest hospitals in the country discusses the opportunities in rural hospitals
Steven Kelley, president and CEO of Ellenville Regional Hospital, a 25-bed critical access hospital in the Catskill region of New York, discusses how his organization drastically reduced ED times and improved outcomes for patients suffering from complications of COVID-19.
Opportunities in the face of crisis: HFMA President and CEO Joe Fifer interviews Sergio Melgar, CFO at UMass Memorial Health
HFMA President and CEO Joe Fifer interviews Sergio Melgar, CFO at UMass Memorial Health, about his history with health systems in peril and what he thinks could come out of pandemic-era changes.
Providers must furnish ‘good-faith’ price estimates to self-pay patients starting next year
A newly issued federal rule on surprise billing includes regulations designed to improve price transparency for self-pay patients.
Healthcare M&A activity for Q3 remains low in volume but high in impact, firms report
The number of M&A transactions involving hospitals and health systems remained at historically low levels, but the average revenue involved was far higher than in recent years.
Strategic partnership: The key to improved patient experience and revenue cycle outcomes
One company shares advice and trends in addition to how its service offerings can hep healthcare organizations facing challenges, the biggest being people, process and technology.
The finalized arbitration process in new surprise-billing regulations appears to favor insurers over hospitals
A new rule establishes a process for resolving payment disputes between health plans and hospitals when regulations on surprise billing begin in 2022.
Healthcare News of Note: U.S. will be short 3.2 million lower-wage healthcare workers within 5 years, says Mercer
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Shortages of lower-wage healthcare workers, nurses, physicians and mental health staff are expected, PHI security and burnout are of concern to most healthcare professionals, and the pandemic is expected to affect health insurance rates.
Revamping prior authorization: How AI and automation could boost care and revenue
Prior authorization is the most time-consuming transaction for medical providers, taking up to an hour to complete manually. Find out how providers and health plans can save up to $417 million annually be automating prior authorizations.
Healthcare News of Note: Average billed charge for complex COVID-19 hospitalizations is more than three times the allowed amount
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: $317,810 is the average charge for a complex COVID-19 hospitalization, the pandemic has had a unique impact on people with disabilities, and transitional clinic care brings posthospitalization benefits for medically complex patients.