Providers and billers: A communication gap?
Technology can improve internal communications to maximize reimbursement and avoid billing errors.
Revenue Cycle Management
Rev cycle market worth $104B by 2025
Increasing government spending is partially driving the market's growth, along with initiatives to encourage adoption of third-party solutions.
One-third of healthcare employees lack cybersecurity training
There is an apparent lack of awareness of federal regulations in both the U.S. and Canada to keep patient information secure.
Higher social spending linked to higher healthcare spending
Countries that spent more on social services tended to spend more on healthcare, even after adjusting for poverty and unemployment rates.
Optimizing the total performance of the supply chain
To leap from price optimization to total performance optimization, it's paramount to establish a clinically integrated supply chain.
Accounting & Financial Management
Medical benefit costs could soon outpace inflation
Medical costs in the U.S. will rise more slowly compared to other regions, with Latin America, Africa and the Middle East seeing the most change.
How RTLS saved Wake Forest $3.5M per year
Real-time tracking technologies allow the organization to monitor everything from patients to medical equipment.
Quality and Safety
Hospitals face rising risk of cyberattacks
To date, attacks that have led to patient data being exposed; Going forward, attackers will seek to disrupt hospitals' operations, Moody's says.
Billing and Collections
AHIP supports California law to end surprise billing
Following adoption of the legislation, the number of physicians in provider networks increased by 16%.
BCBS Institute, Solera, to pay organizations through outcomes-based claims
The collaboration allows health plans to pay for healthcare-related social services delivered by community benefit organizations.
Kaiser workers planning large strike
At issue is what unions call unfair labor practices that have shifted the focus to enriching Kaiser executives, which the organization denies.
EHR documentation inaccuracies found
There were noteworthy differences between what physicians recorded in their EHRs vs. what observers witnessed in clinical encounters.
Apple is developing custom health chips
The custom sensor would measure information from the body beyond heart rate, report says.
Women: Fewer opportunities, lower wages
Women believe they have fewer opportunities for leadership, with less than half feeling they have the same chances as men.
Construction & Facilities Management
CCHC building $180M patient tower
Infrastructure work on the tower will likely begin next month, with completion predicted to take place during the spring of 2022.
Compliance & Legal
OxyContin maker Purdue Pharma files for bankruptcy
Sackler family would exit Purdue, pay $3 billion; the company would give more than $10 billion towards opioid overdose reversal medications.
Policy and Legislation
Pelosi drug bill would give HHS authority to negotiate drug prices
The maximum price that could be set is 1.2 times the average international market price.
Kaiser Permanente commits $1.65 million to California wildfire relief efforts
The money will be paid out through multiple gifts to various charitable organizations and system also has dispatched medical personnel to assist those in shelters.
Rural hospitals not using bundled payment models
Smaller hospitals may lack the requisite expertise, personnel and financial resources necessary to make the leap.
Diverting avoidable ED visits could save $32B
Primary care services rendered by hospital EDs come with substantially higher price tags than in primary care settings, data showed.
Med schools, teaching hospitals are 3% of GDP
The institutions that were studied added more than $562 billion in value to the nation's economy in 2017, including direct and indirect economic impact.
How AI can harness SDOH data
AI and SDOH developed separately, but they're now converging as technology keeps up with the need to make actionable use of data.
HCCI: Price of healthcare is growing, utilization is dropping, price variations persist
Report analyzed more than 1.8 billion commercial healthcare claims and data visualization to benchmark prices and use across 112 metropolitan areas from 2012 to 2016.
ICD-10 & Coding
Practices keeping close watch on risk adjustment coding
Doctors need to carefully and properly use the HCC codes, which indicate the expected costs for a patient.
CMS overhauls meaningful use as 'Promoting Interoperability'
Administrator Seema Verma said changes to the program eliminate 25 measures and saves hospitals over 2 million hours of work and $75 million.
Medicare & Medicaid
Why aren't presidential candidates talking about value-based care?
Last night, an important missing piece of the health insurance conversation came from an unexpected source -- tech entrepreneur Andrew Yang.
Cutting costs, boosting quality: Efficiency is the goal
Communicating a patient's financial responsibility and getting a handle on data can make business run more smoothly and helps retain patients.
Opioid crisis: Medications underused
Along with addiction counseling, the drugs naltrexone, buprenorphine and methadone all have a place in treatment for opioid use disorder.
Most hospitals screen for at least one SDOH
The pressure on physicians and hospitals to address social determinants will likely increase, as they've been a focus of payers and providers.
JAMA: Hospital employees are clicking on phishing emails
More than 2.9 million simulated emails were sent to employees at six hospitals, and nearly one in seven were clicked on, the study said.
Non-hospital-based telehealth grew 1,400%
In 2018, non-hospital-based provider-to-patient telehealth accounted for 84 percent of all telehealth claim lines.
Mergers & Acquisitions
Federal court sides with CVS/Aetna
Arguments against the merger were insufficient to undermine the settlement agreement reached by the Department of Justice, judge says.