MACRA Challenges for Hospitals in 2018

What are the MACRA challenges for hospitals this year? MACRA is the title given to the Quality Payment Program (QPP) set forth by CMS in 2015. Because MACRA officially went into effect in January of 2017, now is a good time to see what’s working in the program and what’s not. Let’s review these MACRA challenges and the proposed rule intended to address some of these issues.

What are the MACRA challenges for hospitals this year? MACRA is the title given to the Quality Payment Program (QPP) set forth by CMS in 2015. Because MACRA officially went into effect in January of 2017, now is a good time to…

Full Post

Failure to Repeal the ACA Sparks Debate Over Medicaid Cuts and Single-Payer

Will Medicare and Medicaid spending be cut or only capped on future growth? Is moving to a single-payer healthcare system a possibility in the near future? We examine these questions that linger in the minds of healthcare leaders and finance officers in detail.

Will Medicare and Medicaid spending be cut or only capped on future growth? Is moving to a single-payer healthcare system a possibility in the near future? We examine these questions that linger…

Full Post

Ambulatory Surgery Centers Increase in Value-Based Care Era

Ambulatory centers for healthcare are in higher demand as patients seek out convenient and cost-effective medicine options. Healthcare organizations stand to benefit by opening more ambulatory surgery centers and urgent care clinics, as they are compatible with the new value-based payment model of healthcare. 

Ambulatory centers for healthcare are in higher demand as patients seek out convenient and cost-effective medicine options. Healthcare organizations stand to benefit by opening more ambulatory surgery centers and urgent care…

Full Post

Are Alternative Payment Models Working to Reduce U.S. Healthcare Spending?

We take a look at the current healthcare spending in the U.S. and examine how alternative payment models are designed to help reduce these costs. Then we will review recent articles that propose changes that would make alternative payment models more effective. 

We take a look at the current healthcare spending in the U.S. and examine how alternative payment models are designed to help reduce these costs. Then we will review recent articles that propose changes that would…

Full Post

MACRA Implementation Faces Significant Participation Challenges

The Medicare Access and Chip Reauthorization Act (MACRA) legislation officially began its implementation on January 1, 2017. We are now a few months into the roll-out, and significant provider participation challenges are coming to the surface. We review these hurdles and what actions can be taken to improve physician participation in MACRA.

The Medicare Access and Chip Reauthorization Act (MACRA) legislation officially began its implementation on January 1, 2017. We are now a few months into the roll-out, and significant provider participation challenges are coming…

Full Post

Hospitals and Value Based Healthcare Strategies

There is both uncertainty and emerging optimism for hospitals and value based healthcare.  Revenue cycle managers worry that this erodes hospital profits. But some hospital revenue cycle teams are embracing the new value model and finding solutions in analytics, end-to-end systems, and even telemedicine.

There is both uncertainty and emerging optimism for hospitals and value based healthcare.  Revenue cycle managers worry that this erodes hospital profits. But some hospital revenue cycle teams are embracing the new value….

Full Post

Hospital Revenue Cycle Management Solutions 2017

It’s challenging for CFOs to get a handle on RCM (revenue cycle management) solutions these days.  Successful hospital revenue cycle management solutions in 2017 focus on streamlining denial management, new efficient technologies, and a holistic approach.

It’s challenging for CFOs to get a handle on RCM (revenue cycle management) solutions these days.  Successful hospital revenue cycle management solutions in 2017 focus on streamlining denial management, new efficient technologies…

Full Post

Hospital Challenges & Solutions for Value-Based Payments

Industry surveys are showing that hospitals are behind CMS (Centers for Medicare & Medicaid Services) target dates for value-based payments implementation.  Only 23 percent of health systems expect to meet Medicare’s quality based payment target by 2019.  We found some helpful outlines, slides and tips for meeting this challenge.

Hospitals Adapt to Value-Based Payment Models

The struggle is real for hospitals during this transition to a value-based payment structure for healthcare. Due to the fact that most healthcare providers business model is still structured for fee-for-service revenues, to reduce a hospital’s amount of services rendered in an effort to provide higher quality service would cut into short-term profits. The question is then, how are providers reinventing care and translating short-term financial loss into long-term success?