It pays for a health plan to identify at-risk individuals and intervene to keep them out of the hospital--both in terms of the organization's bottom line and for the overall health of its members, according to a summary of a presentation at this week's Healthcare Financial Management Association's Annual National Institute in Orlando, Florida.
Newly released data from the Centers for Medicare & Medicaid Services show that Medicare reimbursements to doctors are far from evenly distributed, while hospital charges for top procedures and conditions have increased moderately.
Despite concerted efforts by health officials and state governments to increase the public's access to healthcare cost information, few patients take advantage of it, according to a poll from the Kaiser Family Foundation.
A new report from the Milbank Memorial Fund examines healthcare cost measurement initiatives in four states and the policies driving them.
Cutting costs in healthcare organizations often requires standardization and collaboration, tasks that are far easier said than done at large systems such as Kaiser Permanente, Providence Health & Services or Ascension Health.
Reference pricing--the setting of hard payment caps on procedures--saved the California Public Employees Retirement System $5.5 million in the past couple of years on hip and knee replacements surgeries, Health Data Management reported.
Hospitals added no new jobs in 2013, although the healthcare sector as a whole grew by 204,000 jobs and makes up more than 10 percent to total employment nationwide as of February, according to a labor brief from Altarum Institute's Center for Sustainable Health Spending.
The economy could be the reason many North Americans and Europeans--most notably Americans--are more reluctant to get routine medical care, according to research published in Social Science Quarterly.
The healthcare industry's intense focus on delivering better care at lower costs has started a national conversation about how payment reform, new delivery models and health IT can help achieve those shared goals. And healthcare leaders have a lot to say. The editors at FierceHealthcare, FierceHealthFinance and FierceHealthIT combed through our exclusive interviews and industry conference coverage to round up 7 of the most thought-provoking and memorable quotes from healthcare thought leaders.
Medical practice executives are deeply worried about the anticipated cost, loss of productivity and clinical documentation changes for ICD-10 conversion, finds a new study from the Medical Group Management Association (MGMA).