Category: Revenue Cycle Management

Value-Based Payment Models Associated with Lower Acute Care Use

Value-Based Payment Models Associated with Lower Acute Care Use

Medicare Advantage beneficiaries who received care under value-based payment models, including two-sided risk models, saw lower acute care use than beneficiaries under a fee-for-service model. Medicare Advantage beneficiaries whose primary care organization participated in a value-based payment model saw lower rates of hospitalizations, observation stays, and emergency department visits, according to a study published in […]
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Medicare Patients Received 54.5M Office Visits Via Telehealth in 2020

Medicare Patients Received 54.5M Office Visits Via Telehealth in 2020

Office visits represented 48 percent of all telehealth services used in the first year of the pandemic, making it the service most accessed via telehealth, federal data shows. Medicare beneficiaries most often used telehealth for office visits in 2020, receiving 54.5 million virtual office visits in the first year of the COVID-19 pandemic, according to […]
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AMA Urges Congress to Update Medicare Physician Payment System

AMA Urges Congress to Update Medicare Physician Payment System

The American Medical Association urged congressional leaders to lift the freeze on Medicare physician payments and provide updates that reflect inflation and practice costs. Following a recent Medicare Payment Advisory Commission (MedPAC) report, the American Medical Association (AMA) has asked Congress to update the Medicare physician payment system to include a stable annual payment rate […]
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Healthcare Tech Company Launches Online Price Transparency Tool

Healthcare Tech Company Launches Online Price Transparency Tool

Through the online price transparency tool, users can view hospital service prices and assess machine-readable file completeness. A healthcare technology company has launched an online price transparency tool that allows consumers to compare hospital costs before seeking care. Turquoise Health’s Price Transparency Scorecard lets consumers find prices by searching for specific services or providers. The […]
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AHA Asks CMS to Waive Medicare Advantage Prior Authorization During PHE

AHA Asks CMS to Waive Medicare Advantage Prior Authorization During PHE

CMS encouraged Medicare Advantage plans to waive prior authorizations during the public health emergency, but AHA urged the agency to make it a requirement instead of a suggestion. The American Hospital Association (AHA) has asked CMS to work with Congress and require Medicare Advantage plans to waive prior authorization processes during the current and future […]
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9 Challenges funding can help your medical practice overcome

9 Challenges funding can help your medical practice overcome

Proper funding can help your practice to rise above some challenges. 9 Challenges funding can help your medical practice overcome Medical practice funding is often best used to support growth initiatives that will increase your practice’s revenue—thus increasing the chance that you’ll be able to pay off your loan on time. However, sometimes medical practices […]
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5 steps to make telehealth work for physicians and patients

5 steps to make telehealth work for physicians and patients

  There are barriers to telehealth adoption that physicians must overcome to realize the technology’s promise. Telehealth clearly has crossed a threshold of acceptance and now is viewed by physicians, payers and patients as an essential part of healthcare. It’s no surprise Fortune Business Insights predicts the telehealth market will reach $636.4 billion by 2027. […]
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Medicare Advantage Plans Boost Supplemental Benefits Offerings

Medicare Advantage Plans Boost Supplemental Benefits Offerings

Medicare Advantage plans expanded their supplemental benefits offerings in 2022, with more health plans offering special supplemental benefits for the chronically ill (SSBCI), according to an issue brief commissioned by Better Medicare Alliance. Medicare beneficiaries typically join Medicare Advantage plans because of the array of supplemental benefits that the program offers in addition to traditional […]
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