Healthcare Finance News
WEBHealthcare Finance provides timely and in-depth coverage of the challenges faced by healthcare providers and payers in light of skyrocketing healthcare costs, regulatory developments and diminishing reimbursements. Helmed by an experienced team of independent editors and journalists, we deliver news, analysis, educational content to an …
News | Healthcare Finance News
WEBAverage premiums for Medicare Advantage, Medicare Part D to decrease, CMS says. The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 - about ... Read more >>. READ. Sep 27 | Susan Morse. Free COVID-19 tests are now available. HHS is offering the tests to help prevent widespread infections this fall and winter.
Claims denials on the rise, complicating revenue collection, survey ...
WEB1 day ago · Claim denials are particularly costly for healthcare providers, as they result in delayed payments, increased operational costs, and potential revenue loss. According to a 2019 survey, claim denials cost healthcare organizations an estimated $262 billion annually. The administrative burden of reworking denied claims is a significant drain on ...
HHS announces 54 drugs subject to rebates and lower coinsurance
WEB1 day ago · Medicare and Medicare Advantage beneficiaries who use these drugs are expected to have a reduced coinsurance amount. From October 1 through December 31, 54 Part B drugs have an adjusted coinsurance rate based on the inflation-adjusted payment amount. The coinsurance will be 20% of the inflation-adjusted payment amount, CMS said.
For Payers - Healthcare Finance News
WEBInsurers and government payers are having to make major adjustments as well. This section highlights Healthcare Finance’s coverage on topics including benefit design, Medicare and Medicaid, risk management, payer contracting, analytics, compliance, insurance exchanges, provider-sponsored health plans and merger and acquisition …
Hospitals confront mounting reimbursement challenges and …
WEBNov 30, 2023 · Escalating reimbursement delays and declining cash reserves are placing hospitals and health systems across the nation in a precarious financial predicament, according to data from Syntellis Performance Solutions' analysis of 1,300 hospitals.. The findings, published in partnership with the American Hospital Association, underscore …
Moody's upgrades healthcare outlook from negative to stable for …
WEBNov 9, 2023 · Moody's Investors Service has revised its 2024 outlook for the not-for-profit and public healthcare sector to stable from negative, driven in large part by a decrease in labor costs.. While hospitals will continue to grapple with high expenses because of a shortage of skilled labor, particularly nurses, Moody's predicts that the growth in …
Reimbursement - Healthcare Finance News
WEBInsurers will make $11.8 billion in Medicare Advantage quality bonus payments. This is an 8% decline following the expiration of pandemic-era policies that temporarily increased star ratings…. Read more >>. Sep 12 | Susan Morse.
News | Healthcare Finance News
WEBImproving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to learn strategies that increase patient ...
What 2024 holds for healthcare investment
WEBJan 23, 2024 · Mergers and acquisitions are expected to rebound in 2024 after M&A activity fell to its lowest level in 10 years globally in 2023, according to Reuters. Dealmaking last year was weighed down by high interest rates, economic uncertainty and a regulatory scrutiny, with all but the last factor slowly abating for renewed confidence. WHY THIS …