Economics

This channel highlights factors that impact hospital and healthcare economics and revenue. This includes news on healthcare policies, reimbursement, marketing, business plans, mergers and acquisitions, supply chain, salaries, staffing, and the implementation of a cost-effective environment for patients and providers.

CMS dataset reveals hospital pricing for 100 services

The Centers for Medicare & Medicaid Services (CMS) released data showing significant variation among U.S. hospitals in charges for the same services.

Q&A with HFMA’s Richard Gundling: Key Financial Issues in 2013

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More than any other concept in health care, value has become a guiding principle for health care leaders and stakeholders as they wade into the era of health care reform. To assist health care financial leaders in their drive to value, the Healthcare Financial Management Association (HFMA) launched the HFMA Value Project, yielding a collection of case studies, presentations, and assorted educational resources that can be found on its website. HealthCXO spoke with HFMA’s Richard Gundling, VP, Financial Healthcare Practices, to identify the key financial issues facing hospitals and physician practices in 2013.

Uncompensated Care: Sharp Healthcare Turns ED Losses into Gains

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In 2009, the recession was in full swing, unemployment rates were high, and health care facilities were providing more than $39 billion a year in uncompensated care for the uninsured. Instead of riding out the recession with uncertainty and accruing more debt, Sharp HealthCare (San Diego, California) joined forces with the nonprofit Foundation for Health Coverage Education (FHCE) (San Mateo, California) to meet the problem head on. Sharp leveraged a Web-based eligibility software program and took on a strong patient advocacy role to provide uninsured patients with much-needed eligibility assistance.

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NYU big data project to pinpoint undiagnosed diabetes patients

Philadelphia insurer Independence Blue Cross (IBC), New York University (NYU) and NYU Langone Medical Center are jointly collaborating to develop machine-learning algorithms to identify undiagnosed diabetes and pre-diabetes in patients, according to NYU’s April 29 announcement.

CMS/HHS collaboration with Archimedes to enable 'unprecedented' data access

The Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services (HHS) will collaborate with Archimedes—a Calif.-based Kaiser Permanente innovation healthcare modeling and analytics company—to supply “unprecedented” access to synthetic CMS claims data, according to Archimedes' May 1 announcement.

ED costs may be triple current estimates

The true cost of emergency department (ED) services may be as much as three times the amount of longstanding federal estimates.

ONC Health IT dashboard updated

The Office of the National Coordinator for Health IT’s (ONC) has updated its open government product, Health IT Dashboard, with 100,000 new data points.

Blue Cross Blue Shield of Vermont Selects MedeAnalytics' Medical Management Analytics

EMERYVILLE, Calif., April 30, 2013 -- MedeAnalytics, a leading provider of healthcare performance management solutions, announced today that Blue Cross Blue Shield of Vermont (BCBSVT) selected MedeAnalytics' Medical Management Analytics. BCBSVT's vision is to provide population health management--which includes an integrated approach to physical and mental health--as well as future episode-based contracting, also known as bundled payments.

Around the web

The American College of Cardiology has shared its perspective on new CMS payment policies, highlighting revenue concerns while providing key details for cardiologists and other cardiology professionals. 

As debate simmers over how best to regulate AI, experts continue to offer guidance on where to start, how to proceed and what to emphasize. A new resource models its recommendations on what its authors call the “SETO Loop.”

FDA Commissioner Robert Califf, MD, said the clinical community needs to combat health misinformation at a grassroots level. He warned that patients are immersed in a "sea of misinformation without a compass."

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