Category: Healthcare Finance News

Primary care accounts for a small share of Medicare spending, RAND study finds

Primary care represents an estimated 2.12 to 4.88 percent of total medical and prescription spending in Medicare Parts A, B and D.

Blue Cross NC $750,000 grant funds expansion of school-based telehealth

Pilot program has reduced unnecessary ER visits and early dismissals among students, many who previously lacked a primary care point of contact.

Sutter Health pays $30 million to settle alleged overpayment of Medicare Advantage funds

Sutter admits no liability in settlement; There’s a federal lawsuit against health system and another that’s ongoing.

Mandatory sugar labels could generate healthcare savings, improve health in a cost-effective way

The label could postpone nearly three million cases of cardiovascular disease and diabetes.

When doctors address bad reviews, patient satisfaction can double

Addressing negative reviews can not only salvage a provider’s brand reputation and even lead to higher reimbursement.

Radiation oncology workforce study indicates potential threat to rural cancer care access

Since the previous workforce survey in 2012, the proportion of rural radiation oncologists declined from 16 to 13 percent.

Safety-net providers operated with an average margin of 1.6% in 2017

This is less than half their 2016 average and below the 7.8 percent average of other U.S. hospitals, according to the annual study.

Health systems increase operating margins through diversification strategies

Health systems can create a risk-adjusted portfolio of initiatives that leverages their ecosystem and competitive advantages.

Heart attack victims over 65 suffer worse outcomes but have lower hospital charges

Despite staying in the hospital on average a half-day longer, older patients had lower total charges, perhaps due to the lack of expensive procedures.

UnitedHealthcare expands bundled payments to Medicare Advantage

Providers in more than 30 states may participate in bundled payments for eight medical procedures.