Running on Medicare Margins

Topics: Medicare, Reimbursement, Finance, Denials Management, Revenue Cycle, Revenue Capture, Uncompensated Care, Undercompensated Care

• We are offering gratis access to this executive briefing as a sample of the support offered through the Health Care Advisory Board and its Medicare Breakeven Project—a multiyear endeavor that helps hospital executives restructure acute care operations to profit in an era of price compression.

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To share a more accurate picture of what tomorrow’s Medicare pricing and margins will look like, this briefing reveals in-depth insights on the four economic forces challenging our industry's financial health:

• Decelerating price growth from both commercial and public payers
• Continued upward pressure on costs due to persistent labor shortages among other drivers
• Lower average per-case reimbursement as payer mix shifts toward public payers
• Case mix shifting toward less-profitable medical cases

• Already a member of the Health Care Advisory Board? Log in to see the full study.

For more information on the complete Running on Medicare Margins study and the Medicare Breakeven Project, please contact Leah Bruch at Bruchl@advisory.com.