At the Margins

Our latest insight into health care margin improvement efforts

Q&A with Gerilynn Sevenikar: An inside look at Sharp Healthcare's revenue cycle operations

Robin Brand August 15, 2018

In an interview with Advisory Board's Robin Brand, Gerilynn Sevenikar, VP of revenue cycle at Sharp Healthcare, spoke about Sharp's "win-win" pilot program aimed at minimizing denials, the health system's plan to improve the patient financial experience, and how Sharp cut employee turnover—by "gamifying" revenue cycle productivity.

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Hospitals enter a new world order of margins

by John Johnston August 1, 2018

Experienced health system executives have become quite adept at flexing their "margin muscles" when necessary. In recent years, revenue has typically grown at a higher rate than expenses, with only occasional periods of slower revenue growth.

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3 cuts to hospitals in the just-released 2019 HOPPS Proposed Rule

by Eric Fontana and Kenna Hawes July 26, 2018

Yesterday evening—about three weeks later than usual—CMS released its latest set of proposed regulations for hospital outpatient departments (HOPDs) and ambulatory surgical centers (ASCs) in calendar year (CY) 2019.

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Announcing Advisory Board's 2018 Revenue Cycle Executive Summit

by Eric Fontana and Robin Brand July 25, 2018

With hospitals and health systems experiencing continued margin pressures, progressive organizations are turning more attention to an often-overlooked asset: the revenue cycle. To reflect the urgent need for continuous improvement in health system revenue cycle performance, we will host the 2018 Revenue Cycle Executive Summit in Washington, D.C. on October 23 and 24.

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Penn Medicine's secret to better value management: Deliberate collaboration

by Rick Conlin, Partner at Optum Advisory Services July 11, 2018

With all the news of a grim financial outlook ahead for health systems, and especially the acceleration of cost growth, value management leaders are confronting the need to rein in spending in a meaningful way. This need is annual—and repetitive.

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3 tips to minimize labor expense growth at community hospitals

by Robin Brand and Andrea Martin June 20, 2018

Hospitals of all types are experiencing margin pressure. Downward reimbursement pressure from payers, shifting patient demographics, and growing out-of-pocket responsibilities are cutting into provider revenues—all while operating expenses continue to climb.

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In case you missed it: Our take on the IPPS proposed rule for 2019

Robin Brand , Trevor Goldsmith June 13, 2018

In late April, CMS released the Hospital Inpatient Prospective Payment System Proposed Rule for FY 2019. In addition to proposed headline rate and total payment increases (of 1.75% and 2.1%, respectively) the rule contains a notable shift in policy on price transparency and a significant restructuring of quality reporting. Providers still have time to contact CMS to respond to the rule before it is finalized. The 60-day comment period comes to a close on June 25 at 5pm EST.

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Want to integrate your revenue cycle operations? Here are 3 things you need to do.

by Robin Brand and Trevor Goldsmith June 6, 2018

With traditional growth prospects diminishing, many health systems are focusing on improving non-clinical operations to protect margins and to gain strategic advantage. Revenue cycle integration—making the elements of the health system revenue cycle function more effectively together—is a critical strategy for improving operational performance.

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