At the Margins

Our latest insight into health care margin improvement efforts

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Robin Brand May 22, 2019

Health care leaders are increasingly focused on revenue capture—and revenue cycle operations—to sustain and bolster margin health. But even as revenue cycle leaders are asked to do more, they face ongoing obstacles to success, such as disengaged staff, inefficient processes for sharing information, and delivery systems that have outgrown existing infrastructure.

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The winners (and losers) in Medicare's 2020 inpatient proposed rule

by Eric Fontana and Kenna Hawes April 24, 2019

Late yesterday, CMS released the Inpatient Prospective Payment System Proposed Rule for Fiscal Year (FY) 2020. Over the next few weeks, our team will be scrubbing through the regulations to examine the key provisions.

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Winter blues, bipartisan agreement, and a novel way to pay less (there's a catch): The rev cycle April reading list

by Anita Mago April 10, 2019

Revenue cycle leaders, it's been a busy few months since we last shared our list, but rest assured, we've got some noteworthy news to share—from how the seasons impact revenue cycle, to … brace yourselves … bipartisan agreement! So without further ado, here's our Spring 2019 reading list!

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Cost to collect, denials, and patient collections: How does your organization stack up?

Eric Fontana March 13, 2019

This month we're opening data collection on our 2019 revenue cycle benchmarks, gathering the latest snapshot of revenue cycle performance from around the nation. This year, we're making some key additions to our metric set as we aim to provide further insight into key aspects of performance for our Revenue Cycle Advancement Center members while helping fuel new revenue cycle research initiatives in the coming year.

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Quick poll: How do you manage physician billing?

by Rachel Matthews March 6, 2019

Do you manage billing for both employed and independent physicians? Are your physician practices on the same billing system as your hospital?

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Wondering if your patients price shop? Ask if they have a health savings account.

by Robin Brand and Rachel Matthews February 20, 2019

When first introduced, high deductible health plans (HDHPs) were viewed by many as a silver bullet. Cost-sharing promotes consumerism, so the story goes, and so once patients bear responsibility for their health spending, they'll price shop their way to low-cost, high-quality providers. But studies show that individuals with HDHPs are actually more likely to decrease care utilization across health services, including utilization of medication, imaging, and preventative care. HDHP consumers aren't savvy—they're scared.

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How engaged is your revenue cycle staff?

by Anita Mago February 13, 2019

As hospitals and health systems increasingly focus on margin health, the revenue cycle has emerged as a critical strategic asset. Revenue cycle staff and leaders are being asked to do more with less. In this challenging environment, highly motivated and engaged staff are no longer a nice-to-have, they're absolutely essential.

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The revenue cycle reading list: January 2019

by Anita Mago February 6, 2019

Revenue cycle leaders, welcome to your first reading list of 2019! Every month we'll round-up the most interesting and timely revenue cycle content, so you don't have to. Enjoy!

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