Revenue Cycle Matters

Increased Spending

Private Insurers, not Medicare or Medicaid, are behind increased healthcare spending

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A new study released this week by The Urban Institute shows that Medicare and Medicaid spending is increasing more slowly than with Private Insurers, contrary to some of the policy proposals that have been put forth in recent years. According to the study of CMS data between 2006 and 2017, “Medicare and Medicaid spending per […]

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HAC Decrease

Hospital Acquired Conditions Decreasing

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A recent report from the Agency for Healthcare Research and Quality (AHRQ) shows a significant decrease in Hospital Acquired Conditions or HAC’s. Some of the most common HAC’s are catheter-associated urinary tract infections (UTI’s), pressure ulcers, surgical site infections, and adverse drug events. According to the study, HAC’s dropped 13% from 2014 to 2017. “The

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Prescription Benefits

CMS Proposed Changes to Prescription Benefits

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At the end of last month, CMS proposed a rule to change some key components of prescription coverage for Medicare Part D and Medicare Advantage beneficiaries. The key change revolves around the six protected classes: antidepressants, antipsychotics, anticonvulsants, immunosuppressants for transplant rejections, antiretrovirals and antineoplastics (typically cancer treatment drugs). The six protected classes acknowledge that

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