Aug 26, 2013 | Coding, Billing, and Collections, Compliance, Legal, and Malpractice, Laboratory Hiring & Human Resources, Laboratory Management and Operations, Laboratory News, Laboratory Operations, Laboratory Pathology, Laboratory Sales and Marketing, Managed Care Contracts & Payer Reimbursement, Management & Operations, News From Dark Daily
Study Finds Most State Websites Aimed at Transparency in Healthcare Pricing Inaccurate and Basically Useless in Helping Consumers Shop for Services
With growth in high-deductible health plans, healthcare is becoming increasingly consumer-driven. But shopping for healthcare services isn’t easy due to lack of available resources that enable consumers to compare price and quality, according to a recent study published in the Journal of the American Medical Association (JAMA).
Recently, the U.S. Department of Health and Human Services (HHS) revealed the arbitrary nature of hospital prices by publishing hospital-specific costs and outcomes data for 3,000 hospitals nationwide, according to a report published by Dark Daily. This step towards full transparency is aimed at helping consumers comparative shop for hospitals based on both quality and value.
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Aug 7, 2013 | Coding, Billing, and Collections, Compliance, Legal, and Malpractice, Laboratory Management and Operations, Laboratory News, Laboratory Pathology
New strategy by employers and payers encourages patients to choose lower-cost providers, or pay the difference over the price cap
Payers are teaming with employers to steer patients to lower cost providers. Their common goal is to reduce the cost of care without compromising the quality of care delivered to their beneficiaries. This trend may involve clinical laboratories and anatomic pathology groups, particularly where a lab is seen as a high-cost provider in its service area.
There is credible evidence that patients are willing to consider lower-cost providers. For example, a pilot project aimed a cutting the cost for knee and hip surgeries saved $5.5 million for the California Public Employees Retirement System (CalPERS), the nation’s largest pension fund and third largest purchaser of healthcare benefits. (more…)
Jul 14, 2011 | Coding, Billing, and Collections, Compliance, Legal, and Malpractice, Laboratory News, Laboratory Pathology, News From Dark Daily
2011 is the year that Medicare expands its Recovery Audit Program to include providers such as medical laboratories and pathology groups
During the next 12 months, many pathology groups and clinical laboratories will undergo their first audit as part of Medicare’s recently-expanded RAC (Recovery Audit Contractor) program. This is a big-dollar audit program. When Congress passed the enabling legislation, it was estimated that RAC would generate $10 billion in recoveries from hospitals, physicians, medical laboratories and other providers.
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Aug 25, 2010 | Laboratory News, Laboratory Pathology
Topping the list are, the Veterans Administration and HCA, which together employee almost 200,000 people
Recently, a ranking of the nation’s top 25 healthcare systems by number of employees was published. In the number one spot is the Veteran’s Affairs (VA) Department. It employs 207,000 employees. Ranked number two is HCA, Inc., the for-profit hospital corporation. It has 77,000 employees.
Pathologists and clinical laboratory managers will recognize that both the VA and HCA are national healthcare systems. By contrast, New York-Presbyterian Healthcare System ranks number five on the list with 55,048 employees and its locations are clustered in and around New York City.
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Jun 30, 2010 | Laboratory News, Laboratory Pathology
Role of Clinical Pathology Laboratories in Hospitals may be Boosted by New Public Report
Transparency in provider outcomes took another step forward recently as the State of Oregon published its first report of hospital-acquired infections covering the year 2009. Because pathologists and clinical laboratory administrators are likely to eventually see similar public reporting in their states, this development has nationwide implications.
The report was compiled and released by the Office of Oregon Health Policy Research (OHPR). It compares healthcare-acquired infection (HAI) rates at 58 hospitals and health facilities across the state.
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