Healthcare Revenue Cycle and Finance

Population Health: A Novel Technique for Predicting Healthcare Costs

By Sarianne Gruber – Population Health Management strives for health providers to care for their patients with the overarching goal of improving quality outcomes, coupled with lower costs. Healthcare reform expects the inclusion of all associated costs of care and treatment for a comprehensive analysis as a means to reduce the per capita cost of healthcare.

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Continuing the Shift from Volume to Results in American Healthcare

By Dr. Patrick Conway – Almost a year ago, the Administration announced a vision for the future of the Medicare program, including clear goals and a timeline for shifting Medicare payments from volume to value. CMS is continually working to turn this vision into reality through annual rulemaking and the CMS Innovation Center, building on bipartisan ideas, initiatives and legislation from both Congress and the states.





New AHRQ Database Tracks Hospital Readmission Rates

By Claudia Steiner MD, MPH – If you hear health services researchers talking about a “nerd,” you shouldn’t necessarily assume they’re talking about themselves. For now, they’re probably referring to a new database. The database in question—the Nationwide Readmissions Database or NRD (hence the nickname, “nerd”)—is the newest addition to AHRQ’s Healthcare Cost and Utilization Project.


Reducing Improper Payment: A Collaborative Effort

By Dr. Patrick Conway – CMS is dedicated to promoting better care, protecting patient safety, reducing health care costs, and providing people with access to the right care, when and where they need it. This includes continually strengthening and improving Medicare and Medicaid programs that provide vital services to millions of Americans.