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We Wrote the Book!
More than 80 key performance metrics are presented across a three-year period providing an insightful review of the financial performance of one the largest sectors of the US economy.
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Rate Advisor
We analyze hospital prices at the procedure code level and present an analysis of suggested rate changes designed to enhance the defensibility of proposed pricing with sensitivity to financial impact.
Contract Concierge
Coming soon! Contract benchmarking, modeling, and measurement through personal consulting with industry experts.
Strategic Advisor
We utilize extensive proprietary and public data sources to create fact-based, actionable plans to address specific client objectives.
HospitalDx®
Web-based software that creates custom analyses of financial/operating strengths, weaknesses, and opportunities. Utilizes client-submitted claims data as well as national public-use data.
Check Out The Latest Hospital Finance News!
Wednesday, June 05, 2019
The FY 2020 IPPS Proposed rule introduces a new approach to the hospital wage index to address payment differences between low and high wage index hospitals. CMS proposes to increase the wage index for hospitals with a wage index value below the 25thpercentile (.8482 for FY 2020) and decrease the wage index for hospitals with a wage index value above the 75thpercentile (1.0351 for FY 2020) as well as changing the calculation of the rural floor. CMS also proposes these p...
Friday, April 19, 2019
What is the Transparency Fifty™?
This report identifies the 50 most common outpatient procedures where hospitals compete with free-standing entities. This helps hospitals who are searching for strategies to reduce prices, by focusing on procedures where they are likely to have the most competition from free-standing providers.
Cleverley + Associates first released this report about a year ago, using 2016 Medicare charge data, but we updated it for 2017. For this current vers...
Tuesday, April 09, 2019
Pricing is certainly a hot topic right now with the disclosure requirement becoming effective on January 1, 2019. The Hospital Charge Index® helps hospitals understand how high or low they are relative to peers for both inpatient and outpatient charges. The metric utilizes total claim charges and is adjusted for resource intensity and cost of living. Because the new requirement includes a provision to display average charges by MSDRG, the Hospital Charge Index® can help busy executive...
Tuesday, March 05, 2019
Simply put, a provider based department is a location where hospitals provide services to their patients that is outside of the traditional main hospital. This year, there are a few changes to how these departments are defined and billed as prescribed in the CY19 Medicare Physician Fee Schedule Final Rule.
The 4 types of Provider Based Departments (PBDs) remain unchanged.
On Campus – Less than 250 yards from main hospitalOff Campus – More than 250 yards from main hospitalRe...