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Webinar: The FY19 IPPS Final Rule
The FY19 IPPS Final Rule contains requirements for hospitals to make public a list of their standard charges via the internet.
Learn what that means for your hospital.
Watch Webinar
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!
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...
Tuesday, February 12, 2019
A clear sense of current market trends, cost of care, and demonstrated efficiencies that reduce cost are essential elements of contract negotiation preparations.
Negotiation leverage, in terms of hospital control, comes from several sources. The most recognized driver is market power based on geographical area or demographic factors. However, hospital/payer relationships, service offerings needed in the community, and negotiation skill and/or negotiation philosophy are other important dri...
Friday, January 25, 2019
Obtaining an accurate perspective on the meaning and relative impacts of cost and payment increases in the healthcare industry depends on the specific metrics that provide the basis for the analysis.
To no one’s surprise, health care was a primary political issue in the Fall midterm elections. Everyone knows that our country spends more on health care as a percentage of GDP than other developed countries. The primary question that the industry has long grappled with is whether we, as a ...