Tuesday, August 07, 2018 Cleverley Uncategorized No comments
The state of Nevada has continued its ascent to the leading cost position in the nation as it was ranked 6th lowest three years ago, 2nd two years ago, and first in the current national study.  Not surprisingly, the Las Vegas metro area was among the five lowest cost metro areas.  Some might be surprised, though, that two California metro areas lead the way for cost position.  It’s important t...
Wednesday, July 11, 2018 Cleverley Uncategorized No comments
  The chargemaster, or CDM (charge description master), is an integral component of hospital financial strategy, reimbursement, and the revenue cycle. It is important to understand the complexities of the CDM as well as the consequences of even seemingly simple changes. Throughout the year, this “menu” of hospital service prices changes to reflect minor adjustments. Larger modifications a...
Wednesday, June 06, 2018 Cleverley Uncategorized No comments
The effects of Maryland’s all-payer rate regulation, the only of its kind in the nation, are clearly seen in the HCI results where Maryland hospital charges are approximately one-third of the US average.  As rate changes have been heavily limited for the past thirty-plus years, it’s no surprise to see Maryland and the Baltimore metro area as the lowest charge regions in the country.  As we kno...
Tuesday, May 22, 2018 Cleverley Uncategorized No comments
The FY19 IPPS Proposed Rule contains a section for requirements for hospitals to make public a list of their standard charges via the internet. This section of the proposed rule revisits a reminder contained in the FY15 IPPS Proposed Rule and ultimately the initial calls for transparency in the Affordable Care Act (specifically, 2718(e) of the Public Health Service Act). That language required ...
Wednesday, May 16, 2018 Cleverley Uncategorized No comments
It’s no secret that industry leaders are continually tasked to do more with less.  Economic pressures, regulatory changes, technological advancements, transparency initiatives, and payer negotiations continue challenging leaders as the healthcare industry transforms. Financial goals frequently drive a hospital’s health and long term viability.  As part of the budget cycle, many hospitals identi...
Wednesday, May 16, 2018 Cleverley Uncategorized No comments
  In our work with hospitals around the country, we have found that many hospitals are struggling to identify what services are most subject to price transparency concerns. Some are taking a broad-brush approach and reduce all charge codes to the level of free-standing entities. This approach is usually not the most effective methodology because it does not focus on the critical procedur...
Wednesday, March 28, 2018 Cleverley Uncategorized No comments
Health systems must decide which hospitals should be targeted and how quickly price reductions can be implemented. These systems are beginning to establish strategic pricing directives that deal explicitly with outpatient pricing at their individual hospitals. These systems have two critical decisions: which hospitals should be targeted and how quickly price reductions can be implemented. In ou...
Tuesday, March 20, 2018 Cleverley Uncategorized No comments
  The 2017 State of the Hospital Industry published by Cleverley and Associates shows a dramatic difference between the Bureau of Labor Statistics reported values for hospital cost inflation when compared to actual payments received by hospitals when all payers, including government are included. During the period 2010 to 2015, the BLS reported average annual inflation rates for hospital ...
Wednesday, January 31, 2018 Cleverley Uncategorized No comments
Comparative Benchmarking is crucial to any business. Comparative reference points give you a place to start measuring your success, as well as goals to reach for in the future. You can compare your hospital’s success against your own past, of course, but that won’t tell you if you’re getting left behind by your competition. Benchmarking helps answer important questions like how am I doing in my...
Monday, April 02, 2018 Cleverley Uncategorized No comments
Hospital executives are facing more pressure to reduce prices and payments as more customers compare their options, especially in certain outpatient services – surgery, imaging, and lab. Commercial margins for outpatient procedures tend to be higher, and changing them can create a lot of financial pressure. Because of this pressure, many hospitals have abandoned minor outpatient surgery  depart...

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