Blog

Top 10 Children's Hospitals in the U.S.

November 16, 2018 BY Alanna Moriarty

Top 10 Children's Hospitals in the U.S.

Which children's hospitals reported the highest net patient revenues? How are children's hospitals serving patient communities differently? We answer these questions and more!

Read More

Top 10 Federally Qualified Health Centers by Visits

October 24, 2018 BY Alanna Moriarty

Top 10 Federally Qualified Health Centers by Visits

Federally Qualified Health Centers are care facilities designed to provide care for rural and underserved communities across the U.S. Ventura Country Health Care Agency is the largest FQHC, followed by Family Healthcare Network.

Read More

Top 10 Inpatient Diagnoses by DRG Codes

May 23, 2018 BY Alanna Moriarty

Top 10 Inpatient Diagnoses by DRG Codes

Outpatient care has been in the spotlight for healthcare providers and regulators like the Centers for Medicare and Medicaid Services (CMS). Ambulatory Surgery Centers and retail clinics are gaining popularity with patients for being low-cost, convenient alternatives to primary care physicians and emergency departments. CMS is regularly updating its list of inpatient-only procedures as medical technology advances, allowing patients to receive surgeries such as joint replacements in outpatient facilities.

Read More

Top 10 ACOs by Patient Population

May 17, 2018 BY Alanna Moriarty

Top 10 ACOs by Patient Population

An Accountable Care Organization (ACO) is a voluntary coalition of healthcare providers characterized by a care delivery and reimbursement model tying provider payments to quality metrics and patient care outcomes. The goal of the ACO model is to reduce total care costs for a specific patient population. Each ACO has a defined patient population for which it is held accountable in terms of care cost and quality. Patient populations are primarily comprised of Medicare beneficiaries.

Read More

Can an ACO Benefit Independent Physicians?

February 21, 2018 BY Alanna Moriarty

Can an ACO Benefit Independent Physicians?

The Congressional budget deal passed earlier this month includes changes to the Medicare Shared Savings Program (MSSP), impacting ACOs participating in the initiative. One of the most prominent changes to the MSSP is the establishment of the ACO Beneficiary Incentive Program, which allows ACOs to pay patients up to $20 for making appointments with their primary care physician—much like the existing Coordinated Care Reward Program. The Beneficiary Incentive Program will also enable beneficiaries to select an ACO-affiliated physician as their primary care provider. Industry experts hope these changes will encourage beneficiaries to be more proactive and engaged in their own care.

Read More