4 Trends Straining Hospital Cashflow in 2013 that Could Lead to Better Patient Billing Practices

1. Value Based Purchasing for Medicare. While the VBP system was first conceived in 2005, the PPACA has put into motion a stronger link between quality and reimbursements
2. Uncertain Medicaid reimbursement. The Supreme Court's ruling that states would not be required to expand their Medicaid programs could result in higher than expected demand for uncompensated care
3. Pressure from commercial health plans. In anticipation of the federal health insurance exchanges, large health plans are beginning to pressure hospitals and health systems into accepting lower rates
4. Experimental payment models. Both CMS and private payors have begun to introduce new payment models that may shift more financial risk to providers

Source: Becker's Hospital Review
Source URL: http://www.beckershospitalreview.com/racs-/-icd-9-/-icd-10/a...