Hospital Access Management – January 1, 2020

January 1, 2020

• Price Transparency or Price Gouging: Disclosure of Negotiated Rates Called a ‘Tipping Point’

  How much does a health insurance company pay the hospital for an MRI? Nobody really knows — except the hospital and payer. That is about to change, thanks to a new rule that requires hospitals to disclose secret negotiated rates with payers.

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• Waiting for Outcomes of Legal Challenges Unwise

  Two healthcare attorneys advise medical facilities to proceed as though the rule requiring the disclosure of secret negotiated rates will go forward as planned.

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• Fewer Than Half of Seriously Ill Medicare Patients Well-Informed on Costs

  The findings of a recent paper contradicted the general perception that seriously ill patients are well-protected through a combination of Medicare and Medigap, Medicare Advantage, or Medicare and Medicaid.

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• Promoting From Within Can Lead to Strong Commitment

  If patient access staff at Arlington-based Texas Health Resources want some reassurance that they really can move up in their jobs, they can just look around. Every single manager and director currently working in the department was promoted from within.

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• With a Little Patience, IT Expertise Pays Off for Revenue Cycle

  Revenue cycle leaders and IT need one another to thrive. After spending time with IT in close proximity, revenue cycle leaders can gain a great deal of expertise. This comes in handy in bridging the gap between the two areas.

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• ED Registration No Longer a Stepping Stone; Staff Feel Valued

  To push back against plummeting retention rates, the department made some simple but important changes.

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