Accounting & Financial Management
The monetary figures at stake in each case varied wildly, ranging from $1,600 at the low end to $14 million at the high end.
The average potential surprise bill ranged from $86 for medical imaging specialists to more than $8,000 for surgical assistants.
Multiple factors contributed to the increases, including higher volumes and revenues, despite increases in bad debt and charity care.
With a labor-intensive budgeting process that provided little business value, OSF Healthcare decided it was time to be more flexible.
Surgeons provide only a small share of the postoperative care that is built into the payments they receive from Medicare.
The lack of common terminology, unbundled cost reporting and listing of non-negotiated rates limits the information's value.
In all, 19 of 22 models predicted net savings in the first year after implementation, averaging 3.5% of total healthcare spending.
Among publicly and privately insured children in the sample, respectively, 11% and 9% received unnecessary services at least once in 2014.
Doctors, hospitals, and other health providers in the U.S. spent far more on administration due to complexity.
In the model, pay equity was affirmed in 96% of cases, and of those with higher-than-predicted compensation, there was no link to gender or race.