Optimal revenue cycle health depends in part on effective eligibility and coverage verification, chargemaster maintenance, charge capture and documentation, and clinical soft coding. With appropriate technology, knowledgeable staff, and efficient processes, hospitals can "diagnose" their revenue cycle health.
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Financial Analytics for Laboratory Stewardship: Using Data and Informatics to Increase Financial Returns for Labs and Decrease Financial Harm to Patients.
J Appl Lab Med
January 2025
Department of Laboratories, Seattle Children's Hospital, Seattle, WA, United States.
Background: As clinical laboratories struggle to maintain their financial footing and as patients face mounting out-of-pocket expenses for diagnostic testing, being able to perform financial analysis of laboratory stewardship efforts has become an increasingly important skill.
Content: Understanding the revenue cycle as it relates to diagnostic testing is fundamental to selecting, designing, implementing, and evaluating laboratory stewardship interventions for maximum financial return. Leveraging the data and processes driving the revenue cycle can inform informatics-based interventions (such as clinical decision support) and allow deliberate financial analyses of stewardship-focused projects.
Business cycle sensitivity of Statutory Health Insurance: evidence from the Czech Republic.
Health Econ Rev
December 2024
Institute of Economic Studies, Charles University, Opletalova 26, Prague, 110 00, Czech Republic.
Background: The Statutory Health Insurance scheme is one of two main schemes of health care system financing in Europe. This scheme mainly relies on wage-based contributions from employers and employees and is thus prone to business cycle fluctuations. This turned out to be a problem especially after the 2008 crisis.
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