Where healthcare challenges find solutions
As providers and the government try to lower healthcare costs, much of the action rests on lower reimbursement. Meanwhile, patients increasingly are reaching into their own pockets to cover their healthcare costs. They want price transparency and convenient ways to pay their bills, and providers want to maintain healthy margins. Read more about how payment innovations affect the industry.
The advisory panel will recommend that Congress slowly phase in disproportionate-share hospital cuts, due to start in October, but will not suggest that lawmakers continue delaying them. »
More than half of executives surveyed said that new EHR functions haven't produced the expected gains in their organization's revenue-cycle performance.
HHS' Office of Inspector General has proposed changing the wage index in a new report that found the current system has led to millions in improper hospital payments, often acutely impacting rural providers.
In a sweeping new proposal focused on Medicare Advantage and Medicare Part D, the CMS is considering a policy to cut off pharmacy profits through price concessions and give Medicare Part D plans more power to negotiate protected class drug prices.
Of the more than 1 million eligible clinicians who participated in MIPS in 2017, 93% will receive a bonus on each of their Medicare Part B claims beginning Jan. 1. About 5% of clinicians will receive a penalty as high as 4% on their claims.
By offering incentives to patients, Vitals saves money for them, their employers and their health plans.
Four years into Obamacare, the majority of Nebraska voters support Medicaid expansion, a key measure on their midterm ballot. But even pro-expansion hospitals are taking a cautious view of how much it will impact the rural bottom line.
With just a few weeks to go until November's elections, the dialysis industry has raised more than $105 million to defeat a ballot measure that would cap their profits at 15% of direct patient-care costs.
Nearly half of accountable care organizations surveyed said they now intend to stay in the Medicare Shared Savings Program even though they could be facing downside risk soon, a change of heart from previous surveys.
About 1,300 providers, including 832 hospitals, have joined the Bundled Payment for Care Improvement Advanced alternative pay model. Providers will get a fixed price for an episode of care and be at risk for up to 20% of costs if they exceed a target.
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