Rich Daly
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Rich Daly
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Provider payment standard draws congressional focus in surprise-bill debate
The fault line in congressional discussions this week on addressing surprise medical bills involved the best approach to determining provider payment in such situations.
What value-based payment changes are coming at the federal level?
Expect a post-acute care bundle, rural-focused alternative payments, value-based payment approaches inspired by Medicare Advantage (MA), and additional mandatory models from the federal government, a top official said this week.
Maryland’s global budget model: Impact on overall healthcare utilization remains murky
Implementation of global budgets at some Maryland hospitals cut utilization for several services, according to recent research, but evidence suggests the care merely shifted to other hospitals and providers.
Moving to the Next Generation of SDOH Initiatives
Efforts to address social factors that affect health are moving from the experimental phase to the operational phase in Medicaid, according to a former federal leader of the program.
March 18-22: What Events Are Coming in Health Care
Next week’s healthcare finance events and developments include HFMA’s Revenue Cycle Conference in Austin, Texas.
March 25-29: What Events Are Coming in Health Care
Next week’s healthcare finance events and developments include the deadline to submit comments on changes to the CMS hospital overall star ratings.
More Than 15 Percent of Providers Depart BPCI Advanced
One in seven providers in the largest Medicare bundled payment model left after five months, new data reveal. But that may be good news for the program.
Medicaid Work Requirements Impact Hospital Finances: Report
As many as 17 states could eventually have Medicaid work requirements, which may cut into the finances of hospitals in those states, according to a new analysis.
Hospital Spending to Accelerate in Coming Years: CMS
Feb. 20—Hospital care spending is expected to accelerate over the coming 10 years as Medicare enrollments surge, more states expand Medicaid eligibility, and prices increase.
74 Medicare ACOs Depart: Analysts
Feb. 19—By the end of 2018, 74 of Medicare’s accountable care organizations (ACOs) departed the program, according to new analyses.