Value-Based Contracting Not Taking Off: Health Plan Survey
Health plans see a shift to value-based payment on the horizon, according to a new industry survey. It’s a familiar finding.
Insurers, Policymakers Target ED Use Reduction
Insurance executives and governors are taking new steps to reduce inappropriate use of emergency departments by plan enrollees.
CMS Report Reveals Interesting Statistics on Provider Participation in Quality Payment Program
CMS inaugural report: Most clinicians avoid a negative payment adjustment under MIPS.
Some Practices Leave Largest Bundle Program
Physician practices were more likely than other providers to depart from Medicare’s largest bundled payment program by the March 1 deadline to drop out, according to industry advisers.
Public-Option Bill Cuts $774 Billion in Hospital Revenue: Report
High-profile legislation that would launch a Medicare-based public option to compete against private insurers would slash national healthcare spending—primarily through reduced hospital pay, according to a new analysis.
Trump Budget Road-Tests Hospital Policies
Hospital impacts in the Trump administration’s proposed FY20 budget include cuts to Medicare uncompensated care, more site-neutral payments, and an extension of coming Medicaid payment cuts.
Congress Weighs Actions to Curb Hospital M&A
Congress is discussing a variety of ways to reduce mergers and acquisitions (M&A) among providers, including allowing more enforcement against not-for-profit entities, increasing funding of enforcement agencies, and eliminating payment incentives.
Medicaid Work Requirements Will Negatively Impact Hospital Finances
Medicaid work requirement projected impacts on hospital finances range from $1 million to more than $6 million.
Challenges Differ for Hospital-Led, Physician-Led ACOs; Could Drive Departures
A newly released survey found very different challenges for accountable care organizations (ACOs) depending on whether they are led by physicians or hospitals. The revelation followed an increase in the dropout rate among physician-led entities.
Trump Administration’s ACA Replacement Bill Pushed to Post-Election
The Trump Administration has shifted its stance on the Texas court case challenging the Affordable Care Act (ACA) now before the Fifth Circuit Court of Appeals.