Employers again are planning to expand their use of narrow networks, survey finds
Large employers again say they plan a big increase in the use of narrow networks, a scenario made more likely by the pandemic.
Updated reporting requirements for the CARES Act Provider Relief Fund: What providers need to know
New HHS guidance on reporting obligations for CARES Act Provider Relief Fund recipients could prove troublesome for providers that are caught off guard by the changes.
Medicare readmissions reduction program penalizes hospitals inaccurately, study finds
The hospital readmissions reduction program incorrectly penalizes hundreds of hospitals, according to new research.
Long-term effects of missed care get more pronounced as data emerges
Researchers are increasingly concerned that patients are missing both needed care management and early detection of serious illness, which could have long-term cost implications.
Changes coming to bundled payments and Direct Contracting, CMMI chief says
Coming changes will affect both Medicare bundled payment programs and the looming Direct Contracting program, said the director of the Center for Medicare and Medicaid Innovation.
More Medicaid programs are planning inpatient hospital payment cuts
States are moving to cut their Medicaid inpatient hospital rates amid the pandemic and its more than 400,000 hospitalizations.
CMS to add COVID-19-related waivers to value-based payment models, Verma says
Medicare plans to add pandemic-era waivers to its value-based payment models as a way to incentivize provider participation.
340B cuts, inpatient-only elimination lead hospitals’ OPPS concerns
Proposed OPPS cuts for 340B hospitals and outpatient payment changes drew the most concerns from hospitals and advocates.
Q&A: Humana expands value-based payment push
One MA health plan discusses how it’s pushing further into value-based payment and what that means for providers.
Proposed change to Medicare E/M payment leads to disagreement among both providers and health plans
Medicare physician payment changes for evaluation and management could have dire financial repercussions for some practices, providers warn.