OPPS rule to bring many hospital financial challenges — and a little help
The long-awaited Medicare proposed rule for hospital outpatient payments includes a high-profile mandate on hospitals to release rates negotiated with commercial health plans, among other regulations that could pose financial challenges. Several smaller provisions could help hospitals.
How ‘digital transformation’ will help, hurt hospital finances
Hospitals can expect new revenue opportunities, increased near-term costs and loss of revenue to new competitors due to expanding digital technologies in healthcare, according to Moody’s Investors Service.
Slow expansion of SDOH benefits expected in 2020 MA health plans
MA health plans are expected to incrementally increase in 2020 their use of programs targeting the social determinants of health.
Verma points to hospitals as the largest driver of healthcare costs
The Trump administration’s Medicare leader singled out hospitals as the leading driver of healthcare cost increases.
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‘Medicare for All’ to cost hospitals $200 billion annually, analysis finds
Although a slice of hospitals might financially benefit from a single-payer model based on Medicare rates, 90% would face cuts totaling $200 billion each year, according to a new industry analysis.
Mandatory models among 6 newly proposed Medicare demos
Mandatory models for kidney care and oncology were among six new Medicare payment models proposed in mid-July.
‘Medicare for All’ leader laments Medicare problems
A leading congressional advocate of “Medicare for All” this week excoriated Medicare for the billing problems she dealt with during her late husband’s last years of declining health. But she insists such headaches would not follow expansion of the program to all Americans.
July 14-19: See what events are coming in healthcare
Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 14.
Rural-state hospitals hail changes to Medicare wage index
Rural-state hospitals strongly back a proposed Medicare area wage index (AWI) change, but national hospital advocates are warning against it.