News

FY20 inpatient payment rule proposes changes to DSH, wage index

The proposed rule for Medicare inpatient payments could significantly affect uncompensated-care payment and wage adjustments.

Rich Daly May 9, 2019

Will a quarter of primary care physicians join the new Medicare payment models?

The Trump administration envisions the five coming primary care models that were unveiled this week to include one-quarter of such clinicians. But Medicare advisers and others are split on whether many providers can succeed in the models.

Rich Daly May 9, 2019

May 6-10: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, contests, public forums and deadlines for the week of May 6.

Rich Daly May 9, 2019

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HFMA May 9, 2019

Rising healthcare costs to spur little action before 2020, analysts say

Affordability concerns are impacting the healthcare of a growing number of Americans, according to new polling. However, there is little chance that Congress will address that issue before the 2020 election, political analysts say.

Rich Daly May 8, 2019

Why one insurer is expanding a mental health integration pilot statewide

Early indications of savings and positive provider feedback led one Blue Cross plan to expand statewide a behavioral care telehealth program.

Rich Daly May 8, 2019

Geisinger clinical effectiveness program credited with stabilizing biologics costs

Biologics comprised less than 1% of Geisinger Health’s claims but were approaching 50% of its total drug spending. That is, until a comparative effectiveness program halted the rapid increase.

Rich Daly May 8, 2019

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.

Rich Daly May 8, 2019

Insurers, Policymakers Target ED Use Reduction

Insurance executives and governors are taking new steps to reduce inappropriate use of emergency departments by plan enrollees.

Rich Daly May 6, 2019

CMS Report Reveals Interesting Statistics on Provider Participation in Quality Payment Program

CMS inaugural report: Most clinicians avoid a negative payment adjustment under MIPS.

Chad Mulvany, FHFMA May 6, 2019
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