Medicare Payment and Reimbursement

Limits on savings from bundled payments identified in new research

Bundled payment program savings appear limited to lower joint replacement, and changes may be needed to improve the programs, according to new research.

Rich Daly January 7, 2020

Maryland TCOC: A grand demonstration continues

As Maryland's Medicare Total Cost of Care priogram enters its second year, it It is a goodtime to revisit the program to understand its essential elements and implications for the nation's healthcare system.

Dale N. Schumacher, MD, MPH January 2, 2020

Hospital price study draws pushback

The dramatic conclusion of new research that hospitals prices are more than 200 percent of Medicare rates is raising questions among industry analysts.

Rich Daly December 23, 2019

After ACA court decision, ‘Nothing is changing’ immediately

There will be no practical impact from any court ruling on the Affordable Care Act until a Supreme Court decision comes down in 2020 at the earliest.

Rich Daly December 23, 2019

How Montana got hospitals to accept Medicare-based payment rates

Montana moved its hospitals to Medicare-based payment rates to help reduce costs for its state-employee health plan.

Rich Daly December 20, 2019

A 5-month delay of the DSH payment cut is among new federal budget provisions

A delay of a $4 billion cut to hospital DSH payments was included in a year-end federal funding package.

Rich Daly December 20, 2019

‘Medicare for All’: What would it really mean for healthcare stakeholders?

“Medicare for All” would have varying impacts on hospitals, physicians and health plans but would be expected to cause financial hardship in the majority of cases.

Richard Rollo December 19, 2019

7 keys to engaging physicians for success under BPCI-A

Physician engagement is a critical success factor for health systems that are pursuing bundled payment initiatives.

Douglas Ardoin Jr., MD, MBA December 16, 2019

Bipartisan policy group aims to slash hospital budgets

A group of policy advisers, researchersa nd politicians are urging a range of measures to cut spending on hospitals.

Rich Daly December 13, 2019

OPPS final rule keeps site-neutral payments and 340B cuts; finalizes transparency requirements separately

The controversial major hospital payment cuts in the Outpatient Prospective Payment System (OPPS) final rule were retained from the proposed rule even though hospitals successfully have challenged them in federal court.

Rich Daly December 12, 2019
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