MedPAC backs Medicare changes to increase hospital pay in 2021 by up to 3.3%
For 2021, MedPAC has recommended that hospitals’ Medicare rates increase 2%, plus a potential 0.8% quality bonus and elimination of a 0.5% quality cut.
BESLER: Full-service Transfer DRG revenue recovery
BESLER talks about its Transfer DRG revenue recovery service that helps hospitals recover monies they have rightfully earned while maintaining compliance.
Limited BPCI savings seen with joint replacement bundles
CMS’s new BPCI-A model incorporates patient complexity into the risk-adjustment mechanism, but it remains to be seen if it will solve all issues with the previous model.
BPCI Advanced participation jumps by 57% in its third year
Provider participation in the largest Medicare voluntary bundled payment program surged in its third year.
Analysis: Aspire Health Founder Brad Smith chosen as new CMMI director
The change in CMMI leadership could mean long-anticipated models are released, and may signal more emphasis on palliative care in future models based on Brad Smith’s background.
Number of Medicare ACOs stays flat, but risk-taking increases
The number of Medicare ACOs has stagnated, but many more are taking on financial risk.
More physicians shift from MIPS to APMs in Medicare
Increasing numbers of physicians paid by Medicare are shifting from the default quality-reporting-based payment option to earning bonus payments by participating in other payment models.
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.
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.
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.