Inconsistent address data could delay Medicare payments
One health system found in its Medicare enrollment system that addresses were missing for new facilities. Another found addresses still listed for a demolished facility.
Mandates related to pricing, Medicare participation lead hospital concerns over healthcare IT proposed rules
Hospitals supported many of the transparency goals of two proposed healthcare IT rules, but two areas drew sharp concerns.
June 2-7: 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 June 2.
How a Hospital or Health System Can Assess the Risk of Moving to Value-Based Payment
To gain a clearer understanding of the financial impact of transitioning to a value-based model, healthcare executives can learn from the experiences of another health system that has undertaken a similar migration.
Part D savings plan dialed back
Part D plans will have fewer new tools to control drug spending than Medicare initially proposed.
Deceased Medicare beneficiary admissions: Accounting for the causes and impacts
Just over 3 percent of Medicare admissions end with the death of the patient. This finding is based on data from fiscal years 2015 through 2017 reported in the Medicare Provider Analysis and Review (MedPAR) file. As would be expected, the time and resources required to treat a beneficiary who is near death and ultimately…
Analysis: Comparing commercial hospital rates to Medicare is inappropriate
RAND study says hospitals treating patients with private health insurance were paid 2.4-times the Medicare rates, but Chad Mulvany says Medicare is the wrong measuring stick.
Medicare buy-in option beginning at 55 the most likely expansion route, says former CMS chief
If everything goes right for Democrats in the 2020 election, the most likely Medicare expansions are not the ones getting the headlines now, says a former Medicare administrator.
‘Medicare for All’: Do the numbers
Healthcare leaders can foster a productive debate about “Medicare for All” by driving analyses based on data such as cost projections, writes HFMA President and CEO Joseph J. Fifer.
Analysis: CMS looks to partner with states to expand dual-eligible care models
CMS is encouraging states to test approaches to integrating dual-eligible patients’ care to improve outcomes and reduce costs for federal and state governments.