May 14-18: Senate Holds 340B Hearing Amid Surge in Activity
May 10—Congress will once again examine the 340B discount drug program next week amid several judicial and regulatory developments related to the program.
Ask the Experts: Calculating Contract DRGs
What is a simple way to accurately determine my current base DRG rate?
FY2019 Medicare Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule
This summary highlights key provisions of the FY2019 Medicare inpatient rehabilitation facility prospective payment system proposed rule, published by CMS.
FY2019 IPPS/LTCH Proposed Rule
This summary highlights key provisions of the FY2019 IPPS/LTCH proposed rule, published by CMS.
Azar Plans ‘Fundamental Rethinking’ of Provider Pay
May 2—A newly proposed direct primary care payment model is part of a “fundamental rethinking of provider compensation” by the federal government, said Health and Human Services (HHS) Secretary Alex Azar II.
Medicare Offers Post-Acute Care Pay Boost
April 30—Faced with operating headwinds, post-acute care providers stand to garner an unexpected FY19 payment boost from Medicare.
MA Ruling May Signal Industry Readiness to Integrate SDH into Traditional Medical Care
In addressing social determinants of health and social services, a recent Medicare Advantage ruling by CMS may have taken the first steps toward providing more integrated and comprehensive care to the nation’s aging population.
MedPAC Recommends $250 Million ED Cut
April 9—Medicare should cut payment rates for many emergency departments (EDs) by 30 percent, Congress’s leading Medicare advisory panel recommended this week.
Ask the Experts: Medicare Small Balance Payments
Is there any concern if copayment under a certain amount are written off?
Contracting for Primary Care and Value Improves Patient Outcomes and Lowers Costs
Humana offers primary care practices four types of value-based contracts, but also customizes plans that emphasize population health or other initiatives.