Analysis: New HELP draft surprise-bill legislation bases payments on geographic median rate
Recent changes to the HELP draft surprise-bill legislation indicate there is unity in Congress around calculating payments to providers for out-of-network services, but challenges to the geographic-median approach are on the horizon.
Integration supports Presbyterian’s ‘Complete Care’ program
Presbyterian Healthcare Services, based in Albuquerque, is a locally owned, not-for-profit health system of nine hospitals, a statewide health plan and a growing multispecialty medical group. We serve one in three New Mexicans through our healthcare services and insurance coverage. For Presbyterian patients with serious, complex medical needs, we offer a high-touch program that combines primary,…
CMS identifies keys to success in bundled payment as BPCI-A deadline looms
Ahead of next week’s deadline for providers to join the largest voluntary bundled payment program, the agency in charge of the program identified lessons learned from successful participants.
Four key takeaways from Congress’s latest single-payer hearing
Although the first hearing by a healthcare committee on recent coverage expansion proposals was supposed to encompass a range of Democratic bills, national single-payer proposals garnered almost all the attention.
CareCredit: A proven payment solution
An industry-leading patient financial solutions company details how its credit card solution facilitates patient payment, helping the patient and healthcare organization.
Providers push arbitration approaches used in some state surprise-bill laws
What should Congress learn from states’ experiences with laws attempting to curtail surprise healthcare bills?
Medicare Advantage plans accelerating their move into SDOH, advocate says
Medicare health plans have increasing authority to grapple with the social determinants of health, and more are pursuing such initiatives.
Earning a 4-start patient-experience rating takes dedication
Main article: Why optimizing the patient experience should be on every C-suite leader’s radar Under Maryland’s hospital rate-setting system, 1% of hospital payment from all payers is based on an organization’s performance on the HCAHPS inpatient survey. “It can be millions of dollars for organizations that can be lost or gained,” says Lisa Allen, PhD,…
How one hospital improved its call-bell responsiveness
Main article: Optimizing the patient experience from the C-suite NewYork-Presbyterian’s comprehensive patient experience strategy has led to year-over-year improvements in key metrics during the past three years, says Rick Evans, senior vice president and chief experience officer. He credits the organization’s rolling, three-year patient experience plan, which defines targets and sets strategies for a variety…
Why optimizing the patient experience should be on every C-suite leader’s radar
Jason Wolf, president and CEO of The Beryl Institute, knows from personal experience how easily a healthcare organization can lose a customer. A few years ago, his wife was mistakenly billed for a $25 copay that she already paid, and then the account was fast-tracked into collections. Despite receiving excellent clinical care, his wife vowed…