Payment Reimbursement and Managed Care

47 hospitals have closed in 2019, MedPAC reports

Hospital closures have doubled so far in 2019, compared with 2018, according to a MedPAC analysis.

Rich Daly December 10, 2019

4 goals for bundled payment: How a hospital succeeded under BPCI-A

Abington Hospital has enjoyed success under the Bundled Payments for Care Improvement Advanced model by focusing on four key goals, including identifying episodes with sufficient opportunities to reduce costs below CMS’s target prices.

Erin Hahn, MPH December 9, 2019

ACA tax drove 2018 healthcare spending acceleration, CMS actuaries find

National healthcare expenditures in 2018 increased slightly overall but declined as a share of the economy, according to a report from the CMS Office of the Actuary.

Rich Daly December 7, 2019

OPPS final rule keeps site-neutral payments and 340B cuts, leaves out transparency requirement

The Medicare OPPS final rule will continue 340B and site-neutral payment cuts but leaves out the requirement to post rates negotiated with health plans.

Rich Daly December 6, 2019

Dec. 9-13: Hearing on proposals to expand government insurance coverage is among upcoming healthcare finance events

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Dec. 9.

Rich Daly December 6, 2019

Upside-only pay surges as risk-based pay, clinical results remain flat, scorecard finds

Bonus-based value payment models have proliferated among employer health plans, while risk-based payment and performance on clinical quality indicators have not changed significantly, according to a recently published scorecard.

Rich Daly December 5, 2019

Medicare reopens deadline for providers to signal interest in direct contracting

Primary care physicians will have another chance to apply and participate in the delayed Direct Contracting model with Medicare.

Rich Daly December 4, 2019

Retailers partnering with healthcare companies to expand access

A review of newly announced partnerships between Walgreens and United Healthcare and Kroger and Ascension.

Chad Mulvany, FHFMA December 3, 2019

Cup of Joe: Paul Keckley, The Keckley Report

Paul Keckley, researcher, author and managing editor of the Keckley Report, talks with Joe Fifer about social determinants of health and better relationships between clinical and finance.

Erika Grotto December 3, 2019

How CMS sets the target price for bundles under BPCI-A

Read a description of CMS's method for setting episode target prices under its Bundled Payments for Care Improvement Advanced model.

Erin Hahn, MPH December 2, 2019
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