Reimbursement

How one ACO leveraged universal truths of value-based contracting for success

A finance leader of successful East-coast accountable care organization describes the key factors that have enabled the ACO to thrive under value-based payment contracts.

Eric C. Reese, PhD November 18, 2019

Administration finalizes requirement for hospitals to post rates paid by health plans

A newly finalized requirement will require hospitals to post rates that are privately negotiated with health plans, as well as rates for a list of 300 “shoppable services.”

Rich Daly November 15, 2019

White House healthcare leader expresses skepticism of mandatory models

The Trump administration’s healthcare policy leader was openly skeptical about further use of mandatory payment models after Medicare has added several in recent years.

Rich Daly November 14, 2019

Why the Trump administration is pursuing hospital payment cuts that courts have rejected

The Trump administration is continuing to push hospital payment cuts rejected by courts to make the case to Congress that new laws are needed, according to a senior White House official.

Rich Daly November 13, 2019

Analysis: Haven’s first moves: Benign or disruptive?

The rollout of Haven insurance in 2020 for the 1.2 million combined employees of Amazon, JPMorgan Chase and Berkshire Hathaway should not be dismissed by other industry players.

Chad Mulvany, FHFMA November 12, 2019

Federal policy drives hospital-practice deals but not M&A between hospitals, MedPAC finds

Federal policy is not driving hospital M&A but is encouraging hospital purchases of practices, a key congressional advisory group said.

Rich Daly November 12, 2019

6 key opportunities to optimize revenue with strategic pricing

Strata Decision Technology breaks down how providers can set defensible, geographically-sensitive prices that can be made visible to consumers without concern of backlash.

Strata Decision Technology November 11, 2019

Transparency rule could come this month, White House executive says

A controversial requirement for hospitals to publicly post the rates they negotiate with health plans is expected this month, according to a senior White House official.

Rich Daly November 8, 2019

Hospitals baffled over why Medicare continues site-neutral payments, 340B cuts despite adverse court rulings

Hospital advocates blasted two major payment cuts that were implemented recently despite court orders overriding the cuts and warned about the consequences.

Rich Daly November 7, 2019

Analysis: Private equity interest in orthopedics increases

Demographics and payment policy are the main drivers of the surge in private equity deals involving orthopedics practices in 2019.

Chad Mulvany, FHFMA November 7, 2019
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