Ask the Experts: Behavioral Health Billing
We want to offer an intensive outpatient program (IOP) that provides group psychotherapy to patients who require a higher intensity of treatment than our outpatient setting provides. We need a thorough understanding of the billing process for the state of
74 Medicare ACOs Depart: Analysts
Feb. 19—By the end of 2018, 74 of Medicare’s accountable care organizations (ACOs) departed the program, according to new analyses.
Model Targets Hundreds of Millions in Medicare ED Spending
Feb. 18—Heralded as part of a shift in care to lower-cost locations, a new Medicare model coming early next year will incentivize paramedics to find alternative treatment sites to emergency departments (EDs).
Annual Hospital Costs for Opioid Overdose Patients Approaches $2 Billion
The average cost for an overdose patient who was treated and released totaled $504, but the average cost rose to $11,731 for those that were treated and admitted to a hospital.
Feb 18-22: Most New ACOs to Face Higher Risk, Analyses Say
Feb. 14—Most organizations applying by next week to launch accountable care organizations this summer may be required to take on higher levels of financial risk, according to two analyses.
Preventable ED Use Costs $8.3 Billion Annually: Analysis
Feb. 8—An estimated $8.3 billion is spent each year on emergency department (ED) care that could be provided in another location, according to a new analysis.
Data Sharing Tips for Value-Based Payment Arrangements
Value-based contracts require that provider organizations and health plans share data and information that they may not have shared historically. Details about that data-sharing must be established in contracts.
The Time Is Now to Act on the 2019 Medicare Final OPPS Rule
Although some OPPS rule changes are being challenged by key stakeholders, hospitals and health systems should move forward with implementation and measure the financial impact.
New Healthcare Partnerships and Technology Bring Real Competition to Health Systems
Robert P. Chamberlain discusses the move toward employer-offered health care and how health systems can compete.
Feb 4-8: CMS Developing ESRD, Cancer Models
Jan. 31—Federal changes coming in 2019 to healthcare payment models slowly emerged this week, as federal healthcare leaders prepare to address a national policy meeting in Washington D.C.