March 11-15: MedPAC Highlights Need for National ED Coding Guide
Medicare emergency department (ED) patients have gotten sicker in recent years, according to a new analysis of hospital coding trends. As a result, national ED coding guidelines may be needed, said the congressional advisory panel that conducted the analysis.
April 1-5: What Events Are Coming in Health Care
Next week’s healthcare finance events and developments include the online posting of 340B ceiling prices by a federal agency.
Hospitals See Improvement in Value Contracting with Commercial Plans
Hospitals continue to have more difficulty establishing value-based contracts with commercial health plans than with government payers, but that may be changing.
Medicare rates increasingly impacting health care
Even assuming the federal government does not adopt a single-payer model such as Medicare-for-all, industry watchers see Medicare’s impact on the healthcare sector expanding.
Provider payment standard draws congressional focus in surprise-bill debate
The fault line in congressional discussions this week on addressing surprise medical bills involved the best approach to determining provider payment in such situations.
What value-based payment changes are coming at the federal level?
Expect a post-acute care bundle, rural-focused alternative payments, value-based payment approaches inspired by Medicare Advantage (MA), and additional mandatory models from the federal government, a top official said this week.
Maryland’s global budget model: Impact on overall healthcare utilization remains murky
Implementation of global budgets at some Maryland hospitals cut utilization for several services, according to recent research, but evidence suggests the care merely shifted to other hospitals and providers.
March 18-22: What Events Are Coming in Health Care
Next week’s healthcare finance events and developments include HFMA’s Revenue Cycle Conference in Austin, Texas.
March 25-29: What Events Are Coming in Health Care
Next week’s healthcare finance events and developments include the deadline to submit comments on changes to the CMS hospital overall star ratings.
More Than 15 Percent of Providers Depart BPCI Advanced
One in seven providers in the largest Medicare bundled payment model left after five months, new data reveal. But that may be good news for the program.