Medicare Enrollment Rate Will Peak in 2030
Medicare enrollment rate will increase by approximately 44 percent by 2030. After that time, the numbers will increase at much slower rates.
Hospitals Sue over $380 Million OPPS Cut
Dec. 5—Several hospitals and advocacy groups filed suit this week to stop a finalized Medicare payment change that would cut 2019 outpatient payments by an estimated $380 million.
The Blurring Boundaries of Elder Care: Implications for Providers and Patients
Healthcare providers are planning to invest in home health, palliative and end-of-life care, and geriatric caretakers in the coming years.
CY 2019 Medicare Physician Fee Schedule Final Rule
This document briefly summarizes the payment rate updates under the CY 2019 Medicare Physician Fee Schedule final rule, published by CMS.
Long-Delayed 340B Rule Takes Effect in January
Nov. 30—A highly anticipated rule to require better drug company compliance with a major discount drug program will go into effect Jan. 1—following multiple delays.
Your To-Do List When Health Plan Contracts Change
Six steps can help revenue cycle leaders manage health plan changes effectively.
Surprise Medical Bills, Direct Primary Care Gain Senate Attention
Nov. 28—Senators said they will push legislation to limit surprise medical bills and to support direct primary care as part of congressional efforts to control rising healthcare costs.
CY 2019 OPPS/ASC Final Rule
This document highlights the payment rate updates for CY 2019, included in the hospital OPPS/ASC final rule, published by CMS.
Lessons from a BCBS Plan’s Plunge into Value-Based Payment
Nov. 26—Commercial insurers—and Blue Cross Blue Shield plans, in particular—have been shy about moving into value-based payment (VBP). But one southwestern insurer’s experience may help change that.
Not Just Smarter Payment, Better Health Care
Jeb Dunkelberger describes how Highmark Health uses its experience as an integrated care delivery and finance system to advance strategies that improve the value of health care.