CMS cardiac procedure changes could cost hospital cardiac programs $700 million
In a move that could have profound financial implications for hospitals, the 2019 Outpatient Prospective Payment System final rule adds 17 cardiac procedures to the list of procedures approved by CMS to be performed in ambulatory surgery centers.
How physician-finance partnerships pave the way to higher-value care
Physician leaders and finance leaders can use their respective strengths to complement each other and help each other thrive in a value-based environment.
A caveat: A cardiac procedure performed in an ASC may cost a Medicare beneficiary more
For Medicare beneficiaries who are considering out-of-pocket costs for the cardiac services that CMS has approved to be performed in ambulatory surgery centers (ASCs), hospitals could be a more attractive site of service.
Inconsistent address data could delay Medicare payments
One health system found in its Medicare enrollment system that addresses were missing for new facilities. Another found addresses still listed for a demolished facility.
Mandates related to pricing, Medicare participation lead hospital concerns over healthcare IT proposed rules
Hospitals supported many of the transparency goals of two proposed healthcare IT rules, but two areas drew sharp concerns.
Analysis: Movement seen on overdue Medicare Discharge Planning Rule
The Medicare Discharge Planning Rule, which was sent to the Office of Management and Budget last week, would require hospitals to provide patients with data to help guide their selection of a post-acute care provider.
Analysis: Why some participants are likely to leave the Oncology Care Model
Some participants in CMS’s Oncology Care Model may exit the program instead of being transitioned into a two-sided risk model.
June 2-7: See what events are coming in healthcare
Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of June 2.
Arbitration approach the most likely option among pending surprise-bill legislation: analysts
Among numerous legislative approaches proposed to eliminate surprise healthcare bills, an approach using arbitration remains most popular in Congress, say legislative analysts.
Analysis: CMS announces ET3 FAQs and request for applications
Chad Mulvany says watching how CMMI’s Emergency Triage, Treat and Transport model rolls out will be interesting because of the potential impact on Medicare ED visits and related inpatient admissions.