Medicare’s 2022 payment rule for physician services adds to a significant impending cut
CMS used the 2022 final rule for Medicare physician payments to offer accommodations on policies related to telehealth and more, but concerns loom about a large cut that's in the offing.
CMS finalizes changes to the price transparency penalty, inpatient-only list and more for 2022
Medicare policies affecting price transparency, the inpatient-only list and more will take effect Jan. 1 after CMS published its 2022 final rule for hospital outpatient departments and ambulatory surgical centers.
Market disruption: How 4 healthcare leaders are dealing with it in their own organizations
This roundtable reviews disruptors and how some healthcare leaders deal with new entrants to the market, telehealth and the trend of care shifting to a nonhospital environment.
Additional requirements are needed to make healthcare price transparency worthwhile, report states
Updates to price transparency regulations should address compliance and formatting and incorporate new data elements.
Payment approaches to addressing health equity are seen in a new Medicare rule for kidney care
Updates to a Center for Medicare & Medicaid Innovation care model for end-stage renal disease include an equity-related bonus payment and associated changes to benchmarking.
The impact of COVID-19 further shows the need to modify federal pay-for-performance models, hospital advocate says
Quality measures derived during the COVID-19 pandemic are not an accurate gauge of hospital performance in federal programs such as Value-Based Purchasing.
The Provider Relief Fund distribution formula may have left some higher-need hospitals at a disadvantage, study finds
Critical access hospitals generally received lower allocations from a targeted distribution pool compared with hospitals that had a better asset mix.
The Medicare area wage index likely needs a revamp, MedPAC members say
Wage index adjustments leave some hospitals at a disadvantage and are costly for the Medicare program, according to policy advisers.
Addressing U.S. healthcare system challenges requires a focus on improving health, not just care
If we are to effectively address the huge cost challenges facing the U.S. health system, we must begin to better address the cost effectiveness of health, says Todd Nelson, HFMA’s director of professional practice and partner relationships. And it has to be through a collaborative process involving all stakeholders, he says, including not just hospitals and health systems, physicians and health plans but also patients and their communities, as well as society overall.
Hospitals and Congress propose improvements to prior authorization processes in Medicare Advantage
The American Hospital Association says pending regulations that would affect prior authorization should be expanded to include Medicare Advantage.