Hospitals enjoy greater flexibility in compensating physicians for value-based care
New regulations effective Jan. 19, 2021, afford hospitals, providers of certain ancillary services and accountable care organizations they own significantly greater flexibility to compensate physicians for collaboration on value-based care initiatives.
Hospital groups ask Supreme Court to reverse payment cuts to 340B hospitals, off-campus provider-based departments
The American Hospital Association and other hospital groups are challenging 2020 appeals court decisions that allow HHS to continue slashing payments to 340B hospitals and to off-campus provider-based departments.
Report: Large sampling reveals 30% of hospitals haven’t complied with any aspect of the new price transparency requirements
Hospitals have had an easier time posting the required price information for consumer-friendly shoppable services than for all the services in their chargemaster, according to a large survey.
Is the Medicare Appeals Backlog Finally Breaking?
Facing a court order to eliminate its Medicare appeals backlog, the Trump administration has seen early success.
Significance of ACO Departures Downplayed by Industry Analysts
Industry analysts downplayed the recent revelation that 74 Medicare accountable care organizations (ACOs) left the program at some point in 2018.
Medicare Expansion Proposals Draw Hospital Concerns
Hospital advocates are increasingly voicing opposition to various Medicare expansion proposals over concerns about their adverse financial impacts.
Provider Interest in MA Plans Surges
Most plans expected to enter the Medicare Advantage (MA) market over the next two years will be provider-sponsored, according to a health plan adviser.
March 4-March 8: Safety-Net Hospitals Underperform in CJR
As Medicare considers the launch of more mandatory payment models in the coming months, new research reports safety-net hospitals that were required to participate in the first mandatory Medicare bundled payment model underperformed other participating hospitals.
Healthcare News of Note: Pandemic could lead to deceleration of U.S. annual health spending
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles, including why the pandemic may cause health spending to decelerate, a look at how most consumers are hit with large bills after just one healthcare visit and more insights on the toll of COVID-19 on healthcare workers.
A look at some of the healthcare-specific provisions in the pending COVID-19 relief legislation
As a $1.9 trillion COVID-19 relief package makes its way through Congress, provisions under consideration could affect the Provider Relief Fund, the Affordable Care Act insurance marketplaces and Medicaid.