Hospital price study draws pushback
The dramatic conclusion of new research that hospitals prices are more than 200 percent of Medicare rates is raising questions among industry analysts.
How Montana got hospitals to accept Medicare-based payment rates
Montana moved its hospitals to Medicare-based payment rates to help reduce costs for its state-employee health plan.
‘Medicare for All’: What would it really mean for healthcare stakeholders?
“Medicare for All” would have varying impacts on hospitals, physicians and health plans but would be expected to cause financial hardship in the majority of cases.
‘We were completely wrong’: How Henry Ford Health System won a major direct contract
How one health system won a large direct contract as such arrangements become more widespread.
7 keys to engaging physicians for success under BPCI-A
Physician engagement is a critical success factor for health systems that are pursuing bundled payment initiatives.
Bipartisan policy group aims to slash hospital budgets
A group of policy advisers, researchersa nd politicians are urging a range of measures to cut spending on hospitals.
Why initiate health plan contract testing?
Various circumstances require providers to prepare for the impact of payment changes.
How to use contract testing and analysis to prepare for payment change
Whether a contract is new or up for renewal, a thorough understanding of the financial implications of changes to provider-payment terms is vital for continued operations.
OPPS final rule keeps site-neutral payments and 340B cuts; finalizes transparency requirements separately
The controversial major hospital payment cuts in the Outpatient Prospective Payment System (OPPS) final rule were retained from the proposed rule even though hospitals successfully have challenged them in federal court.
Analysis: ChenMed moves into new territory
ChenMed’s entrance into new markets will likely have an impact on ambulatory-sensitive ED visits and admissions for underserved Medicare Advantage patients.