What’s Driving Increased Hospital Cost Concerns?

July 13—The case for greater cost control at hospitals received its latest boost from a recent national survey of hospital executives. The growing urgency comes amid shrinking margins and cash flow.

Rich Daly July 16, 2018

July 16-20: Congress to Examine Stark Law Modifications; Verma Pledges Changes

July 12—As Congress gears up to examine statutory changes to the Stark Law next week, the Trump administration is planning to implement changes on an administrative basis.

Rich Daly July 13, 2018

Congress Pushes 340B Bills to Cut Eligibility, Increase Reporting

July 11—Members of Congress this week pushed emerging legislation to restrict the ability of hospitals and other providers to qualify for the 340B discount drug program and to increase their reporting requirements.

Rich Daly July 12, 2018

MA Gets Better Outcomes Despite Sicker Enrollees: Study

July 10—Contrary to general belief, Medicare Advantage (MA) plan enrollees are initially sicker than those in fee-for-service (FFS) Medicare, according to new research. And once enrolled, MA beneficiaries get better care at a lower cost.

Rich Daly July 11, 2018

Azar Promises Drugmaker Penalty Rule Coming

July 9—A five-times-delayed rule that would stiffen drugmaker penalties—among other provisions—will be implemented, the Trump administration’s healthcare policy leader told providers on Monday.

Rich Daly July 10, 2018

Transparency, Interoperability, DSH Changes Lead Hospital IPPS Concerns

July 6—Hospital advocates recently raised a range of concerns about proposed Medicare payment policy changes, including transparency and interoperability requirements and a new way to calculate uncompensated care payments.

Rich Daly July 9, 2018

Pilot to Offer APM Bonuses to Physicians in Medicare Advantage

July 3—Medicare plans to launch a pilot—as soon as this year—to allow physicians paid through Medicare Advantage value-based arrangements to qualify for the same bonuses as those working in advanced alternative payment models.

Rich Daly July 3, 2018

On Costs, Congress Eyes Transparency, Billing, Consolidation

July 2—Members of Congress say they are increasingly concerned about rising healthcare costs and are looking at policies around transparency, balance billing, and provider consolidation.

Rich Daly July 3, 2018

June 25-29: Congress to Focus on Healthcare Costs

June 21—A Senate committee next week plans the first in a series of hearings focused on ways to reduce healthcare costs.

Rich Daly June 22, 2018

Trump Administration to Replace Value-Based Payment Goal

June 20—Department of Health and Human Services (HHS) Secretary Alex Azar II has rejected the Obama administration’s goal of shifting 50 percent of Medicare payments to value-based payment models by the end of 2018.  

Rich Daly June 21, 2018
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