Payment Reimbursement and Managed Care

A review of the potential margin impact on providers from the continued shift of high-volume, high-margin joint replacement procedures to the outpatient setting.

Healthcare providers should note that an extension of the Medicare sequester is part of the debt ceiling deal reached July 22.

A review of the results of the 2018 CMS Quality Payment Program and what’s increasing the percentage of physicians participating.

Although the House Energy and Commerce Health Subcommittee approved its surprise bill legislation last week, there are other factors at play in the coming weeks that could delay further action on it.

An overview of the North Carolina Clear Pricing Project, its contract deadline passing and how North Carolina’s hospitals have reacted to the CPP.

A discussion of the results of the Medicare Comprehensive Care for Joint Replacement program and three keys to implementing a successful PAC management program.

The six strategies used by successful accountable care organizations are discussed in a review of a study of successful ACOs, released by the Office of the Inspector General last week.

With spending on genetic testing expected to grow significantly, health plans can use three steps to get a handle on costs.

As healthcare providers continue to move toward value-based care models, data and analytics will continue to play an important role. In 2017 alone, U.S. hospitals cared for over 36.5 million admissions. As this number continues to grow, providers will need to understand their patients not only as they pass through their own care journey, but…

Washington and Colorado are seeking to funnel noteworthy innovations in healthcare reform, including a public option, through their Medicaid infrastructures.