Partnering With Healthcare Purchasers
Mount Sinai Health System partnered with a trade union to develop a bundled-payment program designed to improve patient outcomes and reduce the purchaser’s costs.
Does Price Transparency Work?
A recent Harvard study shows no patient spending decrease, but its parameters may overlook some key strategies.
Finding Value in Healthcare Innovation Centers
Henry Ford Health System is bringing new ideas to market through its innovation center, which is called the Innovation Institute.
High Court Decides False Claims Act Case
The Supreme Court ruled that “in some circumstances” hospitals’ implied certification of compliance with payment requirements may make them liable under the False Claims Act, but the decision’s reach is not as expansive as proposed by plaintiffs and the federal government.
False Claims Act Penalties are Rising
A recent increase in false claims penalties and a Supreme Court case placing the burden on healthcare organizations to be aware of payment requirements, necessitates that hospital compliance officers redouble efforts to prevent false claims.
Winning Direct Contracts with Employers
Pacific Business Group on Health, a leader in direct contracting, uses an extensive evaluation process to choose the provider organizations for its Employers Centers of Excellence Network.
Hospitals with PBGH Joint Replacement Contracts
Pacific Business Group on Health (PBGH), a membership organization that includes many of America’s largest healthcare purchasers, has developed direct contracts for joint replacements, spine procedures, and bariatric surgery with hospitals across the country.
New HIPAA Audits About to Begin
Both desk and on-site HIPAA audits will be performed, and every covered healthcare entity and business associate is eligible for an audit.
Interstate Compact Eases Licensure, Improves Quality of Care
Currently, 17 states have adopted compacts to help physician specialists practice across state lines, opening the door for telemedicine opportunities.
States Adopting Interstate Medical Licensure Compacts
Certain states are removing barriers to telemedicine by making it easier for physicians to practice across state lines.