Mystery Markups: Medical Supply and Drug Pricing Policies Vary Across Hospitals
Hospital markup policies that set prices for medical supplies and pharmaceuticals can vary significantly across the country, leading to large variances in drug and supply charges.
Ask the Experts: Cost Report for Cardiac Rehab Services
I am looking for assistance with the cost report treatment for our new intensive cardiac rehabilitation service. In most respects, this service operates like a department of the hospital.
Ask the Experts: Payment Posting Schedule
It is my understanding that payments and adjustments must be allocated evenly/individually based on the insurance payment itself. Can you share any documentation that states how payments are to be posted to charges on a compliance level?
Hospital’s Tax-Exempt Status Revoked for Lack of Community Health Needs Assessment
The IRS stated that a rural hospital had failed to conduct a proper community health needs assessment and make it widely available to the public. The hospital’s tax-exempt status under section 501(c)(3) was revoked retroactively.
United HealthCare ACO Contract Emphasizes Quality
The NexusACO health plan incentivizes patients to use top-performing physicians.
Video: How to Ensure a Clean 340B Audit
Effective 340B compliance requires thinking beyond 340B as a pharmacy program.
Ask the Experts: Contractual Write-Offs
For internal reporting, can underpayments and contractual write-offs be included when reporting uncompensated care?
Healthcare Cost Containment: October 2017
Subscribers can access the October 2017 issue of Healthcare Cost Containment.
New Survey Finds Current Cost Transformation Initiatives Lack Required Urgency
Healthcare executives responding to a recent survey overwhelming agree that transforming costs is a “significant” or “very significant” need, but more than 50 percent have no cost reduction targets for the next five years or have a goal of 1-5 percent—a range that is far below what will be required to transform cost structures.
Targeted Care Integration Can Help Drive Success Under Risk Contracts
Providers can avoid many of the missed opportunities associated with risk contracts by carefully reviewing the targeted patient population, narrowing the number of performance metrics, and selecting the right clinicians to participate.