Why removing percent-of-charge provisions in managed care contracts won’t address concerns about high hospital charges
Removing percent-of-charge provisions in favor of fixed fees would not remove the factors that drive price increases, nor would it reduce administrative hassles or decrease risk.
Analysis: FY20 appropriations bills passed – lessons for potential future healthcare legislation
A review of the FY20 appropriations package to fund the federal government and a couple of ideas on lessons that might be applied to future efforts to expand coverage.
‘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.
Why initiate health plan contract testing?
Various circumstances require providers to prepare for the impact of payment changes.
NFP hospital finances improve, Moody’s finds
Moody’s changed its outlook for not-for-profit hospitals from negative to neutral for 2020, citing improved revenue.
ACA tax drove 2018 healthcare spending acceleration, CMS actuaries find
National healthcare expenditures in 2018 increased slightly overall but declined as a share of the economy, according to a report from the CMS Office of the Actuary.
Upside-only pay surges as risk-based pay, clinical results remain flat, scorecard finds
Bonus-based value payment models have proliferated among employer health plans, while risk-based payment and performance on clinical quality indicators have not changed significantly, according to a recently published scorecard.
The price of innovation: 3 steps for managing specialty drug costs
Health plans can help control the cost of specialty drugs by communicating with providers about appropriate treatments, integrating coordination of pharmacy and medical benefits and implementing fixed-price models.
Congress is still expected to pass a surprise-bill measure this year
Congress is likely to enact surprise-bill legislation in the waning days of 2019, according to policy advisers.