Ask the Experts: Provider Level Adjustments
Is there a best practice for handling provider level adjustments (PLBs) in electronic health record (EHR) systems?
Public-Option Bill Cuts $774 Billion in Hospital Revenue: Report
High-profile legislation that would launch a Medicare-based public option to compete against private insurers would slash national healthcare spending—primarily through reduced hospital pay, according to a new analysis.
Trump Budget Road-Tests Hospital Policies
Hospital impacts in the Trump administration’s proposed FY20 budget include cuts to Medicare uncompensated care, more site-neutral payments, and an extension of coming Medicaid payment cuts.
Medicaid Work Requirements Will Negatively Impact Hospital Finances
Medicaid work requirement projected impacts on hospital finances range from $1 million to more than $6 million.
Medicare rates increasingly impacting health care
Even assuming the federal government does not adopt a single-payer model such as Medicare-for-all, industry watchers see Medicare’s impact on the healthcare sector expanding.
More Than 15 Percent of Providers Depart BPCI Advanced
One in seven providers in the largest Medicare bundled payment model left after five months, new data reveal. But that may be good news for the program.
Why More than 15 Percent of Providers Are Departing BPCI-Advanced
Read why more than 15 percent of BPCI-Advanced providers are departing the program.
Annual Hospital Costs for Opioid Overdose Patients Approaches $2 Billion
The average cost for an overdose patient who was treated and released totaled $504, but the average cost rose to $11,731 for those that were treated and admitted to a hospital.
Jan. 21-25: Medicaid Policies in Focus
Jan. 17—As Congress’s primary Medicaid advisory body prepares to meet next week, hospitals and insurers are clashing over changes to the program’s managed care rules.
Ask the Experts: Data for Health Plan Negotiations
What data do I need to arm myself with when going to the negotiation table with health plans?