Analysis: Wage index changes in the IPPS Final Rule
A review of why a couple of the key changes to the CMS FY2020 IPPS Rule may not bring the desired results.
October 2019: Developments and trends shaping healthcare finance
News Watch: News stories about recent developments and trends shaping healthcare finance in the United States.
3 starter steps for health systems pursuing value-based contracts
A health system's ability to succeed under any of the new Medicare value-based payment programs will depend on how effectively it meets 3 strategic imperatives for effective performance in risk contracts.
Medicare advisers meeting among next week’s key industry events
Healthcare finance policy events for the week of Sept. 30.
Verma to insurers: The public is ‘frustrated with you’
Seema Verma, administrator of CMS, says health plans need to become much more innovative, or they will be eliminated due to political pressure stemming from the public’s frustration.
Court tosses $380 million site-neutral payment cut
A federal judge rejected a large 2019 payment cut for many hospital outpatient departments.
Analysis: Site-neutral payment ruling favors hospitals for now
A Sept. 17 ruling by a U.S. District Judge favored hospitals by overturning the CMS rule that cut Medicare payments for E&M visits in certain hospital-based settings.
Do the Democratic candidates for president see a role for private insurance?
Healthcare is a major defining issue in the campaigns of the Democratic candidates for president, but their positions differ, particularly with respect to private insurance.
Only a tiny share of hospital revenue is risk-based: Moody’s
Just 1.9% of net patient revenue for not-for-profit (NFP) hospitals in 2018 came from risk-based payment, according to a credit-rating agency.
Proposed mandatory models should be voluntary or delayed, providers say
The latest proposed mandatory Medicare payment models drew concerns from many providers, including hospitals that cited the potential for adverse financial impacts.