The Blurring Boundaries of Elder Care: Implications for Providers and Patients
Healthcare providers are planning to invest in home health, palliative and end-of-life care, and geriatric caretakers in the coming years.
Long-Delayed 340B Rule Takes Effect in January
Nov. 30—A highly anticipated rule to require better drug company compliance with a major discount drug program will go into effect Jan. 1—following multiple delays.
Surprise Medical Bills, Direct Primary Care Gain Senate Attention
Nov. 28—Senators said they will push legislation to limit surprise medical bills and to support direct primary care as part of congressional efforts to control rising healthcare costs.
CY 2019 OPPS/ASC Final Rule
This document highlights the payment rate updates for CY 2019, included in the hospital OPPS/ASC final rule, published by CMS.
FY 2019 IPPS/LTCH Final Rule
This document summarizes key provisions of the FY 2019 IPPS/LTCH final rule, published by CMS.
Hospitals Hit By 340B and Site-Neutral Medicare Cuts in New Rule
Nov. 5—Medicare pay cuts included in a new payment rule will affect the federal discount drug program and off-campus provider-based departments (PBDs).
Providers Should Keep Watch on Payer Discount Increases
A significant uptick in payer contractual allowances and discounts in the first quarter of 2018 indicate that hospitals should remain focused on payer mix and payer category shifts.
Hospital Advocates Concerned About Trump Drug Price Plan
Oct. 26—Hospitals would face uncertain financial impacts under a Medicare drug payment pilot announced this week.
The Controversy over the Rules of the Game for the Medicare Shared Savings Program
Ken Perez examines the fundamental disagreement over how MSSP ACO savings are being measured and the potential fallout as participants consider leaving the program.
Medicare Shared Savings Program “Pathways to Success” Proposed Rule
This document summarizes the Medicare Shared Savings Program - Pathways to Success proposed rule, published in the August 17, 2018, Federal Register.