MA Ruling May Signal Industry Readiness to Integrate SDH into Traditional Medical Care
In addressing social determinants of health and social services, a recent Medicare Advantage ruling by CMS may have taken the first steps toward providing more integrated and comprehensive care to the nation’s aging population.
MedPAC Recommends $250 Million ED Cut
April 9—Medicare should cut payment rates for many emergency departments (EDs) by 30 percent, Congress’s leading Medicare advisory panel recommended this week.
Ask the Experts: Medicare Small Balance Payments
Is there any concern if copayment under a certain amount are written off?
Contracting for Primary Care and Value Improves Patient Outcomes and Lowers Costs
Humana offers primary care practices four types of value-based contracts, but also customizes plans that emphasize population health or other initiatives.
LTCH Pay Change to Cover Less than Half of Costs: Analysis
April 2—An ongoing Medicare payment change will cover less than half of the costs of care for long-term care hospital (LTCH) patients who are subject to it, according to a new analysis.
Protecting Revenue at Risk
A pocket guide to help hospitals and health systems navigate pay-for-value programs.
Minimizing Readmission Penalties with Palliative Care
Hospitals that invest in palliative care programs may reduce readmission penalties.
Administration’s Budget Proposals for Fiscal Year 2019
This summary provides highlights of the healthcare proposals included in the Trump Administration's fiscal year (FY) 2019 budget.
Ask the Experts: Medicare Adjustments During Appeals
Can we adjust a denied Medicare charge off of an account when an appeal is still open?
The Future of Healthcare Organizations Depends on Managing Medicare Costs
A healthcare thought leader explains the current Medicare payment system challenges and how CFOs can offset future Medicare cuts through cost containment.