Ask the Experts: Medicaid Billing
How should I bill New York Medicaid for services provided by non-hospital employee clinicians in emergency department settings?
Health Systems Brace for MACRA
Hospitals and health systems are working to help their physicians succeed under MACRA, which means moving quickly to advanced APMs.
CMS’s 2018 IPPS Proposed Rule and RFI: Signaling the Trump Administration’s Deregulation Agenda
Ken Perez describes the connection between the effort to repeal and replace the Affordable Care Act and a new proposed rule and request for information by CMS.
Alternative Payment Models at the State Level
In an effort to address rising healthcare costs, many states have implemented alternative payment models.
Managing Transitional and Chronic Care Profitably: A Guide for Hospital-Owned Physician Practices
CMS offers an attractive incentive for healthcare organizations that participate in transitional care management and chronic care management programs.
Assessing the Impact of Medicaid Expansion
Medicaid expansion reduced the amount of hospital charity care in participating states, while charity care remained almost unchanged in non-participating states during the same time period.
Webinar: Key Healthcare Trends Will Continue Under Trump
Amid many likely changes in healthcare policy under the Trump administration, the transition to value-based care and the need to be innovative in care delivery and business processes will continue.
How Minnesota Safety Net Providers Found Success in a Medicaid Alternative Payment Model
A combination of preparation; using data to stratify patients by risk category; and integrating primary care, behavioral health, and social services is helping Minnesota safety net providers succeed in a Medicaid accountable care initiative.
Ask the Experts Answer: Medicare Crossovers to Medicaid Bad Debt
If Medicaid contractualizes all or some of the amount deemed as coinsurance by Medicare, can the contractual amount be claimed as part of the bad debt on the cost report? Or, are we only able to claim the amount that Medicaid notes as being the copay or deductible on the cost report?
Ask the Expert: Medicare Payment for Home Health
Medicare does not distinguish payment by hospital-based or stand-alone home health agencies.