Amid lagging hospital risk taking, value-based payment advocates try to woo CFOs
Hospital CFOs are seen by others in healthcare as the key to spurring organizations and the industry at large to move from fee for service to risk-based payment models.
Vitalware: An all-encompassing, single-platform chargemaster solution
A leading chargemaster company discusses how its technology helps hospitals operate more transparently, price strategically and confidently run a compliant and efficient revenue operation.
Anti-Kickback Statute and Civil Monetary Penalty Proposed Rule Summary
This document summarizes the proposed rule published by the OIG in the October 17, 2019, Federal Register, to revise safe harbors under the federal anti-kickback statute and the civil monetary penalty law that prohibits inducements offered to patients.
Hospital payment cuts fund state public-option plans
States are using hospital rate cuts as a key building block to support a growing number of public-option health plans.
How a ‘mini-Optum’ saved $85 million in three years by emphasizing primary care
A Texas clinically integrated network has used a primary care physician-focused approach to lower healthcare spending by $85 million over three years.
More Medicaid programs increase hospital payment rates
More states have moved to increase hospitals’ Medicaid rates than to cut them — reversing a pattern from the last fiscal year.
Physician Self-Referral Proposed Rule Summary
This document summarizes the proposed rule updating regulations implementing the physician self-referral law, published by CMS in the October 17, 2019, Federal Register.
Oct. 19-25: CMMI leader to address value-based care executives
Healthcare finance policy events for the week of Oct. 21 include an address from a CMMI executive, HFMA webinars and a deadline for comments on advance beneficiary notices.
Allocating capital to medical technology in the age of value-based payment
As value-based payment and risk-bearing contracts become more prevalent, hospital leaders will be incentivized to incorporate methods that provide increased transparency and evidence into whether a technology improves patient outcomes at the lowest possible cost of care.
Addressing the largest area of healthcare waste requires plans and providers to collaborate
Plans and providers should work together to systematically catalog the biggest administrative complexities responsible for unnecessary healthcare spending and develop a standardized approach to reduce or eliminate them.