Congress is still expected to pass a surprise-bill measure this year
Congress is likely to enact surprise-bill legislation in the waning days of 2019, according to policy advisers.
Analysis: How traditional healthcare providers can compete with innovators and progressive incumbents
Providing high-quality and cost-efficient services is the first step traditional healthcare providers must take to stave off business disruption by new entrants and progressive incumbents into the market.
Nov. 25-29: CMS comment deadlines are among the week’s healthcare finance events
Deadlines to comment on various CMS initiatives affecting hospitals are among the major healthcare finance events taking place the week of Nov. 25.
Health Plan Price Transparency Requirements Proposed Rule Executive Summary
On November 15, 2019, CMS issued a proposed rule that, if finalized, would require health plans to make an online price transparency tool that provides cost sharing and other information available to their members.
Analysis: Hospital at home will move inpatient admissions into the home
Acute care providers must analyze the risks and opportunities of participating in the at-home-hospital model of patient care.
One health system finds ‘millions’ of reasons to audit value-based payments
A health system identified millions of dollars in underpayments that it should have received as part of two value-based payment arrangements in recent years.
How one ACO leveraged universal truths of value-based contracting for success
A finance leader of successful East-coast accountable care organization describes the key factors that have enabled the ACO to thrive under value-based payment contracts.
Administration finalizes requirement for hospitals to post rates paid by health plans
A newly finalized requirement will require hospitals to post rates that are privately negotiated with health plans, as well as rates for a list of 300 “shoppable services.”
White House healthcare leader expresses skepticism of mandatory models
The Trump administration’s healthcare policy leader was openly skeptical about further use of mandatory payment models after Medicare has added several in recent years.
Why the Trump administration is pursuing hospital payment cuts that courts have rejected
The Trump administration is continuing to push hospital payment cuts rejected by courts to make the case to Congress that new laws are needed, according to a senior White House official.