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.
Lessons from a BCBS Plan’s Plunge into Value-Based Payment
Nov. 26—Commercial insurers—and Blue Cross Blue Shield plans, in particular—have been shy about moving into value-based payment (VBP). But one southwestern insurer’s experience may help change that.
Not Just Smarter Payment, Better Health Care
Jeb Dunkelberger describes how Highmark Health uses its experience as an integrated care delivery and finance system to advance strategies that improve the value of health care.
Understanding 5 Negotiation Styles
Understanding the five types of negotiating styles allows contracting staff to produce positive results during health plan discussions.
Solid Negotiation Skills Have an Impact on Health Plan Terms
Using human factors—knowledge, attitude, authority, objectivity, and negotiation skills—can help hospital contracting staff develop favorable terms with health plans.
Ask the Experts: Data for Health Plan Negotiations
What data do I need to arm myself with when going to the negotiation table with health plans?
What Healthcare Policies Will the Election Produce?
Nov. 9—A divided Congress may be a recipe for overall gridlock, but some healthcare policy watchers see hope for action in certain areas.
Nov. 12-16: ‘Mandatory Models Are Going to See a Comeback,’ Azar Says
Nov. 8—As payers prepare to gather for value-based payment discussions in Washington, D.C., next week, the administration’s healthcare leader warned the sector to prepare for mandatory models.
Why the Election Results Matter For 340B Hospitals
Ted Slafsky provides an insider’s perspective on where the 340B drug discount program is headed after the consequential midterm elections.
Medicaid, Drug Prices Could See Big Election Impacts
Nov. 7—On Tuesday, voters in three states approved expanding Medicaid eligibility to a total of more than 300,000 people.