Will New ACO Findings Save Upside-Only Models?
Sept. 11—A new analysis joins other research in reaching new conclusions about the extent of savings that accountable care organizations (ACOs)—especially upside-only models—provide Medicare. It’s a data battle that could determine whether many ACOs continue.
Health System Demonstrates Meaningful Price Transparency Is Possible
Baptist Memorial Health Care’s online Expense Navigator allows patients to estimate out-of-pocket expenses according to their insurance status and check their eligibility for financial assistance.
PTAC Recommends New Models Amid HHS Promises
Sept. 10—Amid Medicare promises to soon introduce new physician-focused payment models, its leading advisory panel recently approved new models for consideration.
HFMA Comments on the CY 2019 Physician Fee Schedule Proposed Rule
HFMA submits comments to CMS on the CY 2019 Medicare Physician Fee Schedule Proposed Rule, published in the July 27, 2018, Federal Register.
Sept. 10-14: Unified Post-Acute Payment System Emerging
Sept. 6—As post-acute care leaders gather outside Washington, D.C., for a conference next week, a major payment overhaul is coming together.
Medicaid Plans, Hospitals Clash over Proposed Kids Model
Sept. 5—Medicaid insurance companies and hospitals squared off in Congress this week over legislation to expand children’s medical homes nationally.
MSSP ACOs Save $314 Million, As Changes Loom
Aug. 31—Medicare’s main group of accountable care organizations (ACOs) delivered big 2017 savings. Will that affect the program’s fate?
Sept. 3-6: Deadline Coming for Latest CMMI Model, With More Options Ahead
Aug. 30—Even as physicians ponder joining a new Medicare Advantage (MA) payment model before next week’s deadline, they should expect more options in the coming months, according to the leader responsible for generating such arrangements.
Not-for-Profit Hospitals Hit All-Time-Low Operating Margins: Moody’s
Aug. 29—Operating margins for not-for-profit hospitals fell to 1.6 percent in FY17, the lowest level one rating agency has ever found in its tracking.
5 DRGs Are Primary Contributors to Rising Average Loss per Medicare Hospital Admission
Among Medicare admissions in 2015 to 2017, costs per admission rose more rapidly than did payments, and the impact of this trend on hospitals’ financials strongest with admissions associated with 5 DRGs.