Navigating Value-Based Reimbursement
A roundtable discussion about value-based reimbursement challenges, opportunities, and strategies for success.
Value-Based Care Is a Better Investment for Everyone
Griffin Myers explains the value of value-based care.
Hospitals Worry Rule Could Lead to Medicaid Rate Cuts
May 23—Proposed changes to federal Medicaid rules could hit hospitals’ bottom lines, advocates warned.
CMMI’s “New Direction” Comments Indicate Enthusiasm of Healthcare Stakeholders
Dave Terry describes how feedback to a CMS announcement last fall has spurred another request.
How MA Plans Are Changing VBID Approaches
May 18—Medicare Advantage (MA) plans are evolving their approaches in the expanding Medicare pilot for value-based insurance design (VBID).
Methodology Used to Identify Top Procedures Performed at Hospitals and Free-Standing Clinics
Recent research on hospital versus free-standing facility pricing used 2016 Medicare hospital OPPS data as its basis.
A Look at Two Blues’ Distinct Approaches to Changing the Healthcare Model
May 16—Two dominant not-for-profit health plans—both Blue Cross insurers—are moving aggressively in very different directions.
Decoding MSPB: Trending Better Faster
Dale Schumacher and Fern Nerhood describe how trends in Medicare spending per beneficiary can affect hospital finances.
340B Targeted in Trump Administration Drug Push
May 15—Hospital advocates and others raised concerns about impacts of the Trump administration’s recently announced initiative to address rapidly rising drug prices in part through policy changes to an existing drug discount program.
FY2019 Skilled Nursing Facility Proposed Rule Summary
This document summarizes the FY2019 proposed rule updating the skilled nursing facility (SNF) payment rates.