The ‘Narrow Network’ Trap—and How to Avoid It
Establishing protocols for checking eligibility and benefits for every patient is one way that physician practices can avoid the traps posed by narrow networks. Insurance eligibility is getting even more complicated. Since the advent
The Future of VACs: Valuation and Strategic Considerations
Recent changes to the Medicare Physician Fee Schedule may make it financially advantageous for vascular access centers operating under an extension-of-practice model to shift their operations to an ambulatory surgery center setting.
Debunking MACRA Myths: Hospitals’ Vital Role in Physician Success
Time is running out for physicians participating in the Merit-based Incentive Payment system to submit the minimum data required for 2017.
Azar: Time to Move Value-Based Payment Beyond ACOs, Bundles
March 5—The new leader of healthcare policy for the federal government says it’s time to advance value-based payment efforts beyond accountable care organizations (ACOs) and bundled payment initiatives.
340B Reporting Bill Draws Hospital Worry
March 5—Hospitals are concerned that new transparency legislation will leave the wrong impression about a federal discount drug program that’s come under fire from pharmaceutical companies.
Short-Term Limited Duration Insurance Proposed Rule
This document summarizes the proposed rule published by The Departments of Treasury, Labor, and Health and Human Services amending the definition of short term, limited duration (STLD) insurance for purposes of its exclusion from the definition of individual health insurance coverage.
Minimizing Readmission Penalties with Palliative Care
Hospitals that invest in palliative care programs may reduce readmission penalties.
Tax Reform Implications for Healthcare Organizations
Tax-exempt hospitals prepare for the impact of provisions of the Tax Cuts and Jobs Act (TCJA) of 2017, including the repeal of the individual mandate under the Affordable Care Act and changes to tax incentives for charitable giving.
Strategies for Managing Third-Party Liability Claims
Boston Medical Center has achieved average cycle times of 90 and 120 days respectively for workers’ compensation and motor vehicle accident claims.
Governors Push Value-Based Pay Shift to Control Costs
Feb. 22—A bipartisan group of governors urged a range of steps by federal, state, and private payers to spur the shift to value-based payment and help control spiraling healthcare costs.