A Carrot or a Stick?
Incentives may not be enough to trigger a shift to voluntary alternative payment models.
Solving the Opioid Crisis: A Critical Role for Medicaid
The Medicaid expansion has benefited states hardest hit by the opioid epidemic and has eased the burden of uncompensated care on hospitals and other healthcare providers.
Price Variation 101
Price variation has been a hot topic in healthcare industry circles but most consumers are unaware that healthcare prices vary.
Overcoming Common Obstacles of Transitioning to Electronic Insurer-to-Provider Payments
A Pennsylvania health plan worked with providers to implement electronic payments and eliminate the issues of paper checks.
Global Hospital Budgets Don’t Cut Utilization: Study
Jan. 26—A potential national model for moving hospitals to global budgets was unable to reduce patient utilization during its first two years, according to recent research.
Medicaid Expansion Enrollees Increase Healthcare Costs
Jan. 25—Healthcare costs have continued to increase among those who enrolled in Medicaid under the healthcare reform eligibility expansion, according to a new analysis.
Newer Health Plan Products Align With Value-Based Care
With the clout to steer the healthcare industry away from a volume-based approach, health plans are implementing innovative payment models.
CHIP Deal Lifts Pressure on Hospital Margins
Jan. 24—Children’s hospitals got a big financial boost from the recent deal to fund the Children’s Health Insurance Program (CHIP) for six years as part of a short-term funding bill.
Hospital Spending Growth Slows in 2017
Jan. 22—Hospital spending grew less than half as fast in 2017 as it did the year before, according to a recent economic trends analysis.
Strategies to Measure Performance and Enhance Quality Under MIPS
Access to flexible, robust tracking tools that produce a range of actionable data are proving crucial for physicians participating in the primary track of MACRA.