Healthcare Reimbursement News

Achieving health care’s Triple Aim has proved elusive, but it may be yet be achievable through a process of engaging rising-risk patients in their own care through daily self-reporting.

Academic medical centers that work with states to find mutually beneficial Medicaid strategies may find themselves well positioned in an era of value.

Providers can avoid many of the missed opportunities associated with risk contracts by carefully reviewing the targeted patient population, narrowing the number of performance metrics, and selecting the right clinicians to participate.

This article shares how Premier Inc. helped Adventist Health System successfully navigate bundled payment initiatives by offering a dynamic collaborative led by seasoned experts and user-friendly analytics that enable evidence-based decisions.

Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models. 

Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models. 

CMS’s proposal to reduce rates for 340B-covered entities for separately payable outpatient drugs may indicate the Trump administration may take an aggressive approach to healthcare policy.

Certain practices are critical to effective contracts between health plans and provider organizations.

Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models.

To determine a fair charge for an emergency department visit, a hospital or health system must separate its costs into three categories.