Healthcare Reimbursement

An analysis finds that Medicare payments for hospital admissions are declining even as hospitals’ cost per admission is rising, pointing to an increased need for aggressive cost containment efforts by hospitals.

Healthcare finance leaders are finding the courage to move forward with value-based payment despite the uncertainties of a new administration in Washington, D.C.

As the Republican-led Congress considers ways to fulfill campaign promises to repeal and replace the Affordable Care Act, they face practical challenges and a lack of consensus about how to proceed.

Bon Secours Virginia Medical Group’s primary care quality incentive program has eight measures that focus on patient satisfaction. 

Bon Secours Virginia Medical Group developed a quality-based bonus program to prepare its primary care physicians for valued-based payment models.

Donna Levigne of Blue Cross and Blue Shield of Illinois explains why the health plan makes specialty care a priority in value-based care contracting.

Are you offering and billing for telemedicine consults, and are you able to bill for the services when using providers across your system?

Understanding the time commitment and negotiation strategies around direct-to-employer contracts are key areas for payment and reimbursement leaders to consider.

Standardizing the electronic submission of claims attachments is a hot topic in the industry as stakeholders look for ways to reduce costs.

Are there any benchmarks for how quickly payers should get back to us on claims and denials?