Rethinking population health management: Why successful risk-based contracting requires provider empowerment
Find out how one company hopes to solve challenges of industry shifts from fee-for-service to value-based care by reversing the long-standing narrative that population health management isn’t possible or profitable.
Medicare payments for 340B drugs are set to increase immediately after recent court ruling
The Medicare payment rate for drugs acquired through the 340B program must be increased by nearly 30 percentage points effective immediately, according to a court ruling.
News Briefs: Financial and operational challenges still hamper hospitals 2.5 years into the pandemic
As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.
Healthcare News of Note: UnitedHealth Group can proceed with Change Healthcare purchase after a favorable decision in an antitrust case
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: UnitedHealth Group cleared to acquire Change Healthcare, standard patient satisfaction surveys need to address DEI issues, and homebound older adults contribute to higher levels of Medicare spending.
Surprise-billing arbitration updates include a lawsuit and new context on rate-setting approaches
A provider association that earlier won a lawsuit over the No Surprises Act arbitration process is going to court again over the same issue.
Hospitals issue plea for healthcare policymakers to do more to buttress the industry
The American Hospital Association and hospital leaders say recent financial trends are unsustainable for many organizations.
David Johnson: Cracks in the Foundation (Part 6) — Overcoming inadequate leadership
Health system leaders today should demonstrate the courage to reject volume-based business models and embrace value-driven care delivery. Improving governance within nonprofit health systems will speed the nation's journey toward consistent delivery of kinder, smarter and affordable care for all Americans.
Healthcare News of Note: Telehealth aids outcomes for Medicare beneficiaries with opioid-use disorder
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Medicare beneficiaries initiating new episodes of OUD-related care get benefits from telehealth use, changes to inventory management strategies are coming for many sectors, and HAIs hit community hospitals hardest during the pandemic.
Recent changes to E/M coding mean time-based billing could be advantageous for longer visits, study finds
Depending on patient volumes, clinics could benefit from incorporating time-based billing instead of relying on CPT coding approaches.
Hospitals can recover all eligible Medicare bad debts by automating the Medicare bad debt review process
One company addresses the challenges of complex rules regulating Medicare bad debt processes and reporting, which makes payment recovery for hospitals difficult.