Fact Sheet | Payment, Reimbursement, and Managed Care

Centers for Medicare & Medicaid Services released its proposed rule describing federal FY2020 policies and rates for Medicare’s prospective payment systems for acute care inpatient hospitals and the long-term care hospital prospective payme...

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Column | Payment, Reimbursement, and Managed Care

CMS's Primary Care First Model aims to create incentives for primary care physicians to take on risk under value-based payment, but whether it will be successful remains to be seen.

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Article | Payment, Reimbursement, and Managed Care

Efforts to reduce spending on post-acute care have been shown to reduce variation in Medicare spending overall, while also reducing hospital readmissions.

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Blog | Medicare Payment and Reimbursement

Details about the new five-year mandatory radiation therapy model released by CMS the week of July 8 are reviewed.

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Blog | Medicare Payment and Reimbursement

In the face of recent, multiple setbacks on the Trump administration’s proposals for drug pricing, the administration could move aggressively forward on its anticipated International Pricing Index Model for Part B drugs proposal.

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News | Payment Models

Mandatory models for kidney care and oncology were among six new Medicare payment models proposed in mid-July.

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Trend | Pricing

Cost advantage can be achieved in two ways: Identifying whether efficient levels of cost exist and benchmarking.

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News | Medicare Payment and Reimbursement

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 14.

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Blog | Payment Trends

An overview of the North Carolina Clear Pricing Project, its contract deadline passing and how North Carolina’s hospitals have reacted to the CPP.

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Blog | Bundled Payment

A discussion of the results of the Medicare Comprehensive Care for Joint Replacement program and three keys to implementing a successful PAC management program.

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News | Healthcare Reform

A leading congressional advocate of “Medicare for All” this week excoriated Medicare for the billing problems she dealt with during her late husband’s last years of declining health. But she insists such headaches would not follow expansion...

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News | Payment Trends

Federal policy advisers see a shift from value-based payment to policies focused on cutting provider payments.

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News | Medicare Payment and Reimbursement

Rural-state hospitals strongly back a proposed Medicare area wage index (AWI) change, but national hospital advocates are warning against it.

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