FinanceMedicare Overpaid for Postoperative Care by $2.6B in 2018
Less than 40% of postoperative visits paid for by Medicare were provided following major surgical procedures.
InnovationEight More Hospitals Join PA's Rural Health Model
The Rural Health Model, the first of its kind, creates an alternative payment model that transitions hospitals from fee-for-service to...
Finance3 Great Revenue Cycle Exchange Ideas
"Charge segregation," empowering SBO reps, and demythologizing point-of-service collections were among the great ideas presented last week at the HealthLeaders...
Clinical CareInsurers Test New Way To Cut Maternity Care Costs: Bundling
A handful of insurers and state Medicaid programs are experimenting with bundled models, sometimes incorporating hospitals and other health providers.
Strategy7 Strategies for ACO Success
The report comes amid projections that Medicare spending will exceed $1.5 trillion by 2028, which is more than double the...
FinanceCMS Proposing Bundled Payment Model for Radiation Oncology
Participation would be mandatory for certain geographic areas during the model's projected five-year timeline.
Clinical CareHave Readmissions Penalties Jumped the Shark?
New research suggests that CMS may no longer be able to squeeze any significant savings from its Hospital Readmissions Reduction...
Clinical CareMandatory Bundled Payments Cut Spending $800 Per Joint
A decrease in utilization of postacute care facilities accounted for most of the reduced spending on hip and knee replacement...
Voluntary vs. Mandatory: GAO Compares Episode-Based Payment Models
A new report by federal auditors offers observations about the merits of voluntary and/or mandatory participation in Medicare alternative payment...
Clinical CareHow a Pennsylvania Health System Slashed Readmissions 25%
The University of Pennsylvania Health System reduced hospital readmissions in one year by joining forces with a payer and using...
Radiation Oncologists Await HHS Details on Mandatory APM
Radiation oncologists are leery of mandatory alternative payment models put forward by HHS, but they'll withhold criticism until they see...
StrategyCMS to Roll Out Mandatory Cancer Payment Model
In a sharp departure from Trump Administration policy, HHS Secretary Alex Azar pushes mandatory payment models.