bundled payments

"If the ACA intended to fully commoditize coverage, it could have done so," noted one respondent regarding proposed marketplace standardization.

The payment model assesses surgical necessity; bundles payments for certain elective surgical procedures; ensures appropriate site of care and use...

There was an average savings of $16,144 per procedure when the surgery was performed through the Carrum Health program.

The application of this code will not result in additional payment for a billed E/M visit service.

The coronavirus pandemic created challenges and opportunities for change as Paul Alexander, MD, MPH, took the reins as chief transformation...

Less than 40% of postoperative visits paid for by Medicare were provided following major surgical procedures.

The Rural Health Model, the first of its kind, creates an alternative payment model that transitions hospitals from fee-for-service to...

"Charge segregation," empowering SBO reps, and demythologizing point-of-service collections were among the great ideas presented last week at the HealthLeaders...

A handful of insurers and state Medicaid programs are experimenting with bundled models, sometimes incorporating hospitals and other health providers.

The report comes amid projections that Medicare spending will exceed $1.5 trillion by 2028, which is more than double the...

Participation would be mandatory for certain geographic areas during the model's projected five-year timeline.

New research suggests that CMS may no longer be able to squeeze any significant savings from its Hospital Readmissions Reduction...