Bundled payment demo has nursing homes seeing stars

Bundled payment demo has nursing homes seeing stars

By Melanie Evans  |  November 21, 2015

Hospitals in more than five dozen metropolitan areas will soon have no choice but to take bundled payments from Medicare for hip and knee replacements. And the skilled-nursing facilities that do business with them face a stark reality of their own.

Many private-payer ACOs fail to yield lower costs, better quality

By Bob Herman  |  October 15, 2015

Medicare's investment in accountable care organizations has inspired hospitals and doctors to create their own versions of ACOs with private insurers. But as with Medicare, not all private ACOs are achieving lower costs and higher quality.

ICD-10 earthquake caused barely a shake

ICD-10 earthquake caused barely a shake

By Joseph Conn and Bob Herman  |  October 02, 2015

Health information technology cognoscenti predict most large hospitals and health systems, physician groups and health plans can handle the numerous, complex and very specific new codes. Any cramps will appear later as providers' cash flows get hit by delayed reimbursements.

Prolonged government shutdown would affect providers

By Beth Kutscher  |  September 26, 2015

The possibility of a government shutdown Thursday could have a ripple effect on healthcare providers but mostly if the shutdown is prolonged. Congress is in an eleventh-hour race to pass a spending bill or risk a second government shutdown.

Activist investor seeking sale of top air ambulance company

By Bob Herman  |  September 19, 2015

Voce Capital Management, a San Francisco-based hedge fund, has asked air ambulance company Air Methods Corp. to consider selling itself to a private equity firm and avoiding the transparency of being a public company.

Innovations: Using big data to optimize post-acute care

Innovations: Using big data to optimize post-acute care

By Beth Kutscher  |  September 05, 2015

Until recently, insurers and providers did not have good ways of measuring the cost-effectiveness of post-acute care providers, and patients lacked clarity on what to expect after they were discharged. NaviHealth is trying to change that.

Medicare readmission penalties create quality metrics stress

By Sabriya Rice  |  August 08, 2015

Four years into Medicare's drive to cut the number of patients who land back in the hospital within a few weeks of leaving, only a quarter of more than 3,400 hospitals avoided penalties, contributing to skepticism about the program and the array of metrics used to evaluate healthcare quality.

Blog: A good year for healthcare stocks all around

By Michael Sandler  |  July 31, 2015

Some hospital system executives are citing booming insurer stock prices as a clear market signal that consolidation will give payers the upper hand in future price negotiations with hospitals and other providers. But insurers are not the only ones seeing strong results.

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