Co-founded in 2015 by former venture capitalist Travis Messina, Nashville-based Contessa Health provides medical and surgical acute-care services to patients in their homes at a bundled rate.
Congress left it up to the CMS to pick an "applicable payment system" to replace hospital outpatient rates for services at new off-campus outpatient departments. The CMS chose to pay under the physician fee schedule.
The CMS has responded to calls to eliminate patient satisfaction on pain management from the value-based purchasing program. The agency angered hospitals, however, with plans to stop paying their off-campus facilities the same as hospital-based outpatient departments.
Plano, Texas-based Vivify Health's software platform allows clinicians to monitor and check in with patients at home. The highest-risk patients are provided with a tablet, while others access the tools through their own devices.
The migration of lucrative joint-replacement surgeries to outpatient settings will cause friction between surgeons and hospitals, and it raises questions about the premise of Medicare's new bundled-payment initiative for hospital-based procedures.
The Phoenix metro area is booming. Once-sleepy neighborhoods are seeing real estate bidding wars. New housing developments are appearing where there once was nothing. Against that backdrop, healthcare in Phoenix is reorganizing as systems compete for patients and the doctors who refer them.
A national effort to promote greater hospital engagement in addressing racial healthcare disparities has been fully embraced by Maryland's community healthcare providers.
Advocate Health Care CEO James Skogsbergh has begun his term as chairman of the AHA's board of trustees. In an interview with Modern Healthcare, Skogsbergh, a former college baseball player, didn't duck the high hard ones on the challenges facing the AHA and Advocate.
The pressure is on for the CMS to transform, or even drop its recent proposal to change the way Medicare pays hospitals and doctors for outpatient drugs.
Stigma, regulatory hurdles and insufficient payment prevent physicians from becoming certified to prescribe buprenorphine, a drug used to treat patients addicted to opioids.
Tennessee doctors are launching programs for addicted pregnant women that combine detox with behavioral therapy, breaking with standard practice to keep them on drug maintenance therapy.
In long-awaited final guidelines for prescribing opioid medications, federal health officials mostly kept recommendations widely criticized as restricting access to pain-relieving drugs.