While the change will save the federal government $9.3 billion over 10 years, healthcare lawyers say the new payment environment sets hospitals up for a tough battle with commercial payers as they try to cover their costs and bring care closer to patients.
How healthcare organizations are creating fully connected point of care ecosystems to help ensure a seamless patient experience.
Data Points for the week of Oct. 31, 2016, covered the following topics: Patients who don't adhere to their medication schedule, costs of medication nonadherence, percentage of adults who took at least one prescription medicine in 2012 and deaths from not taking prescriptions.
From 2010 to 2015, readmission rates among Medicare beneficiaries fell in Washington, D.C., and every state but one, the CMS reported. But don't be surprised if the pace of improvement slows.
The DOJ alleged in June that the Ontario, Calif.-based health system had a “culture” that pressures its physicians to admit Medicare beneficiaries to 14 of its hospitals for inpatient stays when they should be on shorter outpatient observation visits, and those billings are false...
Designers of the Swedish Edmonds (Wash.) Ambulatory Care Center harkened back to the history of its city, as well as looked forward to the newest elements of architecture and modern design to create a place so inviting it won this year's award for the most senior-friendly facility.
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.
A national effort to promote greater hospital engagement in addressing racial healthcare disparities has been fully embraced by Maryland's community healthcare providers.