Billions of dollars flowing from settlements in mass tort litigation have recently spurred a new twist on a familiar business—medical lending.
Increased collaboration between providers and payers is inevitable, but that doesn't mean the future financial interests of these oft-warring parties will align, say healthcare leaders surveyed in Modern Healthcare's third-quarter CEO Power Panel poll.
The CMS has extended the enforcement delay for the controversial two-midnight rule governing short hospital stays to fall in line with recently proposed changes to the policy.
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.
The CMS finalized widely panned proposals on new quality measures and site-neutral payments and declined to say whether the agency plans to extend the enforcement delay on the two-midnight rule governing short hospital stays.
The CMS lowered its final increase for hospital rates in 2016 to a scant 0.9%, down from the 1.1% increase it proposed in April. The move will heighten pressure on the nation's 3,400 acute-care hospitals to rein in costs and reduce unnecessary spending.
The CMS has proposed paying healthcare providers for time spent with patients discussing end-of-life medical choices, starting Jan 1. Experts say frank conversations would cut costs and unnecessary, sometimes harmful procedures.
Medicare will pay for women to get a joint Pap smear and human papillomavirus test every five years to screen for cervical cancer, according to a final national coverage decision released Thursday.
Home health agencies are dismayed with a CMS proposal issued late Monday that cuts Medicare rates by $350 million while also rolling out a new value-based purchasing system called for under the Affordable Care Act.
In an effort to improve outcomes at the nation's 6,000 dialysis facilities, Medicare plans to cut reimbursement rates up to 2% if the facilities perform poorly on an expanded set of quality metrics.
The CMS wants to cut reimbursement rates for outpatient services. Provider groups immediately slammed the proposals, saying they undervalue outpatient care.
The federal government has expanded its investigation into DaVita HealthCare Partners' Medicare Advantage risk-adjustment practices, DaVita revealed in a Securities and Exchange Commission filing Wednesday.