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Closer provider-insurer ties bring new challenges

Closer provider-insurer ties bring new challenges

By Joseph Conn  |  August 15, 2015

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.

CMS extends enforcement delay for two-midnight rule

By Adam Rubenfire  |  August 12, 2015

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.

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.

Hospitals receive little from CMS inpatient payment rule

By Virgil Dickson  |  August 03, 2015

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.

CMS trims boost to hospital rates to 0.9%

By Sabriya Rice , Adam Rubenfire and Virgil Dickson  |  August 01, 2015

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.

Home health agencies face $350 million Medicare cut

By Virgil Dickson  |  July 07, 2015

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.

Dialysis pay-for-performance looms

By Sabriya Rice  |  July 04, 2015

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.

Feds expand probe into DaVita's Medicare Advantage practices

Feds expand probe into DaVita's Medicare Advantage practices

By Lisa Schencker  |  June 24, 2015

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.

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