Despite the outcry on Capitol Hill over rural hospital closings, the number of critical-access hospitals in the U.S. grew slightly in the past year, according to Modern Healthcare magazine's annual review of CMS data.
A majority of frail Medicare patients who enter nursing homes in need of rehabilitation therapy now receive higher-paying intensive therapy before they leave, a major shift from just years ago, despite no evidence that such therapy is needed. The shift makes the rehab arena an attractive target for...
Computer-aided detection for breast cancer screening is no better at identifying the disease than mammograms without the high-tech tool, a JAMA study finds. A related editorial urges the CMS to reconsider covering the procedure, which costs Medicare $300 million annually.
The leader of Wichita, Kan.-based Via Christi Health says the system will have to make significant cutbacks because of decreases in reimbursement from Medicare, Medicaid and private insurers.
The U.S. healthcare system is investing a lot of time, energy and money into the concept of value-based care, and a fascinating commentary in the New England Journal of Medicine hits that idea squarely in the gut.
A federal judge handed hospitals a partial win Monday when he ruled the HHS secretary must provide better justification for the part of the much maligned two-midnight rule that would cut inpatient payments to hospitals. The judge also ordered HHS to re-open that part of the rule to comments.
Until 2012, before the Affordable Care Act began cutting revenue, most tax-exempt hospitals in Southeast Michigan made profits on their Medicare business. Since then, reimbursement cuts, readmissions penalties and overpayment recoveries have eroded profits for many Detroit-area hospitals and health...
Like many industries, healthcare is at a crossroads. One critical decision facing practitioners, especially those of us who operate major healthcare systems, is whether to invest more in our bricks-and-mortar operations or increase funding for cutting-edge telehealth information technology...
The Affordable Care Act's experiments in Medicare payment reform have their doubters, but investors see opportunity. Several companies have emerged to capitalize on the ACA's complex new programs designed to change how traditional Medicare spends more than $450 billion a year in payments.
Providers say a CMS model to have 800 U.S hospitals participate in a test of bundled payments for hip and knee replacements would have to be changed significantly in order to succeed.
Even with implementation deadline extensions, many of the financial risks of the ICD-10 transition still remain. Download the playbook to gauge your organization's financial preparedness.
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.