Advocates say safety net hospitals are unfairly punished by new penalties for readmissions. Bellevue Hospital has found strategies to give it an edge in that battle.
In a letter to the CMS, Donald Fisher, president and CEO of the AMGA, formerly known as the American Medical Group Association, says a lack of information will prohibit participation.
Federal spending for major healthcare programs are estimated to increase by $55 billion, or 6%, in 2016 after a technical adjustment for payment timing shifts, according to a report from the Congressional Budget Office.
Most physicians are expected to opt for the Merit-based Incentive Payment System, known as MIPS, rather than assume the downside risk of alternative payment models.
Maternal care has the makings of the next frontier for bundled payments—except there's no national regulatory vehicle to help the industry get there.
An HHS audit of inpatient and outpatient claims made by New York-Presbyterian Hospital concluded the mammoth hospital on Manhattan's Upper West Side may have received more than $14.2 million in Medicare overpayments.
Hospital leaders roundly applauded the CMS announcement that it will not go forward with a change to disproportionate-share payments that was set to begin in fiscal 2018.
The CMS has identified 10 rural hospitals in Montana, Nevada and North Dakota for a demonstration aimed at serving Medicare beneficiaries in remote locations.
The CMS noted in a final rule that concerns from commenters have caused the agency to delay plans to use Medicare cost reports for calculating disproportionate-share payments to safety net hospitals.
Starting next year, inpatient psychiatric facilities will see a 2.2% or $100 million increase in Medicare reimbursement — more than the 1.5% or $80 million bump they received this year.
Athenahealth's Merit-based Incentive Payment System Guarantee will give providers data support needed to collect data and handle reporting required under MIPS.
Physicians are increasingly selling their practices to larger groups to gain access to the capital and expertise needed to survive under value-based reimbursement.