The collaboration is a new take on a common theme: Telemedicine meets clinically integrated network. And it will allow faster and broader telemedicine adoption than if each health system tried to build its own independent program.
Some believe a federal appeals court decision over hospital classifications could lead to millions of dollars in savings for hospitals across the country. The court Thursday invalidated a Medicare regulation that says certain hospitals can't be classified as both rural and urban.
Cape Fear Valley Health System rode better cash collections and higher volumes in surgeries and outpatient cancer services to post improved revenue and operating surpluses in its 2015 fiscal year ended Sept. 30.
Patient advocates argue that providers are often unwilling to take on Medicaid enrollees because reimbursement rates can be as little as 60% of the costs of care. But a new analysis by the Medicaid and CHIP Payment and Access Commission could be turning that belief on its head.
The CMS’ previous administrator, Marilyn Tavenner, criticized the agency after an analysis showed it has underpaid Medicare Advantage plans for the costs of treating individuals with chronic conditions.
By April 1, state Medicaid agencies must start reimbursing pharmacies for prescription drugs based on actual acquisition costs, according to a final rule the CMS released Thursday.
The U.S. Supreme Court delivered a blow to insurance plans and a victory to injured beneficiaries in an 8-1 decision Wednesday that limits the circumstances under which plans may recover money from beneficiaries who win cash in court for their injuries.
While everyone is talking about bundled payments, few organizations have hands-on experience with this increasingly popular value-based care reimbursement model. Gain real-world insights from both the provider and payor perspectives on how to successfully design and implement a bundled payment...
MedPAC voted Thursday to request that Congress pass legislation letting the HHS secretary eliminate benchmark caps and “double bonuses” now given to Advantage plans. That proposal comes after a series of whistle-blower cases that allege providers and Advantage plans bilked the system.
The American Society of Clinical Oncology says so-called clinical pathways created and distributed by payers and for-profit firms are laden with inadequacies and conflicts of interest.
Physicians are finding themselves being held financially accountable for their medical choices, and they don't much like the skin-in-the-game model or metaphor.
The 66 nurse anesthetists who lost their jobs Dec. 31 at two Michigan hospitals were caught up in a push by area hospitals to reduce costs and increase reimbursement potential by outsourcing support staff.