Where healthcare challenges find solutions

Payment

Patients are increasingly reaching into their own pockets to cover the cost of healthcare. They want more information about costs and ways to conveniently pay their bills while providers want to maintain healthy margins. Read more about innovative payment tools.

CMS urges hospitals to disclose prices, revamps meaningful use program

CMS urges hospitals to disclose prices, revamps meaningful use program

The CMS wants hospitals to post how much they charge patients for services and, separately, will overhaul the meaningful use program to give providers incentives for interoperability.

Florida awards Medicaid contracts as expansion speculation builds

Florida awards Medicaid contracts as expansion speculation builds

Florida awarded nine insurers Medicaid managed-care contracts worth tens of billions of dollars as stakeholders eye opportunities for the program's expansion.

CMS seeks to allow doctors to bill patients directly

CMS seeks to allow doctors to bill patients directly

The CMS wants to launch a new model that will allow Medicare enrollees to contract directly with physicians. Advocates warn the approach could undermine access to care for the sickest patients.

How stakeholders in the short-term medical market are gearing up to attract more customers

How stakeholders in the short-term medical market are gearing up to attract more customers

Insurers and a private insurance exchange are coming up with ways to increase enrollment in short-term plans in the wake of a proposed rule to extend those plans. But critics fear this could leave the individual market worse off.

Humana launches bundled-payment model for maternity care

Humana launches bundled-payment model for maternity care

The Louisville, Ky.-based insurer joined a small group of private payers bundling childbirth services, citing the potential for savings.

Will new payment model for treating opioid abuse help meet demand for treatment?

Will new payment model for treating opioid abuse help meet demand for treatment?

The American Medical Association and the American Society of Addiction Medicine have developed a new way to reimburse physicians who treat patients for opioid use disorder.

Alternative pay models stifled by lack of private payer interest

Alternative pay models stifled by lack of private payer interest

A CMS initiative encouraging states to develop alternative pay models has failed to make a dent in health expenditures, partly due to private insurers' lack of interest in the programs, according to a new analysis.

Azar demands price transparency, but how will he achieve it?

Azar demands price transparency, but how will he achieve it?

HHS Secretary Alex Azar faces a hard slog to make healthcare prices and out-of-pocket costs public, particularly since many providers and drugmakers have resisted even while saying they support the concept.

House lawmakers launch group to push value-based care policies

House lawmakers launch group to push value-based care policies

A bipartisan group of House lawmakers are banding together to create the Healthcare Innovation Caucus, promising legislation to support the move to value-based care.

JPMorgan and VisitPay launch financing option for hospitals

JPMorgan and VisitPay launch financing option for hospitals

VisitPay is teaming up with JPMorgan Chase to offer health systems recourse financing that it says aims to salvage relations with patients, contrary to traditional debt sales.

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