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Transformation Hub

Where healthcare challenges find solutions

  • Patients
  • Operations
  • Care Delivery
  • Payment
Payment

Employer health plans pay hospitals 224% of Medicare

hospital-money_costs_i_i.png BY ALEX KACIK | May 17, 2022

Hospital prices could increase to account for higher-than-average labor costs, experts said.  Â»

corona-hospital-money-mask_i.png

5 ways COVID-19 shows up in CMS' proposed hospital pay rule

CMS proposed changes like discounting value-based payment measures due to the virus. Trade groups want a higher rate bump.

Copy of hospital-money_costs-copy_WEB_i copy_i.png

CMS proposes $1.6 billion increase to inpatient hospital payments, health equity measures

The proposed inpatient pay rule represents a 3.2% increase in payments and adds health equity and maternal health initiatives.

mh20190204_hand and money_WEB_i_i.jpg

Startups eye cash pay to tackle rising employer healthcare costs

The discounted cash prices hospitals set for common procedures are often lower than the rates they negotiate with insurers.

22--Targeted-Cancer-Therapies_edit copy_i.png

CMS proposes indefinite delay of Medicare radiation oncology model

The bundling payments experimented has now been pushed back several times.

map-money copy_i.png

Hospital prices for health plans vary widely across the U.S., study finds

By capping increases in commercial-to-Medicare price ratios, researchers estimate national health spending could have been decreased by $39 billion in 2019.

corona-benjamin_use_i_i.png

Providers brace for financial hits as COVID-19 uninsured fund ends

HHS stopped reimbursing providers testing and treating the uninsured for COVID-19 last month and, starting Tuesday, will no longer pay for vaccine administrations.

cash-increasing-money-stack_i.png

CMS proposes 2.8% pay bump for inpatient rehab facilities

CMS also wants feedback on adding home health to the IRF transfer policy, which could have saved $993 million over two years.

rural-health2_i.png

Beyond the Byline: Health equity is a cornerstone of new rural payment models

Modern Healthcare Senior Hospital Operations Reporter Alex Kacik and Rules and Regulations Reporter Maya Goldman talk about rural healthcare.

hospital-and-business1_i_i.png

Hospitals hike prices for evaluation and management services

Charges and negotiated rates for hospital E/M services have steadily increased since 2012, outpacing other categories studied by FAIR Health.

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Modern Healthcare is solely responsible for the editorial content of the Transformation Hub and submission is open to all organizations.

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  • News
    • Current News
    • COVID-19
    • Providers
    • Insurance
    • Government
    • Finance
    • Technology
    • Safety & Quality
    • Transformation
      • Patients
      • Operations
      • Care Delivery
      • Payment
    • People
    • Regional News
      • Midwest
      • Northeast
      • South
      • West
    • Digital Edition (Web Version)
  • Digital Health
  • Insights
    • ACA 10 Years After
    • Best Practices
    • Special Reports
    • Innovations
  • Data/Lists
    • Rankings/Lists
    • Interactive Databases
    • Data Points
  • Op-Ed
    • Bold Moves
    • Breaking Bias
    • Commentaries
    • Letters
    • Vital Signs Blog
    • From the Editor
  • Awards
    • Nominate/Eligibility
    • 100 Most Influential People
    • 50 Most Influential Clinical Executives
    • Best Places to Work in Healthcare
    • Excellence in Governance
    • Health Care Hall of Fame
    • Healthcare Marketing Impact Awards
    • Top 25 Emerging Leaders
    • Top 25 Innovators
    • Diversity in Healthcare
      • - Luminaries
      • - Top 25 Diversity Leaders
      • - Leaders to Watch
    • Women in Healthcare
      • - Luminaries
      • - Top 25 Women Leaders
      • - Women to Watch
  • Events
    • Conferences
      • Transformation Summit
      • Women Leaders in Healthcare Conference
      • Social Determinants of Health Symposium
      • Leadership Symposium
    • Galas
      • Health Care Hall of Fame Gala
      • Top 25 Women Leaders Gala
      • Best Places to Work Awards Gala
      • Top 25 Diversity Leaders Gala
    • Virtual Briefings
      • - Hospital of the Future
      • - Value Based Care
      • - Supply Chain Revenue Cycle
      • - Hospital at Home
      • - Workplace of the Future
      • - Strategic Marketing
      • - Virtual Health
    • Webinars
  • Listen
    • Podcast - Next Up
    • Podcast - Beyond the Byline
    • Sponsored Podcast - Healthcare Insider
    • Video Series - The Check Up
    • Sponsored Video Series - One on One
  • MORE +
    • Advertise
    • Media Kit
    • Newsletters
    • Jobs
    • People on the Move
    • Reprints & Licensing