BPCI Advanced participation dips 16% in first five months

Providers could leave the Bundled Payments for Care Improvement Advanced model by March 1 to avoid any financial penalties if they failed to meet cost targets.  »

California revives bill to cap dialysis pay

The dialysis industry faces another expensive lobbying year in California, where the Assembly Health Committee has passed a bill that would cap dialysis reimbursement.

Docs taking on full risk in value-based care models still years away

New payment programs that include both upside and downside risk seem perpetually stuck in a state of delay, researchers said.

Hospitals don't want to help fund DSH cut delays

Congress is laying plans to delay $4 billion in Medicaid disproportionate-share hospital cuts this year, but they want hospitals to help pay for them through cuts elsewhere.

MACPAC wants Part D rule to protect Medicaid supplemental rebates

Federal Medicaid advisers will ask HHS to safeguard the program from a potential hit when the department finalizes its proposal to ban middleman rebates from Medicare Part D.

Senators to boost Trump's proposed ban on PBM rebates

As Congress' drug-pricing legislation takes shape, pharmacy benefit manager transparency is an immediate target.

Pa. taps hospitals, payers for rural global budget experiment

Some experts see Pennsylvania's global budget approach as one of the best ways to align payment with delivery of more cost-effective services.

Employers save money by paying workers to shop for healthcare

A RAND Corp. study has found that mailing a check to workers who visit lower-price providers for certain elective healthcare services is an effective, though modest, way to reduce healthcare costs.

Azar: kidney dialysis needs to move to patient homes

HHS Secretary Alex Azar said Medicare will use its outsize influence to drive more home-based dialysis treatment—a potentially major business shift for the dialysis industry.

Cost control ideas, some controversial, sent to Senate HELP chairman

One set of proposals focuses on enhancing market competition, while the other directly addresses prices.