Where healthcare challenges find solutions
Employer health plans pay hospitals 224% of Medicare

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

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.

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.

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.

CMS proposes indefinite delay of Medicare radiation oncology model
The bundling payments experimented has now been pushed back several times.

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.

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.

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.

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.

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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