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Transformation Hub

Where healthcare challenges find solutions

  • Patients
  • Operations
  • Care Delivery
  • Payment
Payment
mh20171023_AMA_WEB_doctor and older patient_i.jpg

More insurers cut payment for patient consultations

The Centers for Medicare and Medicaid Services announced a change in how the codes should be used starting next year.

mh20181029_pregnancy_WEB_i_i.jpg

Insurer-provider wrangling limits bundled maternity growth

Providers and insurers agree bundled payments for prenatal care, delivery and postpartum care lower costs and boost quality, but squaring away payment terms has proven more tricky.

covid-and-data_i.png

CMS to reweigh MIPS data for some physicians amid pandemic

Physician groups can submit extreme hardship applications to have 2021 quality and cost data re-weighted to account for the COVID-19 pandemic.

mental-health-web-01_i_i.jpg

Providers push for higher reimbursement as Congress debates mental health legislation

Providers, patient advocates and some lawmakers are taking aim at health insurers, arguing that low payments and restrictions on coverage limit access.

Copy of Copy of mh_20171009_MIPS_WEB_i.jpg

CMS redesigns Direct Contracting into an ACO model

The new ACO model will incorporate health equity requirements, make changes to risk adjustment policies and more.

mh_20140324pxx-Hospice-edit_i_i_i.jpg

Medicare paid $6.6 billion in non-hospice care for hospice patients

Federal watchdogs say Medicare may be paying twice for hospice services, and for-profit hospices play a large role.

Child in hospital bed

Florida failed to pay health claims for sick, needy children

Florida failed for nearly three months to pay tens of thousands of healthcare claims due to software glitches blamed on the corporate merger of its two largest payment vendors, officials and executives said.

Mayo Clinic and UnitedHealthcare_i.jpg

Mayo, UnitedHealthcare dispute could set tone for all Medicare Advantage negotiations

By 2023, half of all Medicare beneficiaries are expected to be enrolled in a Medicare Advantage plan. This shift has already been realized in Minnesota.

covid decline_i_i.jpg

HHS running out of money to pay providers for treating uninsured COVID-19 patients

Only about $7 billion remains to reimburse providers that treated, tested and vaccinated uninsured COVID-19 patients.

medicare-and-people_i_i.png

Medicare Advantage plans could see nearly 8% increase in revenue

Medicare Advantage plans could see a nearly 8% increase in revenue, but the methodology could consider health equity issues in the future.

Pagination

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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