Where healthcare challenges find solutions
Medicare to double payments for high-throughput COVID-19 tests
Medicare will pay almost twice as much for high-throughput COVID-19 tests to boost testing capacity and reduce the virus' spread.
Insurers speed payments, offer loans to support providers during COVID-19
An increasing number of health insurers are supporting healthcare providers during the COVID-19 pandemic by speeding up claims payments or offering loans to bolster their finances.
Medicare Advantage plans will get a 1.66% pay bump for 2021
The CMS announced that Medicare Advantage plans will get a 1.66% pay increase in addition to payment changes for Medicare Part D and PACE programs.
Judge: Medicare patients can appeal hospitals' observation status decisions
Nursing homes and advocates hope the ruling will prompt the CMS to reconsider its observation status policies.
Cleveland Clinic-Oscar Health partnership shows success in concierge medicine
The 2½-year-old partnership between Cleveland Clinic and insurer Oscar Health illustrates an emerging, value-based business model for the healthcare industry aimed at lowering costs and raising care quality.
Colorado public option fight kicks off as hospitals push alternative
Colorado lawmakers unveiled legislation that would create a public insurance option in the individual market, but hospitals are instead pushing an alternative policy.
Humana launches Medicare Advantage pay program for social determinants
Ochsner Health is the first system to participate in Humana's new program, which offers additional payment to providers when they screen Medicare Advantage members and connect them to relevant resources for social determinants.
CMMI selects 205 participants to test emergency transport model
The new payment model allows ambulances to transport Medicare beneficiaries to areas besides the emergency department, such as a doctor's office or urgent-care clinics.
Colorado unveils hospital rates for its public-option plan
Colorado's public-option health plan would lower premiums on the individual market by 12%, but the state's hospital association balked at the propose reimbursement rates, which have a base rate of 155% of Medicare.
CMS wants to extend joint replacement model by 3 years
The CMS Innovation Center wants to continue its bundled payment experiment for hip and knee replacements, but it wants to change the definition of an episode and how it sets prices.
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