Where healthcare challenges find solutions

Payment

As providers and the government try to lower healthcare costs, much of the action rests on lower reimbursement. Meanwhile, patients increasingly are reaching into their own pockets to cover their healthcare costs. They want price transparency and convenient ways to pay their bills, and providers want to maintain healthy margins. Read more about how payment innovations affect the industry.

Encouraging patients to shop around amidst high healthcare prices

Encouraging patients to shop around amidst high healthcare prices

By offering incentives to patients, Vitals saves both them and their employers and health plans money. »

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Medicaid expansion on the prairie: Nebraska's ballot initiative heads to the polls

Medicaid expansion on the prairie: Nebraska's ballot initiative heads to the polls

Four years into Obamacare, the majority of Nebraska voters support Medicaid expansion, a key measure on their midterm ballot. But even pro-expansion hospitals are taking a cautious view of how much it will impact the rural bottom line.

Dialysis cos. dole out more than $100M to beat Calif. ballot measure

Dialysis cos. dole out more than $100M to beat Calif. ballot measure

With just a few weeks to go until November's elections, the dialysis industry has raised more than $105 million to defeat a ballot measure that would cap their profits at 15% of direct patient-care costs.

ACOs to stay in shared-savings program despite downside risk

ACOs to stay in shared-savings program despite downside risk

Nearly half of accountable care organizations surveyed said they now intend to stay in the Medicare Shared Savings Program even though they could be facing downside risk soon, a change of heart from previous surveys.

Tenet, Trinity among the 1,300 joining latest bundled-pay model

Tenet, Trinity among the 1,300 joining latest bundled-pay model

About 1,300 providers, including 832 hospitals, have joined the Bundled Payment for Care Improvement Advanced alternative pay model. Providers will get a fixed price for an episode of care and be at risk for up to 20% of costs if they exceed a target.

Humana, Heritage partner on Medicare Advantage value-based care

Humana, Heritage partner on Medicare Advantage value-based care

Congress angles for air ambulance cost transparency

Congress angles for air ambulance cost transparency

Congress has taken steps to tackle outsize medical air transport balance bills in the FAA Reauthorization Act by requiring executive agencies to step up efforts for price transparency and consumer support. But will that be enough?

Medicare's site-neutral pay plan targeted in hospitals' lobbying

Medicare's site-neutral pay plan targeted in hospitals' lobbying

The AHA is looking for lawmakers to join its fight against the CMS' proposed site-neutral payment policy that would equalize Medicare rates for off-campus hospital facilities and independent physicians' offices.

CMS made error when calculating MIPS payments

CMS made error when calculating MIPS payments

The CMS is telling providers it made a mistake when processing payments under the Merit-based Incentive Payment System. It's urging doctors to check their performance and reach out to the agency if they think a mistake was made.

Medicare hospice payment model fails its first year

Medicare hospice payment model fails its first year

A Medicare model aimed at patients who wanted hospice as well as curative care did not do well in its first year because hospice providers fled the program and doctors were not interested in participating.

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