Where healthcare challenges find solutions

Payment

Patients are increasingly reaching into their own pockets to cover the cost of healthcare. They want more information about costs and ways to conveniently pay their bills while providers want to maintain healthy margins. Read more about innovative payment tools.

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.  »

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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.

White House puts faith in value-based pay tweaks to save Medicare

White House puts faith in value-based pay tweaks to save Medicare

As Medicare funds dry out, the OMB believes simplifying value-based pay models and reducing spending on care delivery could be crucial to shoring up the program.

Smaller MIPS leads to smaller payouts for large health systems

Smaller MIPS leads to smaller payouts for large health systems

Providers warned the CMS that its proposal to let thousands of doctors continue to sit out of the Merit-based Incentive Payment System undermines their investments to comply with the program as well as the health of seniors.

New payment model targets addiction recovery

New payment model targets addiction recovery

Intermountain Project Japan, Anthem and other healthcare leaders have launched an alternative payment model intended to provide patients with long-term, comprehensive and integrated care for addiction recovery.

Medicare officially kills 25% rule for long-term care hospitals

Medicare officially kills 25% rule for long-term care hospitals

The CMS' final inpatient pay rule ends a long proposed 25% rule affecting long-term care hospitals' Medicare reimbursements. The rule also finalized plans to overhaul the meaningful use program to offer incentives for interoperability.

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