Where healthcare challenges find solutions
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.
Provider groups have just two months to decide about participating in the CMS' Bundled Payment for Care Improvement Advanced program, but they still don't have the claims data they need to make that decision. »
A group of doctor practices has united to develop a way the CMS can contract with practices to treat Medicare beneficiaries. Not everyone is on board, as some clinicians fear it could lead to rationing of care.
The CMS is considering reimbursing all Medicare providers for one-time cancer treatments that genetically alter patients' cells to fight the disease. The move could increase revenue by millions at each hospital offering the therapy.
The Medical Group Management Association and five other physician organizations formed a coalition to advocate for policies that support independent doctors transitioning to value-based payment.
Some nursing homes worry that CMS' proposed Patient-Driven Payment Model may pay them less for treating Medicare patients.
The CMS wants hospitals to post how much they charge patients for services and, separately, will overhaul the meaningful use program to give providers incentives for interoperability.
Florida awarded nine insurers Medicaid managed-care contracts worth tens of billions of dollars as stakeholders eye opportunities for the program's expansion.
The CMS wants to launch a new model that will allow Medicare enrollees to contract directly with physicians. Advocates warn the approach could undermine access to care for the sickest patients.
Insurers and a private insurance exchange are coming up with ways to increase enrollment in short-term plans in the wake of a proposed rule to extend those plans. But critics fear this could leave the individual market worse off.
The Louisville, Ky.-based insurer joined a small group of private payers bundling childbirth services, citing the potential for savings.
The Transformation Hub is produced in partnership with Avia, an organization that provides information and insight about healthcare transformation. Project Japan is solely responsible for the editorial content of the Transformation Hub and submission is open to all organizations.