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.

Late data for CMS bundled-pay program gives providers little decision time

Late data for CMS bundled-pay program gives providers little decision time

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. »

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Doctors propose new Medicare direct-contracting model

Doctors propose new Medicare direct-contracting model

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.

CMS considers paying all Medicare providers for cancer gene therapies

CMS considers paying all Medicare providers for cancer gene therapies

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.

New coalition urges greater support for independent docs in value-based payment models

New coalition urges greater support for independent docs in value-based payment models

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.

New CMS nursing home model raises pay accuracy concerns

New CMS nursing home model raises pay accuracy concerns

Some nursing homes worry that CMS' proposed Patient-Driven Payment Model may pay them less for treating Medicare patients.

CMS urges hospitals to disclose prices, revamps meaningful use program

CMS urges hospitals to disclose prices, revamps meaningful use program

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 awards Medicaid contracts as expansion speculation builds

Florida awards Medicaid contracts as expansion speculation builds

Florida awarded nine insurers Medicaid managed-care contracts worth tens of billions of dollars as stakeholders eye opportunities for the program's expansion.

CMS seeks to allow doctors to bill patients directly

CMS seeks to allow doctors to bill patients directly

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.

How stakeholders in the short-term medical market are gearing up to attract more customers

How stakeholders in the short-term medical market are gearing up to attract more customers

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.

Humana launches bundled-payment model for maternity care

Humana launches bundled-payment model for maternity care

The Louisville, Ky.-based insurer joined a small group of private payers bundling childbirth services, citing the potential for savings.

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