Category: FierceHealthPayer

AHA: CMS’ site-neutral payment plan could lead to access problems as hospitals cut services

Hospital groups are warning that CMS’ plan to institute site-neutral payments could lead to access problems and cancelled services—and the change may not be within their authority to make, anyway. 

JAMA study examines variation in type, extent of health data breaches over time

How much damage does a single healthcare data breach cause? Consider who was attacked, when and how, says a new study by researchers at Massachusetts General Hospital.

JAMA study examines variation in type, extent of health data breaches over time

How much damage does a single healthcare data breach cause? Consider who was attacked, when and how, says a new study by researchers at Massachusetts General Hospital.

Industry Voices—Right to Try law provides a license to cash in on patient fears

While well-intentioned, the Right to Try law could create opportunities for hucksters and snake-oil salesmen to prey on those who are vulnerable. As the Food and Drug Administration develops its protocols for right-to-try, the agency must ensure that p…

Reinsurance drove premiums down in Maryland. Will it do the same in Montana?

The governor created a bipartisan work group to determine how to design a potential program. The announcement came as Maryland’s ACA rates dropped 13% thanks to the state’s reinsurance program.

Next Generation ACOs form coalition aimed at advancing the model 

Next Generation ACOs are teaming up to ensure that the model stays in place for the long term and continues to evolve. 

Employees spending more on medical services, less on drugs

A new study by the Health Care Cost Institute shows covered and out-of-pocket costs have diverged over the last decade.

Telehealth reimbursement uncertainty creating inequities in healthcare

Every day, more providers are integrating telehealth services for their patients. But without clarity over how payers will reimburse those services, the only people who can really take advantage are the ones who can pay out of pocket, a panel of health…

Fitch: Margins getting harder to meet at nonprofit hospitals

While nonprofit health systems are doing more than ever to run efficiently, it’s getting harder for them to make money. That’s according to a new report from Fitch Ratings, which said it’s maintaining a negative outlook for the sector based on its eval…

Improved medication adherence could save billions in hospital costs, report finds

Many patients who are prescribed medications fail to take them appropriately—or at all—and addressing this problem could lead to significant cost savings and better care management, according to a new report.