The bonus pool size is currently $6.3 billion, which goes to 4-star and above plans as $500 per member, per year.
Category: Healthcare Finance News
Smoking cessation efforts may reduce avoidable hospital readmissions
Smoking cessation efforts could ultimately be a strong investment that allows the hospital to retain more reimbursement dollars.
2018 cohort of newly-certified physician assistants is the youngest and largest yet
The data also shows encouraging employment opportunities for PAs, with most receiving multiple job offers.
More 4 star or higher plans in Medicare Advantage and Part D star ratings, CMS says
There are 1,200 more MA plans than in 2018 and in 2020 a greater number rate 4 stars or more, CMS says.
UnitedHealthcare app gives members on-demand access to telehealth services
The app also allows users to manage prescriptions, see information on deductibles and out-of-pocket spending, and locate physicians and hospitals using GPS technology.
Pressures of value-based care reforms trigger sharp increase in clinical outsourcing partnerships
Some hospitals are actively enhancing their clinical product lines via outsourcing, which they say increases patient satisfaction.
Medicare Advantage plans on the rise ahead of open enrollment and star ratings release
A perfect storm of an aging demographic, lower premiums, high margins and CMS flexibility is behind MA success amid political Medicare for All.
Half of healthcare leaders say artificial intelligence will yield positive return on investment in 3 years
Respondents to the survey also expect to invest more as potential use and adoption of the technology continues to climb.
HHS and CMS are offering safe harbor to Stark Law to promote value-based, coordinated care
Example of changes is allowing a hospital to donate free cybersecurity software to each physician that refers patients to its hospital.
Coordinated care model leads to decreases in unscheduled, preventable hospitalizations
The Oregon model may promote more efficient use of resources, driven by primary care and financial incentives for care coordination.
