A joint contract between CMS, states and health plans would pay a capitated amount to provide integrated Medicare and Medicaid services.
Category: Healthcare Finance News
CMS proposes to pay for transformative IT
The change would ramp up add-on payments to hospitals that implement new tech and increase the wage index for rural and other qualifying hospitals.
CMS Administrator Seema Verma promotes state waivers to Affordable Care Act
Pre-existing coverage remains protected, though a new type of high risk pool approach could better tailor coverage for these enrollees, Verma says.
Consolidation, consumerism ranked as top trends in healthcare based on new survey
Even though M&A activity has slowed in recent quarters, health professionals don’t expect the slowdown to last.
Medicare Hospital Insurance Trust Fund will run out money in 7 years, trustees say
Part D drug spending projections are lower than last year because of slower price growth and a continuing trend of higher manufacturer rebates.
Short-term wellness programs having minimal impact on healthcare costs
Even the positive health effects observed in participating employees fell short of certain clinical measures of health.
Centers for Medicare and Medicaid Services unveils five primary care payment model options
The Primary Care First payment model will provide payment to practices through a simplified total monthly payment to allow clinicians to focus on caring for patients rather than their revenue cycle, CMS says.
More hospitals outsourcing their billing, leading to boom in billing outsourcing market
Reasons for the jump include implementation of the ICD-10 coding system, increasing healthcare costs and EHRs.
CMS proposes $887 million increase for skilled nursing facilities
SNFs will be scored on a measure of potentially preventable hospital readmissions and on two new quality measures for interoperability.
The nation’s 15 top health systems, as ranked by IBM Watson Health
This year’s hospitals had better risk-adjusted outcomes, better patient satisfaction and a lower average cost per patient.
