Category: Healthcare Finance News

Site neutral payment policies straining Maine hospitals, accelerating consolidation

Hospitals in the state are looking to leverage economies of scale in order to survive the expected losses in reimbursement.

CMS reduces exchange user fees, changes coupon policy for brand name drugs, in 2020 final rule

Rule proposes no changes to practice of silver loading as insurers start to set rates for 2020.

Hospital merger and acquisition volume in the first quarter was the lowest in nearly a decade

It was the fourth straight quarter in which M&A was lower than the annual quarterly average.

Eliminating routine but low-value preoperative tests for cataract surgery patients associated with cost savings

One medical center found savings of $67,241 over three years by foregoing routine chest X-rays, electrocardiograms and other preoperative procedures.

For busy medical students, two-hour meditation study may be as beneficial as a longer course

Medical students are at disproportionately high risk for depression and anxiety, and mindfulness can help them develop coping mechanisms.

New research documents state of value-based care in all 50 states

The analysis finds that value-based payment is firmly rooted in state healthcare policy.

Safety-net hospitals fare better under new Medicare reimbursement rules

Large hospitals and teaching hospitals are the most likely to see reduced penalties; those in states with high Medicaid enrollment will fare better.

Health insurance tax, not rebates, greatest threat to affordability, UnitedHealth Group CEO says

UnitedHealth has already converted, or is in the process of converting, 8 million fully-insured commercial lives to point-of-sale rebates, CEO David Wichmann says.

Humana launches oncology model to reward integrated care

The insurer is offering providers analytics and compensation determined by metrics that address access to care, clinical status assessments, and patient education.

Readmissions may be reduced through effective skilled nursing facility-to-home transition strategies

Better SNF-to-home transitions are needed, both for the physical health of the patient and the fiscal health of the organization.