Category: Healthcare Finance News

Health insurers for Indiana hospitals are paying three times what Medicare pays

Hospital margins of 10 percent and greater are the result of insurers paying too much, study says.

Non-fatal injuries cost healthcare $1.8 trillion annually, report shows

Medical spending, future lost work from permanent disability and quality of life losses all contributed to the substantial costs of such injuries.

Federal court to consider injunction to stop short-term plans

A hearing on a requested injunction against the Trump Administration’s rule …

Salaries of hospital executives nearly doubled, while physicians see more modest increases

Between 2005 and 2015, average CEO compensation jumped from $1.6 million to $3.1 million, an increase of 93 percent.

U.S. hospitals pay as much as 6 times more for medical devices than European counterparts, study shows

Prices for devices varied within each country studied as well, except for France where prices stayed largely uniform for all devices.

Humana and Heritage Provider Network expand in-network Medicare Advantage coverage

The value-based agreement will reimburse physicians based on patient outcomes.

CMS to boost oversight of accreditation organizations through posting of performance data

CMS will now post new performance information on their website, including quality-of-care deficiency findings, and will refine the process for gauging an AOs ability to assess compliance.

Readmission likelihood increases 2.9 percent each day in rural Appalachia hospitals

Financial penalties for readmissions are mandated by the Hospital Readmission Reduction Program, a part of the Affordable Care Act.

Hospitals and physician groups take on risk in BPCI Advanced model

Voluntary bundled payment model is tied to performance and also qualifies as an APM for MACRA.

Hospitals and health systems should develop strong relationships with urgent and retail clinics

Health data needs to be interoperable for the relationship between health systems and clinics to bridge the consumerism gap.