Category: Healthcare Finance News

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.

To cut hospital costs, executives should focus on reducing care variations, Advisory Board says

Research findings indicate that "meaningful" reduction of variations in care is doable and more effective than traditional cost-cutting.

Non-invasive ventilation for COPD reduces costs and hospitalizations, study finds

A chief finding was that patients using NIV at home with a high-touch care model have the lowest overall costs and hospitalization rates.

Atul Gawande to keynote HIMSS19

The CEO of Amazon, Berkshire Hathaway and JPMorgan Chase joint venture will speak at HIMSS19 in February.

Aetna CEO Mark Bertolini to resign post after merger with CVS Health

CVS makes commitment to keeping Aetna in Hartford for at least 10 years, officials say at Connecticut Insurance Department hearing.