Organizations that give incentives for value-based care principles have a distinct advantage when it comes to preparing for, and responding to, a crisis.
Category: Modern Healthcare
Medicaid spending hits $592.2 billion in 2017, 73 million in enrollment
A new federal report shows Medicaid is quickly on its way to become a $1 trillion program. However, the brunt of the spending continues to be on non-expansion enrollees, despite administration fears over costs of expansion.
Pharma push for Medicare donut hole change tangles opioid negotiations
Big Pharma wants to claw back Medicare Part D donut hole money as part of the opioids package, adding a kink to negotiations.
White House puts faith in value-based pay tweaks to save Medicare
As Medicare funds dry out, the OMB believes simplifying value-based pay models and reducing spending on care delivery could be crucial to shoring up the program.
Not-for-profit hospital operating margins continue to contract
For the second consecutive year median operating margins fell, hitting 1.9% in 2017, down from 2.8% the year prior. Still, improved liquidity measures bode well for not-for-profit hospitals.
Illinois high court affirms tax break for not-for-profit hospitals
The state Supreme Court upheld a ruling allowing certain medical centers to use charity to offset their property tax bills, a matter that drew controversy a few years ago.
Medicare hospice payment model fails its first year
A Medicare model aimed at patients who wanted hospice as well as curative care did not do well in its first year because hospice providers fled the program and doctors were not interested in participating.
Are health systems on the hook to disclose faculty conflicts of interest?
Health systems are debating how to ensure research and conflict of interest transparency in the wake of Dr. Jose Baselga’s recent resignation from Memorial Sloan Kettering over undisclosed conflicts of interest.
Next Gen ACOs form coalition to push for model changes
Twenty-nine Next Generation ACOs have formed a coalition to advocate for changes to that CMS model, which they argue deters long-term financial sustainability in the program.
Editorial: Want people off Medicaid? Give them more access to it
New research found those who gained coverage through Michigan’s Medicaid expansion faced fewer debt problems, fewer evictions and bankruptcies, and saw their credit scores rise just years after enrolling for coverage.
