Reimbursement

Director of Pharmacy Plan Services says Azar is out-of-touch as the discounts are unfair to healthier members of the plan who are footing the bill.

CMS has begun experimenting with bundled payment models in the hope of reducing healthcare cost inflation, boosting care quality.

Enacting both legislative provisions could lower premiums by up to 27 percent in 2019, the letter said.

Gerilynn Sevenikar, vice president of revenue cycle Sharp Healthcare, says millennials will reshape the healthcare landscape.

One recommendation is to make prior authorization easier for providers that take part in risk-based contracts.

The new offering provides technical tools for designing and building value-based reimbursement contracts among hospitals and payers.

Payor mix shifts and increased supply costs within the care delivery division also hindered earnings, the system says.

Providers are hoping for another win after their protest resulted last week in Anthem rescinding a 25 percent cut for certain evaluation and management codes.

The law is illegal and should be repealed because Congress has no power to tax now that the individual mandate is gone, the lawsuit states.

Frost and Sullivan examined a number of pressing safety concerns and found that they have affected close to 92 million hospital admissions. Here are the six areas the consultancy said are ripe for improvement without requiring major investments in personnel or infrastructure.