Reimbursement
The use of preoperative beta blockers, tobacco use, and surgical site infections were independent predictors of readmission within 30 days, but day of discharge was not.
CMS takes credit for introducing waivers and a reinsurance program for insurers to submit high-cost claims into a risk pool.
No hospital in the state will be penalized the maximum allowable 3 percent, but nine will be hit with 1 percent or more.
Spending by private payers has grown at a faster clip, with growth hitting 7.4 percent compared to 2.3 percent for public payer spending.
The top three clinical episodes selected are major joint replacement of the lower extremity, congestive heart failure, and sepsis.
Hospital margins of 10 percent and greater are the result of insurers paying too much, study says.
A hearing on a requested injunction against the Trump Administration's rule ...
The value-based agreement will reimburse physicians based on patient outcomes.
Financial penalties for readmissions are mandated by the Hospital Readmission Reduction Program, a part of the Affordable Care Act.
Voluntary bundled payment model is tied to performance and also qualifies as an APM for MACRA.