Reimbursement
Labor and wage pressures for experienced staff will likely continue, while the shift to at-risk contracting will be an exacerbating factor.
Rule threatens the stability of hospitals which will face more uncompensated care costs, says America's Essential Hospitals.
Eastern Maine Healthcare Systems is the latest hospital to rename itself to keep pace with changes, digital health and otherwise, reshaping the industry.
UnitedHealth plans to update its provider directories to show its beneficiaries those hospitals that use non-participating hospital-based physicians
CMS has made it clear that it wants health systems to share the risk of cost and outcomes.
CMS levies reimbursement penalties against hospitals that underperform on 30-day readmission rates, leaving for-profit hospitals at a disadvantage.
Payers and providers can track, in real time, the status of claims submissions and remittances.
AHA joins other 340B stakeholders in asking the court to declare the delay unlawful and to enact the regulation.
ACO MSSP generated savings of $1.84 billion from 2013 to 2015, nearly double the $954 million estimated by CMS, according to NAACOS.
Two new reports find payers expanding their footprint in the Affordable Care Act marketplace with some reducing costs.