Reimbursement

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The law is illegal and should be repealed because Congress has no power to tax now that the individual mandate is gone, the lawsuit states.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

Three upcoming hearings will focus on controlling opioid misuse, public health and prevention and insurance coverage.

The results of new research conducted by Avalere Health counter the argument that 340B drug pricing would bring dramatic reimbursement cuts to hospitals.

Clinicians who complete the study will earn a full activity credit toward their quality reporting, according to the Centers for Medicare and Medicaid Services.

The company had planned to reduce by 25 percent payments for evaluation and management services reported with modifier.