Reimbursement

CMS released data showing many counties in the country having just one insurer for 2018.

BPCI 2.0 is further evidence that CMS is continuing down the road road to value, triggering provider confidence and commercial payer interest, expert says.

Differences among midwestern states -- also including Iowa, Nebraska and North Dakota -- shine a light for hospital executives and policymakers alike on what state policies can achieve in insurance markets.

Older patients visiting the emergency department who received specialized geriatric care were admitted to the hospital 36 percent of the time, compared to the 53 percent who did not receive this attention.

States are facing a shortfall in the program that serves 9 million children if CHIP is not extended by the end of January.

Even hospitals that are successful at reducing 30-day readmissions today are compared against peers -- and that means they have to continuously get better just to keep up.

Insurers see the payments as one of the stabilizing factors in offering individual coverage through the Affordable Care Act.

Forming even informal arrangements with Area Agencies on Aging can help a hospital's bottom line by keeping 30-day readmission rates down and reduce avoidable nursing home usage as part of population health management programs.

The agency's Innovation Center said the new Bundled Payments for Care Improvement Advanced model is the first advanced APM that would qualify under MACRA.

Officials aim to improve the number of processed claims by 300 percent this month and by 600 percent in April as part of mission to bolster VA system.