Reimbursement
New York Gov. Andrew Cuomo has proposed allowing hospitals in the state to be owned and operated by businesses. Though most states already have business-owned hospitals, this will be a major change for New York state, which has one of the tightest-regulated healthcare industries in the nation.
Across the country, hospitals and health systems are transitioning to accountable care organizations (ACOs). What does it take to do that?
The rapid pace of change for hospitals and healthcare systems has been accelerating over the last several years.
Field testing of new models of healthcare delivery and payment often reveal unanticipated challenges and benefits in efforts to achieve targeted outcomes.
While Connecticut's 2014-2015 budget has yet to be finalized, hospitals and healthcare systems in the state are claiming that Gov. Dannel P. Malloy's proposed cuts of more than $500 million in hospital funding over the next two years would be devastating.
With doctors across the country continually on pins and needles regarding their reimbursement rates, proponents of telemedicine and telehealth are telling doctors the technologies offer them a stable revenue stream and lifestyle options.
In order for the country's healthcare system to survive in the next few years, every healthcare provider is going to have no choice but to make innovative changes and involve patients in the care process. So said longtime health IT advocate C. Peter Waegemann, founder of the now-defunct Medical Records Institute, during a webinar Thursday.
A report issued this week by the Government Accountability Office reports that the Centers for Medicare & Medicaid Services overpaid the Medicare Advantage program run by private health insurers by between $3.2 billion and $5.1 billion for the years 2010-2012.
Management consulting firm Deloitte and Intermountain Healthcare have forged a five-year deal that will see the companies tap into nearly two trillion unique medical data elements collected over 40 years, with the goal of gaining treatment insights that can be shared with physicians, hospitals, manufacturers, vendors and payers across the country.
As the ICD-10 deadline looms closer, many healthcare organizations are still trying to come up with the most effective communications, collaboration and testing strategies to assure implementation of the diagnostic and procedural code set change. It is important to understand how cash flow is impacted and where and how to manage other resources.