Reimbursement
As lawmakers debate the ingredients of a deal to avoid the fiscal cliff, a long-term care membership organization offers a recipe for post-acute system reform that can be adapted for all sectors of healthcare.
Two of Atlanta's largest hospital systems are forming their own insurance company, with plans to sell Medicare Advantage, commercial and self-funded health plans in 2014.
The Centers for Medicare & Medicaid Services has awarded $306 million to 23 states for streamlining CHIP application processes and increasing enrollment and retention, as part of the five year performance bonus program started in 2009.
The Patient-Centered Outcomes Research Institute (PCORI) announced it was granting $40.7 million over three years to fund patient-centered comparative effectiveness research in the first four areas of its National Priorities for Research and Research Agenda.
Fueled by the needs of the Affordable Care Act, healthcare IT spending among state and local governments is projected to grow by $2.7 billion through 2017, according to a new report.
Many safety-net hospitals that treat a higher number of lower-income patients than other hospitals are worried that the Hospital Readmissions Reduction Program (HRRP) will have a disproportionate impact on their reimbursements due to their traditionally higher readmission rates. A new Commonwealth Fund analysis confirms those fears.
The National Quality Forum announced today that Christine Cassel, MD, the long-time president and CEO of the American Board of Internal Medicine and the ABIM Foundation, will become its new president and CEO effective mid-summer 2013.
In this week's HIX Digest: Utah's pre-ACA HIX seeks certification, Iowa's partnership plan gains support and West Virginia mulls enrollment challenges.
The Alliance of Specialty Medicine joined a number of other medical organizations as it called on Congress to permanently fix the flawed sustainable growth rate (SGR) Medicare payment formula as part of any legislation designed to avert the fiscal cliff.
When hospitals purchase free-standing physician offices they often convert them into outpatient clinics. The shift isn’t visible on the surface, but underneath the covers a powerful economic transformation has taken place, with the new owners now able to charge a so-called “facility fee” to cover the cost of their infrastructure.