Reimbursement
Under the Emergency Medical Treatment and Active Labor Act, hospitals participating in Medicare are required to screen and stabilize emergency room patients.
Agency evaluation of Next Gen sets stage for ACOs to qualify as Advanced APMs under MACRA and get incentive payments.
It's possible to move beyond a one-size-fits-all approach to hospital ratings and toward one that takes into account individual needs and preferences.
There are potentially substantial financial benefits to be gleaned from sociodemographic adjustment for safety net hospitals.
Amazon was cited for a number of reasons, including resources, influence, brand loyalty, convenience and a built-in distribution network.
The organization aligned 17 health systems to work toward decreasing Medicaid costs and improving care.
Eligible consumers will be able to use their over-the-counter allowance on medications and health-related items such as first- aid supplies, support braces, and pain relievers.
Bipartisan Policy Center recommends CMS give MA plans flexibility in targeting supplemental benefits to members with chronic care conditions.
Funding is part of $250 million provided by the ACA for state rate review grants meant to improve the process for how states review proposed health insurance rates.
Although readmissions have fallen by 3 percent, patients discharged from nonteaching hospitals faced a significantly higher risk of readmission.