Reimbursement

One hospital lost $3.5 million in a single year dealing with rising infection rates among patients taking cocaine, OxyContin, Demerol, Percocet and other opioids.

Compensation is determined by measures that address healthcare-associated infection rates, care coordination, palliative care and more.

Net income increased 30 percent driven by premium rate increases, the return of the health insurance tax and the acquisition of Medicare Advantage plans HealthSun and America's 1st Choice.

The Centers for Medicare and Medicaid Services effort to reduce regulatory burdens are being warmly received -- but the industry appears less excited about stipulations concerning price transparency and patient access to EHR data.

Hospitals are doing their part in cost control by streamlining care, cutting readmissions, adopting new reimbursement models so big pharma must shift focus off marketing and onto its own cost-cutting, the groups say.

Thomas Jefferson University Hospital has embarked on an initiative that is yielding insights that could prove valuable to any hospitals looking for ways to avoid federal reimbursement penalties from the Centers for Medicare and Medicaid Centers.

The acquisition of Medicaid insurance plan Fidelis in New York is moving forward.

AHIP CEO Matt Eyles says a proposed rule from the Centers for Medicare and Medicaid Services would result in more uninsured Americans and leave sicker, riskier patients in ACA marketplaces, ultimately driving healthcare costs higher.

The court order covers all insurers offering qualified health plans in the Affordable Care Act market for the 2017 or 2018 benefit year.

The insurer is partnering with five medical groups to rollout the reimbursement option with the goal of improving patient experience by reducing complications, duplications and readmissions.