Reimbursement

America's Health Insurance Plans is among organizations asking Azar, HHS to stop the routing of dialysis patients who are eligible for Medicare, Medicaid to individual coverage carrying higher reimbursement rates.

With transfers to larger hospitals comes a high cost burden, making it important for community-based organizations to strike the appropriate balance.

American Medical Association and the American Society of Addiction Medicine are preparing to pilot test a model that pays for care including medications combined with psychosocial support.

Proposed legislation would allow pre-deductible coverage at onsite and retail clinics for treatment of primary, chronic and preventative care.

Short-term limited duration plans will increase premiums by as much as 12.8 percent and decrease enrollment by as much as 26.3 percent, new research says.

The Healthcare Transformation Consortium is also going to use data to lower costs and improve care delivery -- but, while Amazon's plans are still not widely known, six New Jersey hospitals are girding to go-live on Jan. 1, 2019.

The shift from fee-for-service to value-based care means providers are facing new challenges. A rev cycle executive offers advice about tightening processes to overcome those.

The Centers for Medicare and Medicaid Services published the final rule late Monday and it is aimed at increasing coverage through health plans that have lower premiums, and giving insurers more flexibility in designing essential health benefits.

In Las Vegas, four are open and operational and Dignity is developing a 5th site slated to open in 2019.

Prior to the program's start, there was evidence that black patients had, on average, 20 percent higher readmission rates than white patients.