Anthony Brino
The Centers for Medicare and Medicaid Service said the final revenue increase was driven by a spike in Medicare fee-for-service spending per capita estimates.
A regional health system in the Pacific Northwest is taking a major step towards price transparency, but there are still caveats for patients managing their own healthcare costs.
The agency had argued that the $195 million takeover violated federal antitrust laws and greatly reduced healthcare competition in the southwest Georgia.
The pharmacy chain will share prescription and visit information of assigned patients with the participating providers through electronic health record integration.
While reimbursement is still being determined, it’s estimated that lung cancer scans for eligible individuals could cost Medicare more than $9 billion for the scans, biopsies and treatments through 2020.
Catamaran serves about 25 million Americans with retail pharmacy network management, mail-order pharmacy, pharmacy claims management and patient-centric specialty pharmacy services to health plans and employers.
Glenn Haggstrom presided over a medical center project in Aurora, Colorado that ballooned from an expected $328 million to more than $1.7 billion.
Outpatient payments for cancer hospitals were 37 percent higher than teaching hospitals for the same range of services, report finds.
“Not all readmissions can or should be prevented; indeed, some are planned as part of sound clinical care,” AHA says.
Some health systems are trying to help patients avoid high-cost bills altogether, by working with insurers to craft value-based plans that offer low out-of-pocket costs.