Susan Morse
Dialysis facilities are getting at least $100,000 more per year, per patient, if the patient is covered in a commercial plan rather than getting public coverage, CMS says.
Next year, reimbursements are expected to decline and inpatient margins narrow further, Black Book says.
Transformation of healthcare system is larger than any one president or administration, Burwell says.
Over four-year timetable, HHS ordered to clear hundreds of thousands of appealed claims.
Essential to keeping health insurance affordable and markets stable is keeping federal funding for both individuals and insurers.
One model will test whether a four-step process to integrate shared decision-making into routine clinical practice lowers cost while improving quality.
For example, a communications management system records and indexes calls and conversations with patients from scheduling to face-to-face interactions.
The court decision puts the case on hold and the question of whether insurers can legally receive federal funding for taking on risk in the ACA marketplace.
Value equals the quality and safety of the patient experience divided by cost and price.
Fix the right problem and rule the mid-cycle.