Susan Morse
The U.S. Department of Justice is investigating Universal Health Systems of Pennsylvania and certain affiliated behavioral health centers for alleged billing fraud, Universal reported in a Feb. 25 filing with the Securities and Exchange Commission.
LAS VEGAS - The Staten Island Performing Provider System is running into all of the challenges inherent in implementing a value-based model for Medicaid payment reform in New York State.
The Delivery System Reform Incentive Payment Program has as its goal to reduce avoidable hospital use by 25 percent over the next five years.
LAS VEGAS -- The HIMSS Revenue Cycle Improvement Task Force is asking for case studies of patient financial experiences to make recommendations for improvements that will help providers deal with the estimated 30 percent of bad debt that plagues health systems.
LAS VEGAS -- When Inova Health saw that Affordable Care Act initiatives for value-based care would cut 7 percent, or $220 million, out of the $3 billion health system's successful fee-for-service revenues, the northern Virginia provider knew it needed to change, said President and COO Mark Stauder.
LAS VEGAS - The Centers for Medicare and Medicaid Services, legislators and others discuss ways to change current regulations to give rural hospitals technology that rivals what the large health systems have, according to Patrick Yount, director of HIT at the Colorado Rural Health Center.
Republican governor supports expansion, has been in talks with Obama administration.
The rule finalizes provisions to help consumers with surprise out-of-network costs at in-network facilities.
LAS VEGAS - Providers may be pleasantly surprised by new payment models when they learn how much they would have been paid had they participated, according to Rene Cabral-Daniels, CEO of the Community Care Network of Virginia.
LAS VEGAS - Health information exchange is an essential tool to support the transition to value-based payment models, according to Alex Baker of the U.S. Department of Health and Human Services, who gave an overview of federal initiatives and how states, hospitals and physicians can benefit from the innovations, during HIMSS16 in Las Vegas.