News

Hospitals in states that have expanded Medicaid eligibility under the Affordable Care Act are already bringing in fewer self-pay and charity care patient cases, according to an analysis by the Colorado Hospital Association.

As providers continue adjusting to the reimbursement changes wrought by the Affordable Care Act, it appears increasingly likely that hospitals will place more emphasis on collecting payments at the point of service.

As a once-promising tax scheme to maximize federal Medicaid dollars fades from practicality, budget woes are coming to the fore and creating an impetus for program redesigns.

Not one year into New Hampshire's Medicaid managed care expansion, one physician-operated health plan is deciding to redirect its resources elsewhere, leaving other plans with new responsibilities.

A new study provides even more evidence that physician leadership is the key to success with accountable care organizations. Strong focus on patient needs is a key driver of success, but physician-led ACOs typically struggle with the care coordination piece.

Ugly stories about waiting lists and poor care in VA facilities are coming out in the press. But in truth, there is not enough information to say whether the VA system is worse or better than the private system as a whole, or even to compare the VA with individual private sector hospitals.

Florida's largest insurer is humming along with its strategy of alternative reimbursement models, signing an accountable care agreement with one of Tenet's ACO networks.

The American Hospital Association is asking federal Medicare leaders to stem the practice of using sample hospital audit data to extrapolate overpayments eligible for recovery. The lack of clarity regarding standards for short patient stays has clouded the issue.

Many residents in New England are going to have more choices in the public exchanges this fall, as some insurers' growth strategies are tested.

States' taxing of Medicaid managed care organizations to raise revenue for state-share Medicaid payments may be illegal, according to the HHS Inspector General. If so, this raises serious questions that could shake up MCO financing models.