Reimbursement
There's pent-up demand to get into the model that qualifies as an advanced APM under MACRA, but first providers want to see if other participants are staying in.
For a number of approaches, the paper examines where the plan would operate and who would be eligible.
In an era of shifting attitudes and expectations on the part of patients, providers can no longer be content that the old models will see them through.
Government has a history of slashing provider payments for government health programs; Medicare and Medicaid reimburse providers less than the cost of delivering care, AHA says.
The DOJ said Vanguard and its skilled nursing facilities delivered "worthless" services to residents between 2010 and 2015.
The health system is keeping up with CMS mandates for price transparency, requirements that will only grow over time, senior Finance VP says.
At Maricopa Integrated Health System, price transparency became a top strategic imperative after it helped the system boost its margins.
Implementing rules on price transparency and interoperability would be helped by insurers sharing information publicly, asserts the American Hospital Association.
First "CMS: Beyond the Policy" podcast explains physician fee schedule for 2019, in a conversational format.
Nurse navigators in particular can be important tools for both patients seeking better care and providers seeking more consistent reimbursement.