Reimbursement
Using the power of data to tweak processes and squeeze the maximum amount of reimbursement possible is a must in today's environment.
A rule on hospital prices will be coming out alongside a proposal for health plan transparency, CMS Administrator Seema Verma says.
What looked like achievements of the program may have been a byproduct of factors driving a broader decrease in hospitalizations.
While the site neutral rule goes against court order, as does one on cuts for 340B payments, CMS said it is evaluating an option to appeal.
The rule also promotes competition and innovation in durable medical equipment by setting Medicare payment for new items based on commercial pricing data.
The bill has bipartisan support to lift restrictions on Medicare coverage for telehealth.
Over 55% of hospitals will receive higher Medicare payments under the Hospital Value-Based Purchasing Program.
In total, Affordable Care Act insurers in a class action lawsuit will receive over $1.5 billion in damages from 2017 and 2018.
Mergers and acquisitions helped grow revenue but it's taking health systems longer to realize expected synergies.
Hospitals should obtain more valuable data insights, set performance improvement goals and better engage physicians, finds Kaufman Hall.