How a ‘mini-Optum’ saved $85 million in three years by emphasizing primary care
A Texas clinically integrated network has used a primary care physician-focused approach to lower healthcare spending by $85 million over three years.
More Medicaid programs increase hospital payment rates
More states have moved to increase hospitals’ Medicaid rates than to cut them — reversing a pattern from the last fiscal year.
Oct. 19-25: CMMI leader to address value-based care executives
Healthcare finance policy events for the week of Oct. 21 include an address from a CMMI executive, HFMA webinars and a deadline for comments on advance beneficiary notices.
Proposed accounting changes could bring costs, complications
A proposed accounting-rule change could increase costs and complicate debt initiatives for hospitals using a debt arrangement that was popular when interest rates were high.
Provider alignment to get a boost under anti-kickback, Stark proposals: attorney
Provider initiatives to better align under value-based payment models would get a boost from proposed Stark and anti-kickback law enforcement changes.
Kaiser ramps up SDOH spending, but a demonstrable ROI is likely ‘years’ away
Kaiser Permanente is directing a growing share of its $2.8 billion community benefit spending to address the social determinants of health.
Oct. 13-18: Multiple national gatherings among key upcoming healthcare events
Key events include an HFMA webinar, national healthcare provider meetings and a House hearing on healthcare affordability.
HHS proposes 16 Stark, anti-kickback changes
HHS has proposed a range of rule changes to anti-fraud laws that providers say have blocked value-based payment arrangements.
Big drop in Medicaid enrollment drives 2018 increase in uninsured rate
In 2018, 1.9 million fewer people were covered by some type of health insurance, and they were most likely former Medicaid enrollees, according to new federal survey data.
Oct. 7-11: CMS listening session for hospitals among key industry events
Healthcare finance policy events for the week of Oct. 7.