Analysis: Site-neutral payment ruling favors hospitals for now
A Sept. 17 ruling by a U.S. District Judge favored hospitals by overturning the CMS rule that cut Medicare payments for E&M visits in certain hospital-based settings.
Analysis: Employers have a healthcare cost growth problem
A discussion on the unsustainable growth rate of employer-sponsored health benefits and how industry participants can help them.
Making price transparency easy for patients
Proactive providers are preparing for additional price transparency requirements to ensure they not only comply with government regulations, but also provide patients with enough information to make informed healthcare decisions.
Analysis: New public charge rule will drive up healthcare costs
A review of the public charge rule, scheduled to take effect Oct. 15, and how it will impact payments to health system utilization and bottom lines.
Analysis: UAW provides direct primary care to manage healthcare costs
A review of the benefits for both healthcare providers and unions when they partner to offer union members direct primary care.
Analysis: House votes to repeal ACA’s Caddie tax
A review of the potential healthcare industry impacts from a repeal of the Affordable Care Act's Cadillac tax.
Analysis: Medicare reference-based pricing — down but not out
Although it appears North Carolina is abandoning its efforts to implement Medicare reference-based pricing for state employees, it’s likely not the last time a large employer tries to use this cost-cutting measure.
Analysis: Moving joint replacement procedures to the outpatient setting
A review of the potential margin impact on providers from the continued shift of high-volume, high-margin joint replacement procedures to the outpatient setting.
Analysis: Medicare sequester extended as part of debt ceiling deal | HFMA
Healthcare providers should note that an extension of the Medicare sequester is part of the debt ceiling deal reached July 22.
Analysis: CMS releases 2018 QPP participation results
A review of the results of the 2018 CMS Quality Payment Program and what’s increasing the percentage of physicians participating.