Medicaid Payment and Reimbursement

One in seven providers in the largest Medicare bundled payment model left after five months, new data reveal. But that may be good news for the program.

Read why more than 15 percent of BPCI-Advanced providers are departing the program.

The average cost for an overdose patient who was treated and released totaled $504, but the average cost rose to $11,731 for those that were treated and admitted to a hospital.

Jan. 17—As Congress’s primary Medicaid advisory body prepares to meet next week, hospitals and insurers are clashing over changes to the program’s managed care rules.

What data do I need to arm myself with when going to the negotiation table with health plans?

A significant uptick in payer contractual allowances and discounts in the first quarter of 2018 indicate that hospitals should remain focused on payer mix and payer category shifts.

Oct. 16—Additional state expansions of Medicaid eligibility are among the expected developments coming next year to the program, according to a former federal leader of Medicaid.

A government affairs expert shares strategies for keeping up with complex Medicaid rules and stay in compliance.

Building on lessons learned from early bundle experiences, a midwestern health system is proactively designing its own bundles as it works with insurers and the state to craft bundles that better represent clinical and operational realities.

Sept. 5—Medicaid insurance companies and hospitals squared off in Congress this week over legislation to expand children’s medical homes nationally.