Discharge Planning Final Rule Executive Summary
This document contains a high-level overview of CMS’s discharge planning final rule.
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.
How to get a handle on Medicare bad debt
Medicare bad debt is a significant source of revenue leakage for hospitals and often is not adequately addressed.
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.
Analysis: Initial thoughts on the President’s recent Medicare executive order
A review and insight on several key points in the President’s Medicare executive order issued Oct. 3.
Analysis: Walmart’s Sam’s Club unveils discount healthcare pilot program
A review of the Walmart Sam’s Club discount healthcare pilot program in three states and how the insight the company gleans about utilization and customer preferences will inform its health clinic concept pilot.
Information imperatives for successful payer-provider collaboration
A roundtable of payer and provider leaders examines the importance of transparent communication, relationship-building and robust data sharing amid the transition to value-based care.
Strategic Financial Planning Fall 2019 Issue
The Strategic Financial Planning newsletter Fall 2019 issue features articles on price transparency, bond underwriters, direct contracting, M&As and business ethics.
Direct contracting models offer promise of expedited shift to value-based care
CMS’s Direct Contracting Models offer providers some substantial benefits, including access to capitation payments for Medicare fee-for-service members — without the investment costs in brokers and marketing to move members into Medicare Advantage.
Regulatory Burden Reduction, Dialysis Fire Safety and Hospital CAH CoP Final Rules Summaries
This document summarizes three final rules published by CMS addressing certain Medicare regulations identified as unnecessary, obsolete or excessively burdensome; updating fire safety requirements to certain renal dialysis facilities; and revising hospital and critical access hospital (CAH) conditions of participation (CoPs).