Reimbursement

To gain a clearer understanding of the financial impact of transitioning to a value-based model, healthcare executives can learn from the experiences of another health system that has undertaken a similar migration.

Careful review of medical record sharing costs and responsibilities stated in managed care contracts can reduce providers' expenses and productivity burden during payer reviews and audits.

Efforts to control the growth of healthcare costs nationwide have focused on reducing variation both in utilization and price.

A leader of federal antitrust enforcement touted a continuation of “aggressive” enforcement against hospital deals, even as the share of independent hospitals shrank to a historic low.

Specialty physician practices embarking on value-based care initiatives should start by expanding their ability to collect and synchronize data.

Part D plans will have fewer new tools to control drug spending than Medicare initially proposed.

Faced with $4 billion in cuts to Medicaid uncompensated-care payments that start in October, some hospitals warn they may have to close.

Although a federal boost to short-term insurance plans raised alarm among hospital advocates, early evidence suggests there has been little adverse impact on the individual insurance market.

CMS’s Pathways to Success final rule is a challenging proposition for ACOs participating in the Medicare Shared Savings Program (MSSP).

The growth of ambulatory surgery centers has hospitals and health systems looking at payment in a new way.