Reimbursement

Q&A: Do Price Transparency Regulations Improve the Patient Experience?

Two healthcare finance leaders explain why their organizations are placing more emphasis on patient education and customer service than on new regulations surrounding charge transparency.

By Elizabeth Barker February 26, 2019

Provider Nimbleness Required for Diverse Value-Based Healthcare Models

Providers must be nimble to adapt to new value-based healthcare strategies.

By Theresa Hush February 26, 2019

National Hospital Survey Shares Insight into CMS’s Price Transparency Requirement

Hospitals expressed uncertainty about the usefulness of information supplied in response to CMS’s IPPS transparency requirements, but also recognize that the rule amplifies healthcare industry efforts to provide meaningful price estimates for healthcare services. 

By Jamie Cleverley February 21, 2019

340B Ruling: Good News for Some, Maybe

340B-eligible facilities are unsure of the fate of the 340B discount drug program as they await a U.S. District Court ruling on remedies that could further alter payments.

By J. Stuart Showalter February 20, 2019

Ask the Experts: Behavioral Health Billing

We want to offer an intensive outpatient program (IOP) that provides group psychotherapy to patients who require a higher intensity of treatment than our outpatient setting provides. We need a thorough understanding of the billing process for the state of

By HFMA February 20, 2019

74 Medicare ACOs Depart: Analysts

Feb. 19—By the end of 2018, 74 of Medicare’s accountable care organizations (ACOs) departed the program, according to new analyses.

By Rich Daly February 20, 2019

Model Targets Hundreds of Millions in Medicare ED Spending

Feb. 18—Heralded as part of a shift in care to lower-cost locations, a new Medicare model coming early next year will incentivize paramedics to find alternative treatment sites to emergency departments (EDs).

By Rich Daly February 19, 2019

Annual Hospital Costs for Opioid Overdose Patients Approaches $2 Billion

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.

By HFMA February 15, 2019

Feb 18-22: Most New ACOs to Face Higher Risk, Analyses Say

Feb. 14—Most organizations applying by next week to launch accountable care organizations this summer may be required to take on higher levels of financial risk, according to two analyses.

By Rich Daly February 15, 2019

Preventable ED Use Costs $8.3 Billion Annually: Analysis

Feb. 8—An estimated $8.3 billion is spent each year on emergency department (ED) care that could be provided in another location, according to a new analysis.

By Rich Daly February 11, 2019
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