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News
CMS launches advanced APM focused on bundled payments
January 10, 2018
The program “builds on the earlier success of bundled payment models and is an important step in the move away from fee for service.”
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News
Hospitals will feel the squeeze of DSH payment changes
December 18, 2017
The Centers for Medicare and Medicaid Services has altered the formula previously used to determine disproportionate share payments, and there will be fallout for hospitals.
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News
Conway says health care payment, quality reform to continue
May 3, 2017
Health care will continue its trajectory to higher value, lower costs, and improved quality for patients, keynote speaker Dr. Patrick Conway said Wednesday.
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News
Bundled payments reduce costs in joint patients
January 5, 2017
Bundled payments reduce costs in joint patientsClinical question: Does bundled payment for lower extremity joint replacement (LEJR) reduce cost without compromising the quality of care? [[{"fid":"175130","view_mode":"medstat_image_flush_right","fields":{"format":"medstat_image_flush_right","fiel...
Opinion
Keeping up with New Payment Models
December 7, 2016
For hospitalists, the arrival of the Physician Quality Reporting System (PQRS, originally Physician Quality Reporting Initiative, or PQRI) marks the swerve in reimbursement complexity
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News
Everything You Need to Know About the Bundled Payments for Care Improvement Initiative
November 9, 2016
BPCI might be a game-changer for HM because it’s the first of the bundled-payment initiatives that truly falls direct to the care provided by hospitalists
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Opinion
A Quick Lesson on Bundled Payments
- John Nelson, MD, MHM;
- MHM
October 25, 2016
Bundled payment programs are the most visible of CMS’s episode payment models (EPMs)
News
Theranos Receives Biggest Blow as CMS Revokes Certificate for Government Payments
- Ankur Banerjee;
- Natalie Grover (Reuters)
July 19, 2016
Theranos Inc founder and CEO Elizabeth Holmes, once touted as the Steve Jobs of biotech for her company's innovative blood-testing technology, has been barred by a U.S. regulator from owning or operating a lab for at least two years.
Dealing the biggest blow yet to the privately held company, the
News
Anticipating Growth in Medical Costs, U.S Health Insurers Will Receive Higher Government Payments in 2017
April 21, 2016
NEW YORK (Reuters) - U.S. health insurers that provide Medicare Advantage plans to elderly and disabled Americans will receive government payments in 2017 that are 0.85 percent higher on average than in 2016, reflecting small anticipated growth in medical costs, the U.S.
News
Centers for Medicare & Medicaid Services (CMS) Eliminates Two-Midnight Rule’s Inpatient Payment Cuts: Report
April 19, 2016
Medicare will stop imposing an inpatient payment cut to hospitals under the "two-midnight rule," according to a report in Modern Healthcare.