Where healthcare challenges find solutions

Payment

Patients are increasingly reaching into their own pockets to cover the cost of healthcare. They want more information about costs and ways to conveniently pay their bills while providers want to maintain healthy margins. Read more about innovative payment tools.

CMS considers paying all Medicare providers for cancer gene therapies

CMS considers paying all Medicare providers for cancer gene therapies

The CMS is considering reimbursing all Medicare providers for one-time cancer treatments that genetically alter patients' cells to fight the disease. The move could increase revenue by millions at each hospital offering the therapy.  »

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New coalition urges greater support for independent docs in value-based payment models

New coalition urges greater support for independent docs in value-based payment models

The Medical Group Management Association and five other physician organizations formed a coalition to advocate for policies that support independent doctors transitioning to value-based payment.

New CMS nursing home model raises pay accuracy concerns

New CMS nursing home model raises pay accuracy concerns

Some nursing homes worry that CMS' proposed Patient-Driven Payment Model may pay them less for treating Medicare patients.

CMS urges hospitals to disclose prices, revamps meaningful use program

CMS urges hospitals to disclose prices, revamps meaningful use program

The CMS wants hospitals to post how much they charge patients for services and, separately, will overhaul the meaningful use program to give providers incentives for interoperability.

Florida awards Medicaid contracts as expansion speculation builds

Florida awards Medicaid contracts as expansion speculation builds

Florida awarded nine insurers Medicaid managed-care contracts worth tens of billions of dollars as stakeholders eye opportunities for the program's expansion.

CMS seeks to allow doctors to bill patients directly

CMS seeks to allow doctors to bill patients directly

The CMS wants to launch a new model that will allow Medicare enrollees to contract directly with physicians. Advocates warn the approach could undermine access to care for the sickest patients.

How stakeholders in the short-term medical market are gearing up to attract more customers

How stakeholders in the short-term medical market are gearing up to attract more customers

Insurers and a private insurance exchange are coming up with ways to increase enrollment in short-term plans in the wake of a proposed rule to extend those plans. But critics fear this could leave the individual market worse off.

Humana launches bundled-payment model for maternity care

Humana launches bundled-payment model for maternity care

The Louisville, Ky.-based insurer joined a small group of private payers bundling childbirth services, citing the potential for savings.

Will new payment model for treating opioid abuse help meet demand for treatment?

Will new payment model for treating opioid abuse help meet demand for treatment?

The American Medical Association and the American Society of Addiction Medicine have developed a new way to reimburse physicians who treat patients for opioid use disorder.

Alternative pay models stifled by lack of private payer interest

Alternative pay models stifled by lack of private payer interest

A CMS initiative encouraging states to develop alternative pay models has failed to make a dent in health expenditures, partly due to private insurers' lack of interest in the programs, according to a new analysis.

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