Where healthcare challenges find solutions
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.
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. »
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.
Some nursing homes worry that CMS' proposed Patient-Driven Payment Model may pay them less for treating Medicare patients.
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 awarded nine insurers Medicaid managed-care contracts worth tens of billions of dollars as stakeholders eye opportunities for the program's expansion.
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.
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.
The Louisville, Ky.-based insurer joined a small group of private payers bundling childbirth services, citing the potential for savings.
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.
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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