Payment Models/Reimbursement
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Hospital Payments at Risk in Medicare Inpatient Rule
Hospitals continue to struggle with margin pressures and now may face reduced reimbursements under Medicare. Read on to see how disproportionate share, Medicare dependent and low volume adjustments could be impacted.
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Health Care Labor Pressures Continue
Health care labor costs are up and continue to impact overall revenues and margin. What are health care organizations to do? Read on to learn more.
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Medicare Advantage Plans Attract Scrutiny
Did the top 15 Medicare Advantage plans unnecessarily deny or delay some care due to prior authorizations or denials? That’s what the HHS inspector general found in a new report and part of why the plans are attracting scrutiny.
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From DCEs to REACH ACOs: Innovation Center releases model “refresh”
The Direct Contracting Entity is getting a refresh from the federal government’s Innovation Center. Here are the details you need to know.
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What to Watch for in Health Care in 2022
What are some top health care issues to watch in 2022? From labor to private equity, here’s your look at a few key themes.
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CMS Finalizes Various Changes For Physician Residency Programs
Physician residencies are the intensive, on-the-job training doctors must have after graduating from medical school. These typically occur in hospitals or clinics under residency programs. The Medicare program is the largest funder of residencies, but the number of these residency slots nationally is constrained by law. But new residency slots are just around the corner. Read on.
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Grant Funds Available to Boost Rural Health Care. Five Questions Answered
Rural health care support is available under the USDA’s Emergency Rural Health Care program. Learn more about eligible projects and expenses.
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Proposed Hospital Inpatient Rule Released
The Centers for Medicare and Medicaid Services released the proposed 2022 inpatient hospital rule. This year’s annual rule includes increased payments for hospitals, wage index policy changes, details on how 1,000 new Graduate Medical Education residency slots will be distributed, deletes the requirement that hospitals report median negotiated Medicare Advantage charges and more.
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Medicare Accelerated and Advance Payment: Top Five Questions Answered
Did you receive a Medicare accelerated or advance payment (AAP) in 2020? If so, recoupment may be right around the corner. Read our answers to the top five AAP questions.
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Catching You Up: PRF, Ban on Surprise Bills, Next COVID Package
Congress enacted multiple health care policies in late December, including a ban on surprise bills. Plus, there have been changes to the Provider Relief Fund and Congress is working on $1.9 trillion COVID relief package. We catch you up to speed.