As many as 55 percent of rural hospitals – or 1,037 hospitals – would be at a high risk of closure under a Medicare public option, revealed a recent analysis conducted by Navigant...
A new analysis of hospital inpatient claims for individuals with employer coverage revealed that consumers and employers are paying significantly more for hospital-based inpatient services largely...
A proposal to increase hospital price transparency by requiring facilities to publish their negotiated rates with private payers is raising red flags among major industry groups, including the American...
Hospitals had total margins of 7.8 percent in 2016, the highest level of hospital profitability in about a decade and more than payers, pharmacies, and pharmacy benefit managers, a new analysis from...
Medicare beneficiaries treated for common medical conditions and surgical conditions incurred lower total costs of care over a 30-day episode when hospitalized at a major teaching hospital versus a...
St. Joseph’s Hospital and Medical Center in Phoenix, Arizona, overstated wage index data by over $12.3 million, which would have significantly impacted Medicare reimbursement rates for hospitals...
In a 7-1 decision released on Monday, the Supreme Court sided with hospitals that sued HHS in 2014 over a change in how the department calculated Medicare disproportionate share hospital (DSH)...
Two House lawmakers are hoping a new bipartisan bill will stop CMS from enforcing a new site-neutral payment policy, which reduces Medicare reimbursement to hospitals operating off-site...
Hospital prices for private payers were 241 percent of what Medicare would have paid for the same services, according to a new RAND Corporation study.
The study of claims data from 1,598 hospitals in...
In a new report, the Congressional Budget Office (CBO) says establishing a single-payer healthcare system would involve substantial changes to coverage, provider payment rates, and financing methods,...
CMS is proposing to update Medicare payment policies under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) for fiscal year (FY)...
The Medicare Board of Trustees still projects the Hospital Insurance (HI) Trust Fund, which supports provider payments under Medicare Part A, will deplete by 2026, according to their 2019 annual...
Hospital outpatient department (HOPD) clinics treat poorer and sicker Medicare patients compared to those treated in ambulatory surgical centers (ASCs), according to a recent study from the American...
The Medicaid and CHIP Payment and Access Commission (MACPAC) recently released its March 2019 report to Congress, which advises policymakers to roll out cuts to Medicaid disproportionate share hospital...
Medicare reimbursement rates rarely cover the actual costs of providing hospital care. But now negative Medicare margins are impacting the most efficient hospitals out there, according to a new report...
A new report shows implementing a Medicare public option would decrease hospital reimbursement by $774 billion over a ten-year period, representing a ten percent reduction in payments.
The report,...
President Trump’s budget proposal for the 2020 fiscal year is requesting a tightening of the purse strings for HHS, including $845 billion in Medicare spending cuts over the next decade.
The...
A new analysis by the independent research organization Pioneer Institute reveals that not only do hospital prices significantly vary by organization, but how much consumers and insurers pay for care...
Extending and establishing site-neutral payments for outpatient services is the key to lowering healthcare costs, a coalition of patient advocates, providers, payers, and employers recently told...
Despite higher Medicaid reimbursement, fewer uninsured individuals, and less uncompensated care costs, hospital cost shifting to commercial payers did not subside in Colorado.
Those are the findings...
