The newly proposed Medicare Outpatient Prospective Payment System (OPPS) rule for calendar year (CY) 2022 is causing a stir with new hospital price transparency enforcement rules and other...
CMS is seeking greater hospital price transparency enforcement through the newly proposed Medicare Outpatient Prospective Payment System (OPPS) rule for calendar year (CY) 2022.
The rule proposed...
The US Supreme Court recently announced that it will hear an ongoing debate over cuts to 340B drug payments to Medicare hospitals.
The case will be heard during the Supreme Court’s upcoming...
The Supreme Court has declined to take up a lawsuit filed by the American Hospital Association (AHA) that aimed to reverse Medicare’s site-neutral payment policy for clinic visits furnished to...
Hospitals are taking steps on the road to recovery after dramatic losses across volumes, revenues, and other financial metrics during the COVID-19 pandemic, according to the latest hospital financial...
The American Hospital Association (AHA) recently launched the AHA Vitality Index, a data benchmarking tool that provides hospitals with a dashboard to track claims and reimbursements, as well as...
Outpatient payments would decrease for the majority of hospitals if HHS reversed a controversial policy reducing 340B drug reimbursement, according to a new Avalere analysis.
The analysis examined...
Even as length of stay decreased for hip fracture patients, the disparity between Medicare reimbursements to hospitals and reimbursements to surgeons has grown in recent years for this procedure,...
In its annual March report to Congress, the Medicare Payment Advisory Commission (MedPAC) has recommended a 2 percent increase in Medicare hospital reimbursement rates in 2022 and no update for...
A new report from the HHS Office of the Inspector General (OIG) has shown that hospitals have increasingly billed inpatient stays at the highest severity level, causing concern about Medicare...
Total hospital revenue will take a significant hit compared to pre-pandemic levels, spelling trouble for ongoing COVID-19 vaccination efforts, according to a new analysis.
The analysis prepared by...
Hospital financial performance started on a low note in 2021, with margins, volumes, and outpatient revenues all below prior year performance in January, according to the latest data from healthcare...
Hospital price transparency policies are slated to save between $8.7 billion to $26.6 billion a year, but that may not make a big enough dent in the $1.2 trillion—and growing—hospital...
As communities implemented shelter-in-place orders and medical providers closed their doors in the spring of 2020, older adults did not seek medical care, leading to a dramatic reduction in Medicare...
The American Hospital Association (AHA), joined by member hospitals and other national organizations, have filed petitions asking the Supreme Court to reverse two appeals court decisions impacting...
Small, non-affiliated physician practices fall behind hospitals and health systems when it comes to value-based contracting, found the Value-Based Care Assessment: 2020, the latest report from Insights...
Hospitals received just 87 cents for every dollar they spent caring for Medicare patients and 90 cents for every dollar on Medicaid patients in 2019, according to new data from the American Hospital...
After COVID-19 disrupted the healthcare system last year, finance teams adjusted processes to provide budget flexibility and rolling forecasts and will continue to do so in 2021, according to Syntellis...
The COVID-19 pandemic has led to historic patient volume losses, and many major hospital service lines continue to see a significant impact on their volumes because of rising cases and lasting changes...
Hospital operating margins took a hit in November as rates of infection and COVID-19 hospitalizations ticked up yet again across the country, according to the latest National Hospital Flash...
