On April 18, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that addresses the problematic two-midnight rule that produced 0.2 percent payment reductions for certain...
The Affordable Care Act has had two main goals for the healthcare system: Increase health insurance coverage for Americans and lower healthcare spending around the country. At this point in time, the...
When the Affordable Care Act was passed several years ago, it had major implications for the future of the Medicare program. According to a study from the Private Enterprise Research Center at Texas...
The Centers for Medicare & Medicaid Services (CMS) launched the Comprehensive Care for Joint Replacement Model a little more than a week ago. This program is meant to issue bundled payments for a...
As the Affordable Care Act (ACA) brings more patients into the healthcare system, spending is on the rise, especially on chronic diseases, such as diabetes, heart disease and depression.
Blue Cross Blue...
In 2014, Medicare spending for personal healthcare expenditures only increased by 2.4 percent per person and decreased by 3.6 percent for Medicaid, a recent report by the Department of Health and Human...
The House of Representatives proposed budget plan for 2017 from the House Budget Committee aims to repeal the Affordable Care Act (ACA), reduce Medicare spending, and give states more control with health...
CMS continues to reduce Medicare spending by awarding contracts to successful bidders for Medicare’s Round 2 and national mail-order recompetes and releasing new single payment amounts for the...
Medicare accountable care organizations (ACOs) are finally smoothing out regional hospitals' revenue cycle wrinkles. But successful ACOs still need to adopt tighter standards to remain...
Healthcare providers have yet to recognize the significant yet untapped potential of Medicare Advantage value-based care arrangements to increase revenue, according to a study from...
Medicare spending is falling, according to an annual report from the Centers for Medicare & Medicaid Services (CMS) that assessed how to reduce avoidable hospitalizations...
Medicare and Medicaid spending demands closer alignment for healthcare providers to better manage costs, according to a new report from the Centers for Medicare & Medicaid...
Pay-for-performance incentives positively sway physician behavior when it comes to value-based care advancement, according to a new JAMA Pediatrics study. Financial incentives tied to value-based...
Medicare spending is on the rise as the sizable impact of high-priced drugs on healthcare spending evolves. Accountable Care Organizations (ACOs) appear to be either in, out, or somewhere in between on...
Medicare reform must boldly empower seniors to better control their healthcare spending, according to an October report from Devon M. Herrick, PhD, Senior Fellow at the National Center for...
The National Association of Medicaid Directors (NAMD) penned a letter yesterday to various leaders of the Senate Committee on Finance, House Committee on Ways and Means and House Energy and Commerce...
Medicare Part B, which helps pay for the majority of outpatient services, is in the midst of heated Congressional conversation. As RevCycleIntelligence.com reported last week, according...
The Centers for Medicare & Medicaid Services (CMS) has awarded $110 million to 17 national, regional, and state hospital associations and health system organizations to help slash preventable...
Although Medicare is reportedly fiscally solvent until 2030, some researchers say the program contributes to healthcare industry woes at a large extent. According to Devon M. Herrick, PhD, Health...
Along with the fiftieth anniversary of Medicare comes reflection. A recent series of writings within the fall issue of the Journal of American Physicians and Surgeons (JPandS) highlights numerous...