Medicare
The HHS Jan. 13 issued a final rule that makes changes to the procedures for Administrative Law Judge appeals of payment and coverage determinations for items and services provided to Medicare beneficiaries, in addition to other Medicare appeals.
Medicare’s Hospital Value-Based Purchasing program has not accelerated the improvement of patient experience beyond previous trends, according to a study reported this week in Health Affairs. “Instead, we found that the rate of improvements in patient experience has slowed since the program…
The Centers for Medicare & Medicaid Services has released additional details on the Medicare Accountable Care Organization Track 1+ model, which will begin in 2018.
American Hospital Association's comments on MedPAC's draft recommendations for fiscal year 2018..
The Health Resources and Services Administration today released a final rule on drug ceiling prices and civil monetary penalties for manufacturers in the 340B Drug Pricing Program.
Underpayment by Medicare and Medicaid to U.S. hospitals was $51 billion in 2014. Medicare reimbursed 89 cents and Medicaid reimbursed 90 cents for every dollar hospitals spent caring for these patients. This fact sheet provides the definition of underpayment and technical information on how this…
In 2014, community hospitals have provided more than $42.8 billion in uncompensated care to their patients. This fact sheet provides the definition of uncompensated care and technical information on how this figure is calculated on a cost basis.
The CMS Dec. 20 finalized a new payment model that bundles payment to acute care hospitals for heart attack and cardiac bypass surgery services.
The CMS Dec. 20 released details on a new model for Medicare accountable care organizations (ACOs), Track 1+.
The Centers for Medicare & Medicaid Services today announced the creation of a Medicare Accountable Care Organization Track 1+ Model. The new model will qualify as an advanced alternative payment model under the Medicare Access and CHIP Reauthorization Act by incorporating more…