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Bad debt is rising again at nonprofit hospitals, Moody's finds

December 2, 2019


The amount of bad debt nonprofit hospitals experience increased in 2018 for the first time since 2014, in part because of changes to insurance benefit designs that are placing greater financial responsibility on patients, according to a new report from Moody's Investors Service.

CMS will soon accept applications for a new value-based primary care model

November 27, 2019


CMS on Monday announced that health care providers next month will be able to start applying for the direct contracting pathways under the agency's new Primary Care First alternative payment model.

The 5 keys to value-based care, according to Intermountain CEO Marc Harrison

October 28, 2019


As the health care industry moves toward value-based payment models, Intermountain Healthcare President and CEO Marc Harrison writing in Harvard Business Review offers his five principles to implementing a successful value-based care program.

CMS delays new primary care, kidney care value-based payment models

October 28, 2019


CMS on Thursday announced it is delaying the start of several new voluntary value-based payment models, but it continued to encourage Medicare providers to apply to participate in the payment models.

Judge denies CMS' request to stay ruling striking down site-neutral payments

October 23, 2019


A federal judge on Monday denied CMS' request to modify and stay a prior ruling that struck down cuts to Medicare payment rates for off-campus hospital facilities.

How HHS wants to update anti-kickback rules to support value-based care

October 10, 2019


HHS on Wednesday issued long-anticipated proposed rules to update anti-kickback and physician-referral regulations so they do not interfere with physicians' ability to participate in value-based payment arrangements.

The US 'wastes' nearly $1 trillion in health spending each year. Where does it all go?

October 9, 2019


About 25% of U.S. health care spending annually is wasteful, according to a study published Monday in JAMA. See where all the money goes on our interactive charts.

Do value-based payment programs work?

October 1, 2019


Medicare has increasingly emphasized value-based payment programs since the Affordable Care Act's enactment, but nearly a decade later, experts are still weighing whether these value-based initiatives work, health economist Austin Frakt writes for the New York Times' "The Upshot."

The House’s 'surprise bill' fix could cut provider payments by up to 20%, CBO finds

September 24, 2019


The House Energy and Commerce Committee's bill to address so-called "surprise" medical bills would reduce in-network provider payment rates and premiums in some markets and generate $21.9 billion in federal savings over a decade, according to a Congressional Budget Office report released last week.

Providers urge CMS to delay proposed radiation oncology bundled payment model

September 19, 2019


Provider groups are urging CMS to delay its proposed mandatory bundled payment model for radiation oncology, saying the model could lower investments in new technologies and equipment and reduce access to new types of care.

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