Hospital industry groups said Thursday they’d rather the government reform the Recovery Audit Contractor program than simply throw more money at fixing an onerous backlog of more than 800,000 Medicare...
Obama advisors urge faster shift to value-based reimbursement of healthcare providers
By
John Hall
Jun 02, 2014
Fee-for-service payment methods are the greatest impediment to an efficient healthcare system by incentivizing volume instead of better outcomes, advisors declared last week in a report to President Obama.
Watchdog: CMS should monitor Recovery Audit Data warehouse
By
John Hall
Apr 17, 2015
A new Government Accountability Office report recommends sweeping government reforms that would mitigate fragmentation and duplication of a number of Medicare and Medicaid programs.
How to do it… Physical restraints
By
John Hall
Aug 06, 2016
Since passage of healthcare reforms in OBRA 1987, the incidence rate of resident restraints has dropped considerably, to less than 5%, with a mantra to lower it further.
Insurers rattled by Medicaid managed care’s big changes
By
John Hall
Jun 06, 2016
The government’s first major overhaul of the Medicaid Managed Care program in 14 years is unlikely to affect provider reimbursements, but insurers continue to take exception with one provision allowing...
How to do it … Mortgage financing 2018
By
John Hall
May 08, 2018
The biggest surge in commercial mortgage debt in 10 years was waning. Census rates fell and public debt lenders hibernated. Early tax reform talk made many owner-operators skittish. Overreacting? Perhaps...
Chicago’s massive suit over OxyContin alleges painkiller drug companies have misled prescribers and patients, leaving many woefully addicted and the city with enormous costs for treating them.
Groups tout payment plans; Pallone promises legislation
By
John Hall
Apr 04, 2016
Several organizations have weighed in on how to finance long-term care services and supports for more than 12 million Americans, leading a Congressional committee to push toward a possible legislative...
SNF cuts could be averted under latest ‘doc fix’ proposal
By
John Hall
Mar 12, 2015
Nursing home leaders and operators are crossing their fingers that a new proposal will give them a four- to six-month reprieve from having to possibly finance a plan via reimbursement reductions to avert...
AMA to submit information to federal regulators regarding end-of-life care planning
By
John Hall
Jun 03, 2014
The American Medical Association is expected to release recommendations soon for what physicians should be reimbursed for end-of-life medical consultations. The physicians group issues advisements regularly...