Many providers discharge Medicare patients based on when it is most lucrative to do so rather than improved patient condition, the Wall Street Journal reports.
There's currently a schism between healthcare prices and healthcare spending.
Prices are budging only grudgingly. That's likely the confluence of the Great Recession, the Affordable Care Act and the ever-rising out-of-pocket costs for consumers, which has prompted some to put the brakes on utilization.
However, healthcare spending paints a different picture. It rose by 5 percent last year, according to the Altarum Institute's Center for Sustainable Health Spending. That's significantly higher than in 2013, and it edged closer to a 6 percent annual spending rate increase in December. That compares to a 1.8 percent overall rise in pricing in 2014, including the lowest rise in hospital prices in nearly two decades.
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Providers should once again expect lawmakers to approve the time-honored patch to the Sustainable Growth Rate formula to ensure physicians don't endure a huge cut in Medicare reimbursement, according to MedPage Today.
Academic medical centers and other hospitals that charge higher prices for their services received the lion's share of payments for providing care to patients in Massachusetts in 2012 and 2013, according to a new study published by the Center for Health Information and Analysis.
Prime Healthcare Services has yet to decide whether to purchase six hospitals from the Daughters of Charity healthcare system for $843 million. But Daughters of Charity has not hesitated to sue one of the deal's biggest critics.
Using data analytics to identify "super-utilizers" within a healthcare system is one of the key ways for an accountable care organization to control costs.m accordinf to Sheila Fusé, CEO of Primary Partners, LLC.
As part of its shift from fee-for-service to the value-based payment model, the Department of Health and Human Services should focus on bundled payments, cancer treatment and improving the accountable care organization model. argues a new opinion piece by healthcare economist Ezekiel Emanuel and colleagues for the Center for American Progress.
From Our Sister Sites
Third parties receive personal health information from more than 90 percent of visits to health-related websites, according to research to be published in the March 2015 issue of Communication of the ACM.
America's Health Insurance Plans filed an amicus brief in support of New York Attorney General Eric Schneiderman's anti-trust case against the pharmaceutical firm Actavis.