Hospitals continue to report rising rejections of claims connected to Recovery Audit Contractor (RAC) scrutiny, but they still can prevail if they undertake the appeals process, reported AHA News Now.
Hospitals in states whose politicians have decided not to expand Medicaid eligibility under the Affordable Care Act are beginning to be hit hard, with many cutting work staffs or closing their doors completely.
Three rural hospitals have closed in Georgia this year due to ongoing financial woes, and more than a dozen others may shut their doors soon, Georgia Public Broadcasting reported.
The Office of the Inspector General has recommended that the Centers for Medicare & Medicaid Services develop a measure to determine the rate nursing home residents are being admitted to hospitals due to a deterioration of their medical condition,
Wisconsin Gov. Scott Walker, who heads one of the few northern states that is not planning to expand Medicaid eligibility as part of the Affordable Care Act, has put forth a proposal that would move tens of thousands of the state's residents out of the BadgerCare program and into the state's health insurance exchange, Kaiser Health News and NPR reported.
The White House says slow growth of healthcare spending could boost the job market and help control costs, according to USA Today.
The healthcare market is ripe for hospital acquisitons and few smaller systems will survive, Tenet Healthcare's chief executive officer told Bloomberg News.
While the U.S. healthcare system continues to be the most pricey in the world by a long margin, the Centers for Medicare & Medicaid Services' Innovation Center is quietly finding ways to cut costs for delivering care, with most of the efforts focused for the moment on patient-centered medical homes.
In the Pacific Northwest, the Medicaid program is undergoing a significant expansion, as Oregon reports huge gains in enrollment. Meanwhile, in redder Alaska and Tennessee, expansion is either a non-starter or increasingly unlikely.
Jackson Health System, Southern Florida's biggest public hospital system and a perennial money loser, is now posting a surplus and will soon have close to $1 billion to perform infrastructure improvements, the Miami Herald reported.
The United States is the most expensive country in the world for healthcare, with patients getting for their money longer waits to see a doctor and more red tape than other nations, according to a new Commonwealth Fund survey.
Hospitals and physician groups--expecting a rise in the number of patients with high-deductible health insurance plans--are coming up with strategies to ensure they receive payment for providing services for scheduled or elective surgeries. Among the most popular options: Collecting cash upfront and enrolling patients in payment plans, according to the Chicago Tribune.
n the second year of the the Centers for Medicare & Medicaid Services' value-based purchasing program, the number of hospitals that will lose payments still outstrips the number that will receive bonus payments by a wide margin.
As Pennsylvania's policymakers struggle with a decision to expand its Medicaid eligibility under the Affordable Care Act, the Keystone State is facing a potential cut of $325 million in funding next year, the Philadelphia Inquirer reported.
California has no limit in the amounts hospitals can bill for services. But Maryland's Health Services Cost Review Commission caps hospital bills. The result: Stark differences in charges but little variation in profit margins, according to the Huffington Post.
Hospitals that have initial higher prices for the care they provide are more likely to receive higher payments from the Medicare program for so-called "outlier" care, according to an Office of the Inspector General report.
The 36 states that rely on HealthCare.gov to transmit their residents' applications to Medicaid could wind up delaying their enrollment, Politico reported.