Reimbursement

Bhatt: Vascepa Cuts Need for Surgeries to Restore Blood Flow

July 25, 2020

Dr. Deepak Bhatt presents results that show Vascepa cuts the risk for surgeries to restore blood flow to the heart by a third.

Tackling Hunger—and Health Care Costs—by Moving Interventions Upstream

July 21, 2020

When Medicaid pays for food, it helps prevent chronic disease.

Telehealth and Therapy: On the Couch. But Now It’s Your Own Sofa.

June 25, 2020

COVID-19 forced a shift to virtual behavioral health therapy. Some once-skeptical providers, however, are finding telehealth beneficial. Reimbursement and continued relaxation of regulations will determine whether it’s here to stay.

Use of Telehealth Services Increases Amid Pandemic

April 11, 2020

The telehealth industry and its observers have been surprised by how quickly the healthcare system has pivoted to telehealth and providing care remotely.

Reimbursement Remains a Barrier to Digital Health Adoption

November 30, 2019

A recent study suggests healthcare organizations see reimbursement concerns-as well as differences in business culture – as roadblocks to embracing digital health partnerships.

Considering Social Determinants of Health in Reimbursement

November 26, 2019

Could per-person adjustments to Medicaid payments help better address social inequalities that affect overall health?

Continued Uncertainty Regarding Hospital Pricing Transparency

November 25, 2019

CMS has put forth pricing transparency provisions for both hospitals and insurers – but what will they really mean for healthcare?

5 Quality Measures That Matter for Value-Based Care

November 13, 2019

In the shift from quantity to quality, there are five critical areas where quality is critical.

The Top 5 Barriers to Value-Based Care

November 13, 2019

A recent survey found what were the biggest issues facing value-based care.

Readmission Trends for Hip and Knee Replacement

November 08, 2019

Encouraging weight loss, smoking cessation, and management of diabetes prior to surgery can help avoid post-operative problems.

Missed Savings from Mergers and Acquisitions

November 01, 2019

Healthcare is still undergoing a large number of M&As – but are they offering the kind of value originally sought? New research suggests not.

Stark, Anti-Kickback Statute Reform: 5 Things Healthcare Execs Need to Know

October 17, 2019

In a long-awaited move, HHS proposes to overhaul the federal anti-kickback statute and Stark Law for today’s value-based environment.

3 Gene Therapy Reimbursement Models on Horizon

October 15, 2019

Effective reimbursement models are the key to the future success of gene therapies, a new PwC report shows.

Eight Ways to Reduce Healthcare Administrative Costs

October 14, 2019

They’re a huge part of healthcare spending-but administrative costs don’t have to be so high.

Maintaining Oncology Cost Savings: 3 Challenges in Value-Based Care

October 11, 2019

What to consider when balancing cost and quality in oncology care.

3 Reforms Aim to Reduce Administrative Burden of Value-Based Care

October 11, 2019

Medical groups offer new ways to help better streamline the model.

Trends in Value-Based Care

October 08, 2019

Provider, life sciences, biotech, IT, and financial industry leaders weigh in.

6 Strategies for Your Hospital Readmissions Reduction Program, Part 2

October 05, 2019

The ultimate guidebook on everything you need to know about reducing hospital readmissions-the most common risk factors, the reimbursement issues, and how real-world hospitals are solving the problem.

Physician Consolidation Leads to Higher Healthcare Costs

October 03, 2019

As more healthcare organizations and private equity firms purchase or invest in physician groups, costs for consumers rise.

Set the Data Free

October 01, 2019

A new survey suggests that healthcare organizations are missing the vital claims data they need to fully embrace risk-based payment arrangements.