The shift from volume- to value-based reimbursement is an ongoing, difficult process for all hospitals, so leaders must develop and enact strategies to not only survive, but create positive operating margins, according to Chip Caldwell, a consultant and former healthcare executive.
The upcoming two-midnight rule for inpatient admissions will put considerable financial pressure on the nation's hospitals in the coming months, according to a new report by Moody's Investors Service.
A Bloomberg News report describes what it calls a "heart surgery factory" at Mt. Sinai Hospital in New York City. But the practice of scheduling emergency procedures in order to maximize reimbursement is widespread, according to Forbes.
Fnancial challenges remain hospital CEOs' top concern, the American College of Healthcare Executives' (ACHE) annual survey found.
Nine hospital groups urged a special Congressional panel reviewing fiscal year 2014 budget recommendations to not make further cuts to Medicare and Medicaid reimbursements, Bloomberg BNA reported.
Iowa may take advantage of Medicaid reimbursement for inmate hospitalizations next year as the pool of eligible inmates increases, according to The (Iowa) Gazette.
Healthcare providers not reimbursed by D.C. Chartered Health Plan, could see payments now that the District's healthcare finance director reached an agreement with Chartered's receiver to settle a Medicaid rate dispute for approximately $18 million, reported The Washington Post.
Steward Health Care System, which owns several safety nets, and Local 1199 SEIU United Healthcare Workers East yesterday launched the Massachusetts Healthcare Equality and Affordability League to fight payment inequalities that favor a handful high-cost wealthy Boston hospitals.
With emergency department best practices, Washington saved more than 10 percent in Medicaid fee-for-service emergency care costs and expects to save $31 million for the entire fiscal year.
The battle over Medicaid reimbursements for treatment of undocumented immigrants continues, as an administrative law judge on Tuesday heard arguments about a rule issued by Florida's Agency for Health Care Administration.