Healthcare Finance NewsFierceHealthIT

Healthcare Finance NewsFierceHealthIT
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America's Health Insurance Plans said it supports MACRA alternative payment models and quality payment program initiatives, including the ability for clinicians to form virtual groups to qualify for the merit-based incentive payment system. Solo practitioners and small group practices of 10 or fewer clinicians may join virtual groups that will be...

The 2018 federal budget and tax reform plan that narrowly passed the Senate on Thursday includes large proposed cuts to Medicare and Medicaid. The cuts to two safety net entitlement programs would pose a significant risk to providers' reimbursement of care for older, sicker and disabled populations. Though the provisions need additional legislation...

The uninsured rate has risen by 1.4 percent since the end of 2016, with the greatest increase being among those who paid for their own insurance either on or off the Affordable Care Act exchanges, according to a new Gallup and Sharecare poll. The number of adults with self-paid plans has fallen from 21.3 percent to 20 percent. [Also: Suburban poor,...

The Next Generation and Pioneer ACO models earned payments for 11 out of 18 health systems participating in Next Generation in 2016 and for six out of eight in Pioneer. Seven Next Generation ACOs lost money, according to the Centers for Medicare and Medicaid Services. Three had dropped out in 2016 due to financial targets they said were set too...

Faced with another 5 percent increase in healthcare benefit costs, a growing number of large U.S. employers plan to focus more on how healthcare is delivered and paid for while still pursuing traditional methods of controlling expenses, such as cost-sharing and plan design changes, according to an annual survey by the National Business Group on...

While many healthcare providers and private insurance companies are embracing value-based care as a way to enhance care quality and rein in unnecessary spending, there's another factor driving adoption. Most hospitals have little choice in the matter due to federal government mandates such as the value-based purchasing program and bundled...

Provider and insurers may not always see eye to eye, but when it comes to analytics, especially around risk-based contracts, both can find common ground in shared population health data. Insurers provide the broader view from pharmacy benefits and claims paid to outside providers, while hospitals have the deeper information on patient care through...

As hospitals gear up to treat childhood leukemia using new gene therapy, the Centers for Medicare and Medicaid Services said it is exploring the development of payment models for this and other potentially life-saving treatments. The U.S. Food and Drug Administration on Wednesday approved Kymriah for use in acute lymphoblastic leukemia. It has a...

August 2017 Altarum Institute Center Health Sector Trend report. According to the report, spending grew by only 4.6 percent in 2016 and estimates based on new data have the downward trend continuing with growth for the first half of 2017 at 4.4 percent. Altarum said the estimates illustrate the impact of expanded coverage, and its subsequent...

The U.S. Department of Health and Human Service has declared a public health emergency in the wake of Hurricane Harvey's devastation in Texas. The agency will give providers greater flexibility in treating patients in emergency situations, as many Medicare beneficiaries have been evacuated to neighboring communities whose hospitals and nursing...